Clin Cosmet Investig Dent:牙周非手术治疗有益于糖尿病患者血糖的控制

2017-08-03 MedSci MedSci原创

尽管已有多个研究,但是关于牙周治疗对糖尿病的影响仍然存在争议。本研究旨在评估并比较伴有牙周炎的2型糖尿病患者接受或不接受牙周非手术治疗后其血糖控制和牙周状况。研究共纳入了82名符合入选标准的伴有中重度牙周炎的糖尿病患者。随机分为试验组和对照组。两组患者均继续接受当前的治疗。3个月的研究期内试验组患者行洁治和根面清创术,而对照组则接受口腔卫生指导。试验组和对照组患者的平均年龄为50.66±7.70岁

尽管已有多个研究,但是关于牙周治疗对糖尿病的影响仍然存在争议。本研究旨在评估并比较伴有牙周炎的2型糖尿病患者接受或不接受牙周非手术治疗后其血糖控制和牙周状况。

研究共纳入了82名符合入选标准的伴有中重度牙周炎的糖尿病患者。随机分为试验组和对照组。两组患者均继续接受当前的治疗。3个月的研究期内试验组患者行洁治和根面清创术,而对照组则接受口腔卫生指导。

试验组和对照组患者的平均年龄为50.66±7.70岁和53.80±9.16岁,糖尿病病程平均时间为6.32±4.21年和6.24±4.00年,平均身体质量指数为24.78±1.85 kg/m2和24.6±1.79 kg/m2,糖化血红蛋白(HbA1c)的水平分别为6.71±0.50%和6.80±0.45%。3个月后,试验组HbA1c的水平显著低于对照组(P=0.029)。试验组临床牙周指数,如牙龈指数,探查深度(PD)、临床附着水平(CAL),均得到显著改善(p<0.001),PD减少0.9 mm,CAL增加0.3 mm(P>0.001),而对照组CAL仅增加0.05 mm。

总而言之,该研究表明,对于中等程度控制的2型糖尿病患者来说,牙周非手术治疗或有益于患者的糖化血红蛋白水平的控制。

原始出处:

Khushboo Goel, Shaili Pradhan, et al.,  Effects of nonsurgical periodontal therapy in patients with moderately controlled type 2 diabetes mellitus and chronic periodontitis in Nepalese population. Clin Cosmet Investig Dent. 2017; 9: 73–80. Published online 2017 Jul 17. doi: 10.2147/CCIDE.S138338.
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    2018-05-26 tcm99hq
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    2018-04-07 一闲
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createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5K46ZAxBHmHsph32KkfsWGwmickB6RsCUD8KruE4vo5CpvXfdu16GBpp4ibh6WJu1o9iatP1LWKDmvmic/0, createdBy=be6f1940165, createdName=1e0ece0dm09(暂无匿称), createdTime=Sat Aug 05 21:56:28 CST 2017, time=2017-08-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1290607, encodeId=edfe129060e3b, content=<a href='/topic/show?id=e86454454ea' target=_blank style='color:#2F92EE;'>#手术治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=54454, encryptionId=e86454454ea, topicName=手术治疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=920c231, createdName=lixiaol, createdTime=Sat Aug 05 04:50:00 CST 2017, time=2017-08-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1416574, encodeId=205614165e4d8, content=<a href='/topic/show?id=7d7e9944e99' target=_blank 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GetPortalCommentsPageByObjectIdResponse(id=1474276, encodeId=d5d714e427659, content=<a href='/topic/show?id=935fe6718e3' target=_blank style='color:#2F92EE;'>#糖尿病患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=76718, encryptionId=935fe6718e3, topicName=糖尿病患者)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a38f7243741, createdName=xue8604, createdTime=Sat Aug 05 04:50:00 CST 2017, time=2017-08-05, status=1, ipAttribution=)]
  5. 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createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5K46ZAxBHmHsph32KkfsWGwmickB6RsCUD8KruE4vo5CpvXfdu16GBpp4ibh6WJu1o9iatP1LWKDmvmic/0, createdBy=be6f1940165, createdName=1e0ece0dm09(暂无匿称), createdTime=Sat Aug 05 21:56:28 CST 2017, time=2017-08-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1290607, encodeId=edfe129060e3b, content=<a href='/topic/show?id=e86454454ea' target=_blank style='color:#2F92EE;'>#手术治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=54454, encryptionId=e86454454ea, topicName=手术治疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=920c231, createdName=lixiaol, createdTime=Sat Aug 05 04:50:00 CST 2017, time=2017-08-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1416574, encodeId=205614165e4d8, content=<a href='/topic/show?id=7d7e9944e99' target=_blank style='color:#2F92EE;'>#非手术治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=99447, encryptionId=7d7e9944e99, topicName=非手术治疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=73fb3217487, createdName=chentianping, createdTime=Sat Aug 05 04:50:00 CST 2017, time=2017-08-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1450588, encodeId=21071450588b2, content=<a href='/topic/show?id=f0476e49582' target=_blank style='color:#2F92EE;'>#牙周#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67495, encryptionId=f0476e49582, topicName=牙周)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ab585558129, createdName=liuyong2982, createdTime=Sat Aug 05 04:50:00 CST 2017, time=2017-08-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1474276, encodeId=d5d714e427659, content=<a href='/topic/show?id=935fe6718e3' target=_blank style='color:#2F92EE;'>#糖尿病患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=76718, encryptionId=935fe6718e3, topicName=糖尿病患者)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a38f7243741, createdName=xue8604, createdTime=Sat Aug 05 04:50:00 CST 2017, time=2017-08-05, status=1, ipAttribution=)]
    2017-08-05 131****2916

    不错的文章值得学习

    0

  6. 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style='color:#2F92EE;'>#非手术治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=99447, encryptionId=7d7e9944e99, topicName=非手术治疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=73fb3217487, createdName=chentianping, createdTime=Sat Aug 05 04:50:00 CST 2017, time=2017-08-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1450588, encodeId=21071450588b2, content=<a href='/topic/show?id=f0476e49582' target=_blank style='color:#2F92EE;'>#牙周#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67495, encryptionId=f0476e49582, topicName=牙周)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ab585558129, createdName=liuyong2982, createdTime=Sat Aug 05 04:50:00 CST 2017, time=2017-08-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1474276, encodeId=d5d714e427659, content=<a href='/topic/show?id=935fe6718e3' target=_blank style='color:#2F92EE;'>#糖尿病患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=76718, encryptionId=935fe6718e3, topicName=糖尿病患者)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a38f7243741, createdName=xue8604, createdTime=Sat Aug 05 04:50:00 CST 2017, time=2017-08-05, status=1, ipAttribution=)]
    2017-08-05 1e0ece0dm09(暂无匿称)

    谢谢分享

    0

  7. 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