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牙周基础治疗对伴2型糖尿病的中、重度牙周炎患者牙周炎症控制、血清炎症指标及代谢水平影响

陈蕾 苏媛 倪佳 罗维 轩东英 章锦才

华西口腔医学杂志Issue(1):66-70,5.
华西口腔医学杂志Issue(1):66-70,5.DOI:10.7518/hxkq.2014.01.016

牙周基础治疗对伴2型糖尿病的中、重度牙周炎患者牙周炎症控制、血清炎症指标及代谢水平影响

Effects of non-surgical periodontal treatment on clinical response, serum inflammatory parameters, and metabolic control of type 2 diabetes patients with moderate to severe periodontitis

陈蕾 1苏媛 1倪佳 1罗维 1轩东英 1章锦才1

作者信息

  • 1. 广东省口腔医院 南方医科大学附属口腔医院牙周科,广州 510280
  • 折叠

摘要

Abstract

Objective To evaluate the effects of periodontal treatment on the clinical response, systemic inflammatory parameters, and metabolic control of type 2 diabetes patients with moderate to severe periodontitis. Methods A total of 56 patients with mean clinical attachment level (CAL)>3 mm were included in the subgroup analysis. A repeated-measures ANOVA (group factor: treatment group and control group; time factor: initial visit, 1.5, 3, and 6 months) was used to analyze the probing depth (PD), CAL, bleeding on probing (BOP), high-sensitivity C-reactive protein (hsCRP), glycated hemoglobin (HbA1c), and fasting plasma glucose. Results Significantly lower PD (F=62.898,P=0.000), CAL (F=51.263,P=0.000), BOP (F=75.164,P=0.000), hsCRP (F=6.391, P=0.010), HbA1c (F=4.536, P=0.011), and fasting plasma glucose level (F=3.073,P=0.031) were observed after therapeutic periodontal improvement. The inter-group differences for PD (t=-2.050, P=0.045), BOP (t=-4.538,P=0.000), and hsCRP (t=-2.261, P=0.028) were statistically significant after therapy. Conclusion Non-surgical periodontal treatment can effectively improve periodontal status, circulating inflammatory status, and metabolic control of diabetic patients with moderate to severe periodontitis.

关键词

牙周炎/糖尿病/超敏C反应蛋白

Key words

periodontitis/diabetes/high-sensitivity C-reactive protein

分类

医药卫生

引用本文复制引用

陈蕾,苏媛,倪佳,罗维,轩东英,章锦才..牙周基础治疗对伴2型糖尿病的中、重度牙周炎患者牙周炎症控制、血清炎症指标及代谢水平影响[J].华西口腔医学杂志,2014,(1):66-70,5.

基金项目

科技部“十一五”重点支撑计划基金资助项目(2007BAI-18B02);广东省科技计划基金资助项目 ()

华西口腔医学杂志

OA北大核心CSCDCSTPCDMEDLINE

1000-1182

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