社区居民糖尿病合并高血压患者牙周状况的横断面研究

摘要

Objective:To understand the prevalence of periodontal conditions in diabetic patients associated with hypertension on community basis .Meth-ods:Full dental examination was performed in 85 subjects with diabetes,83 with hypertension,80 diabetics associated with hypertension and 90 healthy controls,and maintained were periodontal probing depth(PD),attachment loss (AL),plaque index (PLI),bleeding index(BI),the number of tooth loss and prevalence of periodontitis.Results:Higher index of PD,AL,PLI and BI were observed in diabetics with hypertension,patients with simple diabetes or hypertension,who also had higher incidences of periodontal conditions(78.8%,64.7%,59.0%,respectively) as compared with the healthy controls (31.1%),P<0.05.Conclusion:Periodontal conditions seem more prevalent in patients with diabetes or hypertension,especially in diabetics associated with hypertension.%目的：了解糖尿病、高血压及糖尿病合并高血压患者与健康人群的牙周状况。方法：对85例糖尿病患者、83例高血压患者、80例糖尿病合并高血压患者和90例健康人群进行全口牙周检查，记录探诊深度（ probing depth，PD）、附着丧失（ at-tachment loss，AL）、菌斑指数（ plaque index，PLI）、出血指数（ bleeding index，BI）、牙齿缺失数和牙周患病情况。结果：糖尿病合并高血压、糖尿病和高血压组的PD、AL、PLI、BI各指标分别高于健康人群组（P＜0．01）；糖尿病合并高血压、糖尿病和高血压组中重度牙周炎比例（分别为78．8％、64．7％、59．0％）明显高于健康组（31．1％），P＜0．05。结论：糖尿病、高血压，尤其糖尿病合并高血压患者是牙周炎的重点防治人群。