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目的探讨糖尿病合并牙周炎患者更有效的治疗手段。方法选择糖尿病合并牙周炎患者80例,分为两组,每组40例。对照组针对糖尿病实施饮食控制、运动疗法、降糖药物治疗、健康教育,必要时使用胰岛素治疗,但未针对牙周炎进行特殊处理;观察组在对照组糖尿病干预的同时,进行牙周炎针对性处理。现查两组患者血糖控制情况,及糖尿病相关并发症发生情况。应用SPSS 13.0进行统计学处理,计量资料以(xˉ±s)表示,两组间均数的比较使用t检验,组间率的比较采用χ2检验,P<0.05为差异有统计学意义。结果两组治疗后空腹血糖、餐后2 h血糖水平均显著低于均低于治疗前(P<0.05),且观察组均显著低于对照组(P<0.05);治疗后观察组酮症酸中毒、低血糖及高渗性昏迷的发生率均显著低于对照组(P<0.05)。结论对于合并有牙周炎的糖尿病患者,积极处理牙周炎对于更好的控制患者血糖,减少糖尿病并发症具有积极意义。
Objective To investigate the more effective treatment of diabetic patients with periodontitis. Methods 80 cases of diabetic patients with periodontitis were divided into two groups, 40 cases in each group. Control group for the implementation of diet control, exercise therapy, hypoglycemic drugs, health education, if necessary, insulin treatment, but not for periodontitis special treatment; observation group in the control group of diabetes intervention, while the periodontitis Sexual handling. Now check the two groups of patients with glycemic control, and diabetes-related complications. SPSS 13.0 was used for statistical analysis. The measurement data were expressed as (xˉ ± s). The mean of two groups was compared by t test. The comparison of intergroup rates was performed byχ2 test. P <0.05 was considered statistically significant. Results After treatment, fasting blood glucose and postprandial 2-h blood glucose levels were significantly lower than those before treatment (P <0.05), and the observation group were significantly lower than the control group (P <0.05); after treatment, ketosis The incidence of acidosis, hypoglycemia and hyperosmolar coma were significantly lower than those in the control group (P <0.05). Conclusions The positive treatment of periodontitis in patients with diabetes mellitus with periodontitis is of positive significance for better control of blood glucose and diabetes complications.