1型糖尿病成年人的牙周炎和代谢控制
A Jeftha1, A Suliman1, M Conradie-Smit2
1Faculty of Dentistry, University of the Western Cape, Cape Town, South Africa.
JDR clinical and translational research
|November 19, 2024
概括
牙周炎在南非1型糖尿病 (T1DM) 患者中很常见,高出血得分与血糖控制不佳有关. 牙周护理对于全面管理T1DM至关重要.
科学领域:
- 口腔健康 口腔健康
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 牙周炎在糖尿病患者中越来越普遍.
- 南非面临着非传染性疾病的重大负担,但缺乏关于DM-牙周炎在这一群体中的联系的数据.
- 目前1型糖尿病 (T1DM) 的管理方案往往忽视了牙周治疗的重要性.
研究的目的:
- 调查南非高等院校成人T1DM患者牙周炎和血糖控制之间的关联.
- 为使牙周护理融入T1DM管理策略提供信息.
主要方法:
- 一项涉及成年T1DM患者的横截面研究.
- 牙周健康的评估包括探针出血,牙周口袋深度和放射性骨损失.
- 用HbA1c测量血糖控制,≤7%表示足够控制.
主要成果:
- 这项研究包括120名成年人 (61.7%为女性),平均HbA1c为8.75%.
- 观察到牙周炎的高患病率 (94%),这些患者中有97%的血糖水平不受控制.
- 在百分比出血得分和代谢控制 (P < 0.001) 之间发现了显著的关联.
结论:
- 这些发现强调了牙周健康指标 (牙出血) 和T1DM患者的代谢控制之间的显著联系.
- 牙周炎的严重程度,通过分期,在这个队列中与T1DM没有直接关联.
- 牙周炎的高患病率需要将其纳入南非的全面T1DM护理方案.
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