北京大学学报（医学版）2011，Vol.43Issue(2)：285-289,5.DOI:10.3969/j.issn.1671-167X.2011.02.024
社区牙周干预对2型糖尿病患者牙周健康及血糖代谢水平的影响
Effect of community periodontal care intervention on periodontal health and glycemic control in type 2 diabetic patients with chronic periodontitis
摘要
Abstract
Objective: To evaluate the effectiveness of community periodontal care intervention in type 2 diabetic patients with chronic periodontitis who participated in community non-communicable diseases management service. Methods: The randomized controlled and blinded community trial with a duration of six months was designed to compare effects of “periodontal initial therapy” on group Ⅰ (22 cases) , of “professional mechanical tooth cleaning (PMTC), i.e. coronal scaling” on group Ⅱ (19 cases)and of “non-clinical therapy” on the control group (25 cases). The clinical periodontal indexes, such as probing depth ( PD), attachment loss ( AL), modified bleeding index ( mBI), plaque index (PLI) were obtained with a Williams type periodontal probe; Laboratory examinations including glycosylated haemoglobin A1 (HbA1 C) , glucose assay, were conducted. Results: The reductions of PD in groups Ⅰ and Ⅱ were 0.71 and 0.70 mm, respectively, which was more significant than in control group(0.20 mm); the reductions of AL in groups Ⅰ , Ⅱ , and control group were 0.86, 0.57, and 0.03 mm, respectively, which showed significance in all the three groups. The subjects of groups Ⅰ and Ⅱ had 0.56％ and 1.01％ reductions of HbA1C respectively, and the significance was observed in group Ⅱ. In addition, the improvement of HbA1 C values in group Ⅱ was highly correlated with the decrease in gingivitis (r= 0.51, P= 0.03). Conclusion: The community periodontal care approaches implemented in the community health service centers have significantly improved periodontal health as well as reduced glycemic level, which could be regarded as basic health care strategies for the patients with diabetes.关键词
社区卫生服务/糖尿病,2型/牙周炎/牙科刮治术/血糖Key words
Community health services/ Diabetes mellitus, type 2/ Periodontitis/ Dental scaling/ Blood glucose分类
医药卫生引用本文复制引用
李峥,沙月琴,张博学,朱凌,康军..社区牙周干预对2型糖尿病患者牙周健康及血糖代谢水平的影响[J].北京大学学报（医学版）,2011,43(2):285-289,5.基金项目
"十一五"国家科技支撑计划(2007BAI18B02)、国家自然科学基金(3030479)、北京大学"211"工程循证医学学科群项目(94000-246156083)和"十五"国家科技攻关计划(2001BA705B10-9)资助 （2007BAI18B02）
