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[智利圣地亚哥18至30岁1型糖尿病患者的牙周健康状况]

[Periodontal health status in patients with diabetes mellitus type 1, from 18 to 30 years-old, from Santiago de Chile].

作者信息

Pavez Violeta, Araya Verónica, Rubio Alex, Ríos Lorena, Meza Patricio, Martínez Benjamín

机构信息

Departamento de Odontología Conservadora, Area de Periodoncia, Facultad de Odontología, Sección Endocrinología, Departamento de Medicina, Departamento de Oftalmología del Hospital Clínico de la Universidad de Chile.

出版信息

Rev Med Chil. 2002 Apr;130(4):402-8.

Abstract

BACKGROUND

The prevalence of periodontal diseases, gingivitis and periodontitis, is higher in diabetic patients and can have severe functional and esthetic consequences early in their lives.

AIM

To evaluate the prevalence of periodontal disease in type 1 diabetics, aged between 18 and 30 years old, living in Santiago de Chile.

SUBJECTS AND METHODS

One hundred male and female type 1 diabetics were examined. Glycated hemoglobin A1c, microalbuminuria, and fundoscopy were assessed in a sample of 52 subjects, separated in two groups according to the presence of periodontal disease.

RESULTS

The prevalence of gingivitis was 22%, periodontitis 41%. Only 37% of subjects were free of periodontal disease. When compared with patients without periodontal disease, in the group of patients with the disease there was a higher proportion of subjects with diabetes lasting more than 10 years (28 and 55% respectively) and a higher proportion of patients with chronic complications of diabetes (42 and 58% respectively).

CONCLUSIONS

A high prevalence of periodontal diseases was observed in this sample of diabetic patients. A long history of diabetes and the presence of chronic complications were risk factors for these diseases in the analyzed sample.

摘要

背景

糖尿病患者中牙周疾病(牙龈炎和牙周炎)的患病率较高,且在其生命早期就可能产生严重的功能和美观后果。

目的

评估居住在智利圣地亚哥、年龄在18至30岁之间的1型糖尿病患者的牙周疾病患病率。

对象与方法

对100名1型糖尿病患者(男女均有)进行检查。在52名受试者的样本中评估糖化血红蛋白A1c、微量白蛋白尿和眼底镜检查,并根据牙周疾病的存在情况将其分为两组。

结果

牙龈炎的患病率为22%,牙周炎为41%。只有37%的受试者没有牙周疾病。与无牙周疾病的患者相比,患有牙周疾病的患者组中糖尿病病程超过10年的受试者比例更高(分别为28%和55%),糖尿病慢性并发症患者的比例也更高(分别为42%和58%)。

结论

在该糖尿病患者样本中观察到牙周疾病的高患病率。在分析的样本中,糖尿病病程长和存在慢性并发症是这些疾病的危险因素。

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