摘要
目的分析应用正畸治疗中重度慢性牙周炎合并2型糖尿病患者的临床效果。方法选取该院2018年2月—2020年6月60例中重度慢性牙周炎合并2型糖尿病患者,按照组间基本特征具有可比性的原则分为对照组(30例)与研究组(30例),对照组选择常规治疗,研究组则在常规治疗的同时,采用正畸治疗,对临床效果进行分析比较。结果研究组的临床总有效率为93.33%,明显高于对照组的70.00%,差异有统计学意义(P<0.05)。与治疗前相比,两组治疗后的各项血清炎症因子(TNF-α、CRP)水平均明显降低,且研究组治疗后的降低幅度更加显著,差异有统计学意义(P<0.05)。治疗前后对照组的糖化血红蛋白水平比较差异无统计学意义(P>0.05);而研究组治疗后的糖化血红蛋白水平则明显低于治疗前、对照组,差异有统计学意义(P<0.05)。与治疗前相比,两组治疗后的空腹血糖水平均明显降低,差异有统计学意义(P<0.05);而两组治疗后的空腹血糖水平比较差异无统计学意义(P>0.05)。与治疗前相比,两组治疗后的牙槽骨缺损高度均明显减少,牙槽骨密度均明显增加;且研究组治疗的牙槽骨缺损高度减少幅度、牙槽骨密度增加幅度均更加明显,差异有统计学意义(P<0.05)。结论中重度慢性牙周炎伴2型糖尿病患者在选择常规治疗时,应用正畸治疗能使临床效果明显提升,使血糖水平、血清炎症因子水平明显降低,同时能对口腔美学情况进行显著改善,使患者恢复要求得以有效满足,具有临床推广价值。
Objective To analyze the clinical effects of orthodontic treatment in patients with moderate to severe chronic periodontitis and type 2 diabetes.Methods From February 2018 to June 2020 in the hospital,60 patients with moderate to severe chronic periodontitis and type 2 diabetes were selected and divided into control group(30 cases)and study group(30 cases),the control group chooses conventional treatment,while the experimental group uses orthodontic treatment in addition to conventional treatment,and the clinical effects were analyzed and compared.Results The total clinical effective rate of the study group was 93.33%,which was significantly higher than the control group's 70.00%,and the difference was statistically significant(P<0.05).Compared with before treatment,the levels of serum inflammatory factors(TNF-α,CRP)after treatment in the two groups were significantly reduced,and the reduction in the study group after treatment was more significant,and the difference was statistically significant(P<0.05).There was no significant difference in the level of glycosylated hemoglobin in the control group before and after treatment(P>0.05);while the level of glycosylated hemoglobin in the study group after treatment was significantly lower than that before and in the control group,the difference was statistically significant(P<0.05).Compared with before treatment,the fasting blood glucose levels of the two groups after treatment were significantly reduced,and the difference was statistically significant(P<0.05);while the difference in fasting blood glucose levels between the two groups after treatment was not statistically significant(P>0.05).Compared with before treatment,the alveolar bone defect height after treatment in the two groups was significantly reduced,and the alveolar bone density increased significantly;and the reduction in alveolar bone defect height and the increase in alveolar bone density in the study group were more obvious,the difference was statistically significant(P<0.05).Conclusion When patients
作者
苏文庆
SU Wenqing(Department of Stomatology,Dehua County Hospital,Dehua,Fujian Province,362500 China)
出处
《糖尿病新世界》
2021年第14期182-185,189,共5页
Diabetes New World Magazine
关键词
正畸治疗
中重度慢性牙周炎
2型糖尿病
临床效果
Orthodontic treatment
Moderate to severe chronic periodontitis
Type 2 diabetes
Clinical effect
