首页|引起2型糖尿病患者慢性牙周炎发病的相关因素分析

引起2型糖尿病患者慢性牙周炎发病的相关因素分析

Factors Associated with Chronic Periodontitis in Type 2 Diabetes Mellitus

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目的 探究2型糖尿病(Type 2 diabetes mellitus,T2DM)患者慢性牙周炎的形成机制及独立危险因素.方法 回顾性选取2021年10月—2023年10月晋江市医院收治的82例2型糖尿病患者的临床资料,根据患者是否合并慢性牙周炎,划分为无牙周炎组(n=54)以及牙周炎组(n=28);采用单因素分析可能影响T2DM引起慢性牙周炎的因素,多因素分析可能造成T2DM引起慢性牙周炎的独立危险因素.结果 单因素分析结果显示,2型糖尿病合并慢性牙周炎患者的口腔菌斑指数(Plaque Index,PLI)、附着丧失(Apparatus Loss,AL)、空腹血糖(Fasting Plasma Glucose,FPG)、糖化血红蛋白(Hemoglobin A1c,HbA1c)、牙周探诊深度(Probing Depth,PD)水平显著高于无牙周炎组患者,差异有统计学意义(P均<0.05);多因素分析研究结果显示,FPG、HbA1c、PD与AL值偏高是2型糖尿病患者发生慢性牙周炎的独立危险因素(P均<0.05).结论 较高的FPG、HbA1c、PD与AL水平是2型糖尿病患者发生慢性牙周炎的独立危险因素.
Objective To explore the formation mechanism and independent risk factors of chronic periodontitis in Type 2 diabetes mellitus(T2DM)patients.Methods Clinical data of 82 patients with type 2 diabetes admitted to Jinji-ang Hospital from October 2021 to October 2023 were retrospectively selected.According to whether the patients were complicated with chronic periodontitis,the patients were divided into without periodontitis group(n=54)and periodon-titis group(n=28).Single factor analysis was used to analyze the factors that may influence T2DM to cause chronic periodontitis,and multi-factor analysis was used to analyze the independent risk factors that may cause T2DM to cause chronic periodontitis.Results The results of single factor analysis showed that plaque index(PLI),apparatus loss(AL)and fasting plasma glucose(FPG)and probing depth(PD)in patients with type 2 diabetes mellitus combined with chronic periodontitis were significantly higher than those of patients without periodontitis,and the differences were statistically significant(all P<0.05).The results of multi-factor analysis showed that high FPG,HbA1c,PD and AL were independent risk factors for chronic periodontitis in type 2 diabetes patients(all P<0.05).Conclusion Higher levels of FPG,HbA1c,PD and AL are independent risk factors for chronic periodontitis in type 2 diabetes patients.

Type 2 diabetesChronic periodontitisDegree of diseaseGlucose metabolismAnalysis of influencing factors

黄翠香、施莹芬、苏婷玉

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晋江市医院(上海市第六人民医院福建医院)口腔科,福建晋江 362200

福建中医药大学附属第二人民医院口腔科,福建福州 350003

2型糖尿病 慢性牙周炎 疾病程度 糖代谢 影响因素分析

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(6)
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