摘要
目的研究糖尿病拔牙患者血糖控制水平对术后恢复情况的影响。方法选取2017年1月至2021年10月六安市人民医院收治的90例糖尿病拔牙患者为研究对象,根据不同处置方法将患者分为常规组(45例)和强化组(45例)。常规组将中年患者空腹血糖控制在8.88 mmol/L以内、老年糖尿病患者空腹血糖放宽至10 mmol/L再进行拔牙;强化组将中年患者空腹血糖控制在6.8 mmol/L以内、老年糖尿病患者空腹血糖放宽至9 mmol/L再行拔牙。比较两组患者手术日及术后第3、7天晨起空腹血糖水平,术后疼痛持续时间、出血持续时间、牙龈指数,拔牙窝愈合情况以及不良事件发生情况。结果不同时点间空腹血糖水平的主效应差异无统计学意义(P>0.05),组间主效应差异有统计学意义(P<0.05),组间和时点间无交互作用(P>0.05);强化组患者手术日及术后第3、7天空腹血糖水平均低于常规组(P<0.05)。强化组患者术后疼痛持续时间、出血持续时间明显短于常规组[(2.25±0.51)d比(3.89±0.63)d,(3.11±0.57)h比(4.81±0.68)h](P<0.01),术后第3天牙龈指数明显低于常规组[(1.36±0.18)分比(2.05±0.22)分](P<0.01)。强化组优良率明显高于常规组[91.11%(41/45)比71.11%(32/45)](χ^(2)=5.874,P=0.015)。两组患者总不良事件发生率比较差异无统计学意义(P>0.05)。结论糖尿病患者在拔牙前将空腹血糖控制在低水平,能有效促进拔牙窝愈合,减轻拔牙后症状。
Objective To study the effect of blood glucose control on postoperative recovery of diabetic patients with tooth extraction.Methods A total of 90 patients receiving diabetic tooth extraction admitted to Lu′an People′s Hospital from Jan.2017 to Oct.2021 were included.According to different treatment methods,the patients were divided into a conventional group(45 cases)and an enhanced group(45 cases).In the conventional group,the fasting blood glucose of the middle-aged patients was controlled within 8.88 mmol/L and that of the elderly patients with diabetes was relaxed to 10 mmol/L before tooth extraction.In the enhanced group,the fasting blood glucose of the middle-aged patients was controlled within 6.8 mmol/L and that of the elderly patients with diabetes was relaxed to 9 mmol/L before tooth extraction.Fasting blood glucose level,postoperative pain duration,bleeding duration,gingival index,extraction pit healing and adverse events were compared between the two groups on the day of surgery and the morning of the 3rd and 7th day after surgery.Results There was no significant difference in the main effect of fasting blood glucose levels at different time points(P>0.05),while there was significant difference in the main effect between groups(P<0.05),and there was no interaction between groups and time points(P>0.05).Fasting blood glucose level in the enhanced group was significantly lower than that in the conventional group on the day of surgery and the 3rd and 7th day after surgery(P<0.05).The durations of postoperative pain and bleeding in the enhanced group were significantly shorter than those in the conventional group[(2.25±0.51)d vs(3.89±0.63)d,(3.11±0.57)h vs(4.81±0.68)h](P<0.01).The gingival index on the 3rd day after operation was significantly lower than that in the conventional group[(1.36±0.18)vs(2.05±0.22)](P<0.01).The rate of excellent and good in the enhanced group was significantly higher than that in the conventional group[91.11%(41/45)vs 71.11%(32/45)](χ^(2)=5.874,P=0.015).There was no s
作者
张洋
王世霞
ZHANG Yang;WANG Shixia(Department of Stomatology,Lu′an Hospital of Anhui Medical University/Lu′an People′s Hospital,Lu′an 237000,China)
出处
《医学综述》
CAS
2022年第18期3711-3714,3719,共5页
Medical Recapitulate
关键词
糖尿病
拔牙
血糖
控制水平
预后
术后恢复
Diabetes
Tooth extraction
Blood glucose
Control level
Prognosis
Postoperative recovery
