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[目的]探讨牙周非手术治疗对糖尿病患者牙周炎的恢复情况及血糖水平的影响。[方法]选择43例患有牙周炎(CP)的胰岛素非依赖性糖尿病(NIDDM)患者,行牙周非手术治疗,比较治疗前及治疗后4周、8周牙周牙龈指数(GI)探诊出血(PD)、探诊深度(BOP)及糖化血红蛋白(HbAlc)水平。[结果]所有患者治疗后,PD、BOP、GI百分比均明显减少(P﹤0.01);重症CP患者HbAlc水平从(10.15±2.11)%下降到(8.97±1.34)%,差异有统计学意义(P﹤0.01);中度和轻度CP患者HbAlc水平治疗前后差异无统计学意义(P﹥0.05)。[结论]牙周炎伴糖尿病患者的牙周炎症控制对糖代谢的水平有一定的影响,牙周症状控制良好,血糖控制亦能得到良好改善。
[Objective] To investigate the effect of periodontal non-surgical treatment on periodontitis recovery and blood glucose in diabetic patients. [Method] Forty - three patients with periodontitis (CP) with insulin - independent diabetes mellitus (NIDDM) were selected and treated with periodontal nonoperative treatment. The gingival index (GI) Probation bleeding (PD), probing depth (BOP) and HbAlc levels. [Results] The percentages of PD, BOP and GI were significantly decreased in all patients (P <0.01). The levels of HbA1c in severe CP patients decreased from (10.15 ± 2.11)% to (8.97 ± 1.34)%, and the difference was statistically significant P <0.01). There was no significant difference in HbA1c level between moderate and mild CP patients before and after treatment (P> 0.05). [Conclusion] The periodontal inflammation control in patients with periodontitis and diabetes has a certain influence on the level of glucose metabolism. The control of periodontal disease is well controlled and the blood glucose control can also be well improved.