2型糖尿病合并慢性牙周炎患者中假定牙周病原体菌落的研究

[Study of putative periodontal pathogens colonies in type 2 diabetes with chronic periodontitis].

作者信息

Ma Li, Pan Ya-Ping, Zhang Jian-Quan

机构信息

Department of Oral Biology,Shenyang 110002, Liaoning Province, China.

出版信息

Shanghai Kou Qiang Yi Xue. 2010 Dec;19(6):611-5.

DOI:
Abstract

UNLABELLED

PPURPOSE: To study the permanent planting of periodontal pathogens in the subgingival plaque of periodontitis patients with type 2 diabetes, and evaluate role of periodontal pathogens in chronic periodontitis and type 2 diabetes.

METHODS

One hundred and twenty subgingival plaque samples were collected from 90 severe periodontitis and 30 healthy periodontium patients with type 2 diabetes. Porphyromonas gingivalis (Pg), Aggregatibacer actinomycetemcomitans (Aa), Fusobacterium nucleatum (Fn), Prevotella intermedia (Pi), Tannerella forsythia (Tf) and Treponema denticola (Td) were taken as aim pathogens, polymerase chain reaction (PCR) detection was used to determine the prevalence of Pg, Aa, Fn, Pi, Tf, Td in the subgingival plaque samples.The average gradation(AVG)of positive band in the agarose gel electrophoresis was analyzed to determine the proportion of Pg, Aa, Fn, Pi, Tf, Td in the subgingival plaque. Chi-square test, t test and Pearson correlation were used to analyze the relationship between the periodontal pathogens and blood glucose and blood lipid.

RESULTS

The level of triglyceridey(TC) in Tf positive subjects was significantly higher than that in Tf negative subjects, the proportion of Tf in subgingival plaque was positively correlated with the value of fasting blood glucose(FBG). The proportion of Pg was positively correlated with the level of TC. The proportion of Pi was negatively correlated with the value of FBG and TC.

CONCLUSION

Type 2 diabetes can affect the permanent planting of some putative periodontal pathogens. Supported by National"11th Five Year" Science and Technology Supporting Project (Grant No. 2007BAI18B02) and Science and Technology Research Plan of Liaoning Province(Grant No. 2007225007).

摘要

未标注

目的:研究2型糖尿病牙周炎患者龈下菌斑中牙周病原体的定植情况,并评估牙周病原体在慢性牙周炎和2型糖尿病中的作用。

方法

从90例重度牙周炎和30例2型糖尿病健康牙周患者中采集120份龈下菌斑样本。以牙龈卟啉单胞菌(Pg)、伴放线聚集杆菌(Aa)、具核梭杆菌(Fn)、中间普氏菌(Pi)、福赛坦氏菌(Tf)和齿垢密螺旋体(Td)作为目标病原体,采用聚合酶链反应(PCR)检测法测定龈下菌斑样本中Pg、Aa、Fn、Pi、Tf、Td的检出率。分析琼脂糖凝胶电泳中阳性条带的平均灰度值(AVG),以确定龈下菌斑中Pg、Aa、Fn、Pi、Tf、Td的比例。采用卡方检验、t检验和Pearson相关性分析牙周病原体与血糖、血脂之间的关系。

结果

Tf阳性患者的甘油三酯(TC)水平显著高于Tf阴性患者,龈下菌斑中Tf的比例与空腹血糖(FBG)值呈正相关。Pg的比例与TC水平呈正相关。Pi的比例与FBG和TC值呈负相关。

结论

2型糖尿病可影响某些假定的牙周病原体的定植。由国家“十一五”科技支撑计划(项目编号:2007BAI18B02)和辽宁省科技研究计划(项目编号:2007225007)资助。

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