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目的:观察Ⅱ型糖尿病伴慢性牙周炎患者牙周干预后口腔健康状况的变化。方法:120例Ⅱ型糖尿病伴慢性牙周炎患者随机分为实验组和对照组,均进行牙周指数的基线检查(包括:牙龈指数GI、菌斑指数PLI、龈沟出血指数SBI、附着丧失AL)、口腔卫生宣教及正确刷牙方法指导。实验组还给予牙周干预治疗。6个月后记录两组牙周指数等的变化。结果:①两组牙周指数的基线检查差异无统计学意义(P>0.05);②干预后两组的牙周指数变化除龈沟出血指数外均有统计学差异(P<0.05)③干预后两组在糖尿病与牙周病关系知晓率、定期口腔检查、规律运动习惯、每天刷牙次数方面差异也有统计学差异(P<0.05)。结论:积极的牙周干预措施不仅可明显改善Ⅱ型糖尿病伴慢性牙周炎患者的口腔健康状况,还可提高患者口腔保健意识和能力。
Objective: To observe the changes of oral health status after periodontal intervention in type Ⅱ diabetic patients with chronic periodontitis. Methods: A total of 120 patients with type 2 diabetes mellitus and chronic periodontitis were randomly divided into experimental group and control group. All patients underwent baseline examination of the periodontal index (including: gingival index GI, plaque index PLI, sulcus bleeding index SBI, attachment loss AL), oral health education and proper brushing method guidance. The experimental group was also given periodontal intervention treatment. After 6 months, the changes of periodontal index in both groups were recorded. Results: ① There was no significant difference in the baseline examination between the two groups (P> 0.05); ② After the intervention, the changes of periodontal index of the two groups were statistically significant except for the sulcus bleeding index (P <0.05) ③ Intervention The latter two groups in the relationship between diabetes and periodontal disease awareness, regular oral examination, regular exercise habits, brushing times a day there are also statistically significant differences (P <0.05). Conclusion: Positive periodontal interventions not only can significantly improve oral health status of patients with type 2 diabetes mellitus and chronic periodontitis, but also improve oral health care awareness and ability of patients.