| 吴嵩 陈宝琪 夏阳 匡晶晶 焦泽娅 李世义.老年糖尿病患者牙周重度破坏后种植研究[J].现代生物医学进展英文版,2014,14(29):5691-5694. |
| 老年糖尿病患者牙周重度破坏后种植研究 |
| Study on Dental Planting in Elderly Diabetic Patients after SeverePeriodontal Destruction |
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| DOI： |
| 中文关键词: 老年糖尿病 种植牙 炎症反应 种植体稳定性 菌斑指数 糖化血红蛋白 |
| 英文关键词: Elderly diabetes Dental implant The inflammatory response Implant stability Plaque index Glycated hemoglobin |
| 基金项目: |
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| 中文摘要: |
| 目的：研究2 型糖尿病老年患者牙周重度破坏后不同血糖水平对于牙齿种植术后炎症指标、种植体稳定性及菌斑指数的影
响，探讨患者血糖控制情况和种植牙术后效果的关系。方法：选取我院2011 年1 月至2013 年1 月40 例在牙周重度破坏后行种
植体置入的2 型糖尿病老年患者，按照术后8 周糖化血红蛋白水平是否≥ 7.5%分为实验组和对照组，分别测定两组患者术后24
小时血常规，对比其白细胞、中性粒细胞及淋巴细胞水平；同时于术后第4、8、12 周检测其种植体稳定参数（ISQ）；术后3 个月、6
个月检测其菌斑指数（PLI）。结果：术后24 小时，实验组的白细胞、中性粒细胞及淋巴细胞水平显著高于对照组，P<0.01；术后第
4、8、12 周的ISQ 值，实验组显著低于对照组，P<0.01；术后3 个月、6 个月的菌斑指数，实验组显著高于对照组，P<0.01。结论：2 型
糖尿病老年患者牙周重度破坏后不同血糖水平与其炎症反应、种植体稳定性及细菌繁殖情况密切相关，控制术前及术后血糖，有
利于提高种植体稳定性并降低术后炎症反应，减少细菌繁殖，促进尽早愈合。 |
| 英文摘要: |
| Objective:To study the effect of blood glucose levels on dental planting postoperative inflammation index, implant
stability and plaque index in elderly patients of type 2 diabetes with severe periodontal damage and to discuss the relations between blood
glucose levels and dental implant surgery effect.Methods:40 cases of elderly patients with type 2 diabetes who received dental implant
placement because of severe periodontal damage fromJanuary 2011 to January 2013 were chosen and were divided into the experimental
group and the control group, according to whether glycated hemoglobin level is 7.5% or higher 8 weeks postoperatively. The blood
leukocyte, neutrophils and lymphocytes levels of the two groups of patients were measured 24 hours after the operation. Implant stability
parameters (ISQ)was tested 4, 8, 12 weeks post operation.; the plaque index (PLI) were tested 3 months and 6 months after the operation.Results:24 hours after the operation, leukocyte, neutrophils and lymphocytes levals of the experimental group were significantly higher
than those of the control group, P < 0.01; After 4, 8, 12 weeks, ISQ value of the experimental group was significantly lower than that of
the control group, P < 0.01; After 3 months, 6 months, plaque index of the experimental group was significantly higher than that of
control group, P < 0.01.Conclusion:In elderly patients with type 2 diabetes who had severe periodontal damage and received dental
planting, inflammation condition, implant stability and bacteria breeding situation were closely related to blood glucose levels, to ensure
the preoperative and postoperative blood glucose control will improve stability of the implant and reduce postoperative inflammation, and
bacteria breeding, and promote healing as well. |
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