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牙周病和修复治疗对糖尿病患者血糖控制的影响。

The effect of periodontal and prosthodontic therapy on glycemic control in patients with diabetes.

作者信息

Kim Hak-Ki, Kim Yong-Gun, Cho Jin-Hyun, Lee Sang-Kyu, Lee Jae-Mok

机构信息

Department of Periodontology, Kyungpook National University School of Dentistry, Daegu, Republic of Korea.

Department of Prosthodontics, Kyungpook National University School of Dentistry, Daegu, Republic of Korea.

出版信息

J Adv Prosthodont. 2019 Oct;11(5):247-252. doi: 10.4047/jap.2019.11.5.247. Epub 2019 Oct 30.

Abstract

PURPOSE

To evaluate the effect of periodontal and prosthodontic therapy on glycated hemoglobin A(HbA1c) level in patients with diabetes.

MATERIALS AND METHODS

This is a retrospective study of 70 patients suffering from diabetes who visited the Kyungpook National University Hospital between January 2016 and May 2018. Patients underwent medical evaluation for their routine check-up, which includes laboratory test for HbA1c levels. Among the 70 patients, 35 patients also visited Kyungpook National University Dental Hospital during the same period to receive periodontal and prosthodontic therapy, while the other 35 patients did not receive such therapy. The HbA1c levels were compared before and after periodontal and prosthodontic therapy. Comparisons between groups and within groups were performed using independent t-test.

RESULTS

The HbA1c levels in the group who have received periodontal and prosthodontic therapy decreased from 7.2 to 6.7 (=.001). The HbA1c levels in the control group decreased from 7.2 to 7.1 (=.580). The difference in changes between the two patient groups was statistically significant (=.011).

CONCLUSION

Periodontal and prosthodontic therapy can be effective on glycemic control in patients with diabetes.

摘要

目的

评估牙周及修复治疗对糖尿病患者糖化血红蛋白A(HbA1c)水平的影响。

材料与方法

这是一项对2016年1月至2018年5月期间就诊于庆北国立大学医院的70例糖尿病患者的回顾性研究。患者接受常规检查的医学评估,包括HbA1c水平的实验室检测。在这70例患者中,35例患者同期还就诊于庆北国立大学牙科学院接受牙周及修复治疗,而另外35例患者未接受此类治疗。比较牙周及修复治疗前后的HbA1c水平。组间及组内比较采用独立t检验。

结果

接受牙周及修复治疗组的HbA1c水平从7.2降至6.7(P =.001)。对照组的HbA1c水平从7.2降至7.1(P =.580)。两组患者变化的差异具有统计学意义(P =.011)。

结论

牙周及修复治疗对糖尿病患者的血糖控制可能有效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d020/6856313/80c148434fee/jap-11-247-g001.jpg

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