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目的观察牙周基础治疗对慢性牙周炎伴高血脂患者血脂水平的影响。方法对96例慢性牙周炎伴高血脂的患者进行牙周基础治疗,对患者牙周基础治疗前、治疗后3个月检查牙周探诊深度、附着丧失、出血指数及菌斑指数并且取静脉血检测血脂水平。结果牙周3个月基础治疗后,患者的牙周状况都明显改善,探诊深度、附着丧失、出血指数及菌斑指数均显著降低;患者的血清总胆固醇和甘油三酯水平显著下降,高密度脂蛋白显著升高,低密度脂蛋白变化不明显。结论牙周基础治疗有助于减轻牙周组织炎症,降低慢性牙周炎伴高血脂患者的血脂水平,有助于降低这类患者发生心血管疾病的风险。
Objective To observe the effect of basic periodontal therapy on serum lipids in patients with chronic periodontitis and hyperlipidemia. Methods Ninety-six patients with chronic periodontitis and hyperlipidemia were treated with periodontal treatment. The patients’ periodontal basic treatment, periodontal exploration 3 months later, periodontal exploration depth, attachment loss, hemorrhage index and plaque index Venous blood lipid levels were measured. Results After 3 months of periodontal treatment, the periodontal condition of the patients improved obviously. The exploration depth, attachment loss, hemorrhage index and plaque index were significantly decreased. The serum total cholesterol and triglyceride levels were significantly decreased, while the high The density lipoprotein increased significantly, but the change of low density lipoprotein was not obvious. Conclusion The basic periodontal treatment can reduce the inflammation of periodontal tissue and reduce the blood lipid level in patients with chronic periodontitis and hyperlipidemia, which may help to reduce the risk of cardiovascular diseases in these patients.