CAJ | 학술논문

目的：探讨2型糖尿病与牙周炎治疗的相互影响。方法：随机选择患2型糖尿病伴中、重度慢性牙周炎的患者66名，其中联合治疗组（n＝34）进行降糖和牙周基础治疗；糖尿病治疗组（n＝32）进行单纯降糖治疗。观察比较两组治疗8周后牙周炎及糖尿病各相关指标。结果：治疗8周后，联合治疗组牙周炎症状明显改善，白细胞介素－1β降低，糖尿病症状也有明显改善，较治疗前相比均有显著性差异（P＜0．05）；糖尿病治疗组糖尿病与牙周炎症状均明显改善（P＜0．05）；联合治疗组牙周指标的改善明显优于糖尿病治疗组（P＜0．05），但两组糖尿病指标的改善无显著差异（P＞0．05）。结论：对于糖尿病伴慢性牙周炎的患者，糖尿病的有效控制有利于牙周炎症状的改善，糖尿病牙周联合治疗更有利于患者牙周炎症状的改善。
목적：탐토2형당뇨병여아주염치료적상호영향。방법：수궤선택환2형당뇨병반중、중도만성아주염적환자66명，기중연합치료조（n＝34）진행강당화아주기출치료；당뇨병치료조（n＝32）진행단순강당치료。관찰비교량조치료8주후아주염급당뇨병각상관지표。결과：치료8주후，연합치료조아주염증상명현개선，백세포개소－1β강저，당뇨병증상야유명현개선，교치료전상비균유현저성차이（P＜0．05）；당뇨병치료조당뇨병여아주염증상균명현개선（P＜0．05）；연합치료조아주지표적개선명현우우당뇨병치료조（P＜0．05），단량조당뇨병지표적개선무현저차이（P＞0．05）。결론：대우당뇨병반만성아주염적환자，당뇨병적유효공제유리우아주염증상적개선，당뇨병아주연합치료경유리우환자아주염증상적개선。
AIM:To investigate the mutual influence of diabetes mellitus and periodontitis.METHODS:66 diabetic patients with intermediate to severe chronic periodontitis were randomly divided into 2 groups,those in one group (n=34)received combined treatment for periodontal therapy and blood sugar control,in other group (n=32) received only diabetic treatment.8 weeks after treatment,periodontal parameters and diabetic parameters were meas-ured.RESULTS:Patients in the 2 groups all showed significant improvement in periodontal parameters and diabetic parameters (P<0.05).Furthermore,the patients in the combined therapy group showed better results in periodontal parameters (P<0.05);but the diabetic parameters improved similarly in both groups (P>0.05).CONCLUSION:Effective diabetic treatment may improve the symptoms of periodontitis in the patients with diabetes mellitus and peri-odontitis,combined treatment for periodontal therapy and blood sugar control is more effective.