社区卫生对2型糖尿病患者口腔卫生保健干预效果评价.docVIP

社区卫生对2型糖尿病患者口腔卫生保健干预效果评价 　　【摘要】 目的：评价对社区2型糖尿病患者开展口腔卫生保健的干预效果。方法：选取社区门诊家庭医生式服务签约的2型糖尿病患者80例作为研究对象。按照随机分组的方法，将其分为干预组和对照组，每组40例患者。对照组患者进行家庭医生式服务及自我管理，干预组患者同时开展口腔卫生保健，1年后观察并比较两组患者糖化血红蛋白和口腔卫生状况。结果：干预前，对照组和干预组的糖化血红蛋白比较，差异无统计学意义（P0.05），干预后，对照组和干预组的糖化血红蛋白比较，差异也无统计学意义（P0.05）。干预组干预1年后的牙周袋深度（PD）、牙周附着丧失（CAL）、龈沟出血指数（SBI）及简化口腔卫生指数（OHI-S）均明显小于对照组，其差异均有统计学意义（P0.05）。结论：口腔卫生保健对2型糖尿病患者干预效果显著，值得在社区推广，拓展社区卫生服务内涵 【关键词】 社区卫生； 2型糖尿病； 口腔卫生保健； 干预 doi：10.14033/j.cnki.cfmr.2017.9.081 文献标识码 B 文章编号 1674-6805（2017）09-0145-02 【Abstract】 Objective：To evaluate the the efficacy of community health care intervention on oral health in patients with type 2 diabetes mellitus.Method：A total of 80 patients with type 2 diabetes were selected and enrolled in this study.All the patients were randomly divided into two groups：the intervention group and the control group，with 40 patients in each group.Patients in the control group were treated with family doctor service and self management.And the patients in the intervention group were treated with oral health care on the basis of family doctor service and self management.After one year，the glycosylated hemoglobin and oral hygiene status of the two groups were observed and compared.Result：Before the intervention，there were no significant differences between the two groups with respect to glycosylated hemoglobin（P0.05）.And after the intervention，there was no significant difference between the two groups with respect to glycosylated hemoglobin（P0.05）.While，the periodontal pocket depth（PD），the periodontal attachment loss（CAL），the sulcus bleeding index（SBI） and the simplified oral hygiene index（OHI-S） in the observation group were significantly better than those of the control group，the differences were statistically significant（P0.05）.Conclusion：Oral health care presented a significant intervention efficacy on patients with type 2 diabetes，which is worth to be popularized in the community，expanding the connotation of community health service. 【Key words