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目的:比较一次法龈下刮治和根面平整术(FM-SRP)和常规的四分法龈下刮治和根面平整术(Q-SRP)治疗2型糖尿病伴慢性牙周炎的临床疗效,并观察慢性牙周炎治疗对2型糖尿病患者血糖控制的影响。方法:将48例2型糖尿病伴慢性牙周炎患者随机分为2组:FM-SRP组在l天内完成全口所有象限的刮治和根面平整,Q-SRP组每周进行1个象限的刮治,连续4周完成全口治疗。于治疗前、治疗3个月和6个月时,检测菌斑指数(PLI)、牙周探诊深度(PD)、临床附着水平(CAL)、探诊出血(BOP)及空腹血糖(FPG)与糖化血红蛋白(HbAlc)的变化。结果:有3例患者被剔除。与治疗前相比,2种治疗方式在3个月和6个月时的PLI、PD、CAL和BOP均有显著改善(P<0.05),FPG和HbAlc无显著性改变(P>0.05)。但各项指标的变化在2组间均无显著性差异(P>0.05)。结论:本组资料,FM-SRP和Q-SRP两种方法治疗2型糖尿病伴慢性牙周炎均可达到相同的临床效果,但对2型糖尿病患者血糖控制无明显影响。
OBJECTIVE: To compare the efficacy of one-stage subgingival scaling and root-surface-leveling (FM-SRP) and conventional quarter-subdermal scaling and root-surface grafting (Q-SRP) in the treatment of type 2 diabetes with chronic periodontitis Curative effect, and observe the effects of chronic periodontitis on glycemic control in type 2 diabetic patients. Methods: Forty-eight patients with type 2 diabetes mellitus and chronic periodontitis were randomly divided into 2 groups: the FM-SRP group completed the scraping and root-surface all-quadrant quadrants in one day in the FM-SRP group; one quadrant per week in the Q-SRP group Cure, complete oral treatment for 4 weeks in a row. Plaque index (PLI), periodontal exploration depth (PD), clinical attachment level (CAL), probing bleeding (BOP) and fasting plasma glucose (FPG) were measured before treatment, at 3 and 6 months after treatment, And glycosylated hemoglobin (HbAlc) changes. Results: Three patients were excluded. Compared with those before treatment, PLI, PD, CAL and BOP in both treatment groups were significantly improved at 3 months and 6 months (P <0.05), but no significant changes were observed in FPG and HbAlc (P> 0.05). However, there was no significant difference between the two groups (P> 0.05). Conclusion: The data of this group, FM-SRP and Q-SRP two methods of treatment of type 2 diabetes with chronic periodontitis can achieve the same clinical effect, but no significant effect on glycemic control in patients with type 2 diabetes.