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张冬雪, 徐偲, 李文悦, 等. 2型糖尿病伴牙周炎患者牙列缺损的系统影响因素分析[J]. 四川大学学报(医学版), 2023, 54(1): 97-101. DOI: 10.12182/20230160510
引用本文: 张冬雪, 徐偲, 李文悦, 等. 2型糖尿病伴牙周炎患者牙列缺损的系统影响因素分析[J]. 四川大学学报(医学版), 2023, 54(1): 97-101. DOI: 10.12182/20230160510
ZHANG Dong-xue, XU Si, LI Wen-yue, et al. Systemic Influencing Factors of Dentition Defect in Type 2 Diabetes Mellitus Patients with Periodontitis[J]. Journal of Sichuan University (Medical Sciences), 2023, 54(1): 97-101. DOI: 10.12182/20230160510
Citation: ZHANG Dong-xue, XU Si, LI Wen-yue, et al. Systemic Influencing Factors of Dentition Defect in Type 2 Diabetes Mellitus Patients with Periodontitis[J]. Journal of Sichuan University (Medical Sciences), 2023, 54(1): 97-101. DOI: 10.12182/20230160510

2型糖尿病伴牙周炎患者牙列缺损的系统影响因素分析

Systemic Influencing Factors of Dentition Defect in Type 2 Diabetes Mellitus Patients with Periodontitis

  • 摘要:
      目的  分析2型糖尿病(type 2 diabetes mellitus, T2DM)伴牙周炎人群牙列缺损的影响因素,为提高T2DM患者口腔健康及生活质量提供循证支持。
      方法  采用便利抽样法全层选取169名T2DM患者,根据口内余留牙数是否≥20颗分为两组,A组(口内余留牙数≥20颗,n=115)和B组(口内余留牙数<20颗,n=54)。对所有患者进行问卷调查、全身及口腔检查、血液实验室检测。使用logistic回归分析T2DM伴牙周炎患者牙列缺损的系统影响因素。
      结果  B组患者年龄、收缩压、冠心病和高脂血症患病率、糖化血红蛋白和高密度脂蛋白,牙周探诊深度、临床附着丧失均高于A组,且口腔健康行为及口腔健康意识较差。logistic回归分析显示,年龄、糖化血红蛋白、收缩压是T2DM伴牙周炎患者口内余留牙数<20颗的独立危险因素(P<0.05)。
      结论  年龄增长、血糖控制差、收缩压增高均是T2DM伴牙周炎患者口内余留牙数<20颗的重要影响因素,在临床工作中应注意患者全身情况及加强健康宣教,提高患者生活质量。

     

    Abstract:
      Objective   To analyze the influencing factors of dentition defect in people with type 2 diabetes mellitus (T2DM) and periodontitis and to provide evidence-based support for improving the oral health and quality of life of T2DM patients.
      Methods   A total of 169 patients with T2DM and periodontitis were selected by convenience sampling. According to the number of remaining teeth, the subjects were divided into two groups, group A (number of remaining teeth in the mouth≥20, n=115) and group B (the number of remaining teeth in the mouth<20, n=54). Questionnaire surveys, systemic and oral examinations, and laboratory blood tests were performed. Systematic influencing factors of dentition defect in people with T2DM and periodontitis were analyzed with logistic regression.
      Results   Compared with patients in group A, patients in group B had higher findings in age, systolic blood pressure (SBP), prevalence of coronary heart disease and hyperlipidemia, glycosylated hemoglobin (HbA1c), periodontal probing depth (PD), and clinical attachment loss (CAL). Furthermore, their behaviors and awareness of oral health were not as good as those of patients in group A. Logistic regression showed that age, HbA1c, and SBP were independent risk factors for the number of remaining teeth in the mouth <20 among T2DM patients with periodontitis (P<0.05).
      Conclusion   Increasing age, lower HbA1c, and increased SBP are the most important influencing factors for the number of remaining teeth in the mouth <20 in T2DM patients with periodontitis. Clinical practitioners should give more attention to the general health status of the patients and strengthen health education, thereby improving patients' quality.

     

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