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目的评价牙周病与糖尿病之间的双向联系。方法①对120名伴有糖尿病的牙周病患者根据其血糖的高低分成三组,分别测定他们的CPITN和牙齿缺失数。②将在内分泌科住院治疗的40名糖尿病并发牙周病的病员分为A1、A2两个组。A1组为实验组,在接受系统的糖尿病治疗的基础上同时进行牙周病治疗。A2组为对照组,只进行糖尿病治疗,不予以牙周病治疗。③再将口腔门诊就诊的80名牙周病并患糖尿病的患者随机分成B1、B2两个组。B1组为实验组,在接受常规牙周病治疗的同时使用药物进行血糖控制。B2组为对照组,只在口腔门诊进行牙周病的常规治疗,不进行糖尿病治疗。④1个月后对(A1、B1组)同时治疗和(A2、B2)单向治疗的血糖控制和牙周灶指数进行测定和评价。结果 A1组血糖控制效率明显优于A2组,B1组牙周治疗效率明显高于B2组。结论糖尿病和牙周病之间存在双向联系。对牙周病合并糖尿病的患者治疗,必须坚持首先降糖,同步治疗的原则。
Objective To evaluate the two-way relationship between periodontal disease and diabetes mellitus. Methods ① 120 periodontal disease patients with diabetes were divided into three groups according to the level of their blood glucose, and their CPITN and tooth loss numbers were measured. ② The 40 patients with diabetes mellitus and periodontal disease treated in endocrinology were divided into A1 and A2 groups. A1 group as the experimental group, on the basis of the system of diabetes treatment based on the simultaneous treatment of periodontal disease. A2 group as the control group, only for diabetes treatment, not periodontal disease treatment. ③ Then the oral clinic treatment of 80 patients with periodontal disease and diabetes were randomly divided into B1, B2 two groups. B1 group as experimental group, in the treatment of conventional periodontal disease while using drugs for blood sugar control. B2 group as the control group, only in the oral clinic for periodontal disease routine treatment, not for diabetes treatment. ④ After 1 month, the blood glucose control and periodontal index of simultaneous treatment of (A1, B1) and (A2, B2) unidirectional treatment were measured and evaluated. Results The blood glucose control efficiency in group A1 was significantly better than that in group A2. The periodontal treatment efficiency in group B1 was significantly higher than that in group B2. Conclusion There is a two-way relationship between diabetes and periodontal disease. On the treatment of patients with periodontal disease with diabetes, we must first adhere to the principle of hypoglycemic, simultaneous treatment.