一次性全口龈下刮治和根面平整术治疗2型糖尿病伴慢性牙周炎的疗效观察

发布时间：2019-03-02 19:06

【摘要】：目的:比较一次性全口龈下刮治和根面平整术(FM-SRP)与常规的分象限刮治(Q-SRP)治疗2型糖尿病伴慢性牙周炎的疗效。方法:选择2型糖尿病伴慢性牙周炎患者60例,洁治术后随机分为2组(n=30):FM-SRP组,分2次完成,每次1侧2个象限,24 h内完成;Q-SRP组,分4次完成,每次1个象限,每次间隔1周,连续4周内完成。分析治疗前及治疗后3、6个月时探诊深度(PD)、临床附着丧失(CAL)、菌斑指数(PLI)、牙龈指数(BI)和糖化血红蛋白A1c(GHb Alc)的变化。结果:治疗后3、6个月,2组患者的所有观测指标均得到显著改善(P0.05),FM-SRP组中、重度位点的PD、CAL减小值与Q-SRP组相比差异均无统计学意义(P0.05)。结论:FM-SRP和Q-SRP均可有效改善2型糖尿病伴慢性牙周炎的临床牙周及糖代谢状况,但仍需要远期疗效观察及微生物学研究。
[Abstract]:Aim: to compare the therapeutic effects of total subgingival curettage (FM-SRP) and root surface planing (Q-SRP) in the treatment of type 2 diabetes mellitus with chronic periodontitis. Methods: 60 patients with type 2 diabetes mellitus complicated with chronic periodontitis were randomly divided into two groups (n = 30): FM-SRP group was divided into two groups, one quadrant at a time and two quadrants within 24 hours. Q-SRP group was completed in 4 times, 1 quadrant at a interval of 1 week, and completed in 4 consecutive weeks. The changes of (CAL), plaque index (PLI),) gingival index (BI) and glycosylated hemoglobin A1c (GHb Alc) (HbA1c) in probing depth (PD), were analyzed before and 3 and 6 months after treatment. Results: at 3 months and 6 months after treatment, all the observed indexes of the two groups were significantly improved (P0.05). There was no significant difference in the reduction of PD,CAL in the FM-SRP group compared with the Q-SRP group (P0.05). Conclusion: both FM-SRP and Q-SRP can effectively improve the periodontal and glucose metabolism of type 2 diabetes mellitus with chronic periodontitis, but the long-term effect observation and microbiological study are still needed.
【作者单位】：潍坊医学院口腔医学院口腔内科教研室;
【基金】：潍坊市科学技术发展计划基金资助项目(20121239)
【分类号】：R781.4

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