海口市老年糖尿病患者牙周病患病情况及相关因素

发布时间：2018-12-09 13:40

【摘要】：目的调查分析海口市老年糖尿病(DM)患者牙周病患病情况及相关影响因素。方法对该市3家三甲医院的564例老年2型糖尿病(T2DM)患者的年龄、病程、吸烟情况、DM家族史、体重指数(BMI)、空腹血糖(FPG)水平、血糖控制状况及刷牙情况进行调查分析,同时根据世界卫生组织(WHO)制定的口腔健康调查基本方法,对DM患者进行口腔健康的检查。结果 564例老年T2DM患者中患有牙周病345例(61.2%),其中牙龈炎154例(44.6%),牙周炎191例(55.4%),牙周炎中早期牙周炎128例(67.0%),晚期牙周炎63例(33.0%)。多因素的Logistic回归分析发现,年龄较大、病程较长、吸烟、血糖控制不好及FPG水平较高均是老年T2DM患者并发牙周病的危险因素。结论老年T2DM患者中牙周病患病率高达61.2%,年龄较大、病程较长、吸烟、血糖控制不好及FPG水平较高均会增加DM患者牙周病的患病风险,临床上应加强口腔检查,注意口腔卫生,以降低牙周病的患病率。
[Abstract]:Objective to investigate the prevalence and related factors of periodontal disease in elderly patients with diabetes mellitus (DM) in Haikou City. Methods 564 elderly patients with type 2 diabetes mellitus (T2DM) were enrolled in this study. The age, course of disease, smoking status, family history of DM, (FPG) level of fasting blood glucose in body mass index (BMI),) were analyzed in 564 elderly patients with type 2 diabetes mellitus (T2DM). Blood sugar control and tooth brushing were investigated and analyzed. Oral health examination of DM patients was carried out according to the basic method of oral health survey developed by WHO (WHO). Results there were 345 cases (61.2%) with periodontitis, including 154 cases of gingivitis (44.6%), 191 cases of periodontitis (55.4%) and 128 cases of early periodontitis (67.0%). 63 cases (33.0%) were advanced periodontitis. Multivariate Logistic regression analysis showed that older age, longer course of disease, smoking, poor blood glucose control and high FPG level were the risk factors of periodontal disease in elderly patients with T2DM. Conclusion the prevalence rate of periodontal disease in elderly patients with T2DM is as high as 61.2%. The older, longer course of disease, smoking, poor control of blood glucose and high level of FPG will increase the risk of periodontal disease in DM patients. Pay attention to oral hygiene to reduce the prevalence of periodontal disease.
【作者单位】：海南省人民医院口腔科;
【基金】：海南省自然科学基金项目(No.812151)
【分类号】：R587.1;R781.4

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