首页|阿卡波糖片与克林霉素联合口腔干预对2型糖尿病牙周病患者血糖水平的影响

阿卡波糖片与克林霉素联合口腔干预对2型糖尿病牙周病患者血糖水平的影响

Effect of Acarbose Tablets and Clindamycin Combined Oral Intervention on Blood Glucose Levels in Patients with Periodontal Disease in Type 2 Diabetes Mellitus

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目的 探究阿卡波糖片与克林霉素联合口腔干预对2型糖尿病牙周病患者血糖水平的影响.方法 选取福建省泉州市第一医院于2023年3-11月收治的98例2型糖尿病牙周病患者为研究对象,采用密闭信封法分为对照组和研究组,各49例.两组均常规口服盐酸二甲双胍片并行口腔干预,对照组在常规治疗基础上联用克林霉素治疗,研究组在常规治疗基础上联用阿卡波糖片治疗.于干预前及干预2个月后,对比两组患者空腹血糖(Fasting Plasma Glucose,FPG)、餐后2 h血糖(2 h Postprandial Blood Glucose,2 hPG)水平,及两组菌斑指数(Plaque Index,PLI)、牙龈指数(Gingival Index,GI)、临床附着丧失(Clinical Attachment Loss,CAL)水平.结果 干预2个月后,研究组FPG为(5.46±0.27)mmol/L,2 hPG为(7.83±0.92)mmol/L,均低于对照组,差异有统计学意义(t=3.466、9.654,P均<0.05).研究组PLI、GI、CAL水平均低于对照组,差异有统计学意义(P均<0.05).结论 2型糖尿病牙周病患者实施阿卡波糖片联合口腔干预能够降低患者血糖水平,并改善牙周指标.
Objective To investigate the effects of acarbose tablets and clindamycin combined oral intervention on blood glucose levels in patients with periodontal disease in type 2 diabetes mellitus.Methods 98 patients with peri-odontal disease in type 2 diabetes mellitus admitted to Quanzhou First Hospital,Fujian Province from March to No-vember 2023 were selected as the study objects,and were divided into the control group and the study group using the closed-envelope method,with 49 cases in each group.Both groups were given oral metformin hydrochloride tablets with oral intervention as the basic treatment,the control group combined clindamycin on the basis of the basic treat-ment and the study group combined acarbose tablets on the basis of the basic treatment.Before and after 2 months of the intervention,fasting plasma glucose(FPG),2 h postprandial blood glucose(2 hPG)levels and plaque index(PLI),gingival index(GI)and clinical attachment loss(CAL)levels were compared between the two groups.Results After 2 months of intervention,FPG in the study group was(5.46±0.27)mmol/L,and 2 hPG was(7.83±0.92)mmol/L,which were lower than those in the control group,the differences were statistically significant(t=3.466,9.654,both P<0.05).The levels of PLI,GI,CAL in the study group were all lower than those in the control group,the differences were sta-tistically significant(all P<0.05).Conclusion The implementation of acarbose tablets combined with oral intervention in patients with periodontal disease in type 2 diabetes mellitus can reduce the patients'blood glucose level and im-prove the periodontal indexes.

Oral interventionAcarbose tabletsType 2 diabetes mellitusPeriodontal diseaseBlood glucose level

杨珊棠、林晓明、陈玉玲

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泉州市第一医院,福建泉州 362000

口腔干预 阿卡波糖片 2型糖尿病 牙周病 血糖水平

2024

糖尿病新世界
中国病理生理学会

糖尿病新世界

影响因子:0.461
ISSN:1672-4062
年,卷(期):2024.27(5)
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