fa بررسی مقطعی وضعیت شاخص DMFT در کودکان و نوجوانان (18-9 ساله ) مبتلا به دیابت نوع 1، در مقایسه با کودکان سالم در شهر ایلام در سال 1399 عمومى General مقاله پژوهشي Research Article <span style="font-size:9pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:120%"><span sans-serif="" style="font-family:Arial,"><span style="color:#404040"><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:120%"><span style="font-family:"Times New Roman","serif""></span></span></span></span></span></span></span></span></span><br> <span style="font-size:9pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:120%"><span sans-serif="" style="font-family:Arial,"><span style="color:#404040"><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:120%"><span style="font-family:"Times New Roman","serif""></span></span></span></span></span></span></span></span></span><br> <span style="font-size:9pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:120%"><span sans-serif="" style="font-family:Arial,"><span style="color:#404040"><b><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:120%"><span new="" roman="" style="font-family:" times=""><span style="color:#548dd4">مقدمه:</span></span></span></span></b><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:120%"><span new="" roman="" style="font-family:" times=""> دیابت ملیتوس به گروهی از بیماری های متابولیک گفته می شود که توسط افزایش سطح قندخون (به دلیل نقص در تولید انسولین و یا مقاومت به انسولین یا هر دو) شناخته می شوند. هدف از این مطالعه&nbsp; بررسی وضعیت پوسیدگی دندان در کودکان و نوجوانان مبتلا به دیابت نوع یک، در مقایسه با کودکان سالم در استان ایلام می باشد</span></span></span><span dir="LTR" new="" roman="" style="font-family:" times="">.</span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:120%"><span style="font-family:"Times New Roman","serif""></span></span></span></span></span></span></span></span></span><br> <span style="font-size:9pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:120%"><span sans-serif="" style="font-family:Arial,"><span style="color:#404040"><b><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:120%"><span new="" roman="" style="font-family:" times=""><span style="color:#548dd4">مواد و روشها: </span></span></span></span></b><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:120%"><span new="" roman="" style="font-family:" times="">مطالعه مورد نظر یک مطالعه مقایسه ای می باشد. حجم نمونه در نظر گرفته شده برای این مطالعه 160 نفرشامل همه ی کودکان و نوجوانان 18-9 ساله بودند، 80 نفر بیمار مبتلا به دیابت نوع 1 (گروه مورد) و 80 نفر سالم(گروه کنترل) که از لحاظ سن و جنس مشابه هم بودند. پس از تعیین افراد شرکت کننده در طرح، رضایت نامه کتبی و پرسش نامه محقق ساخته توسط افراد دو گروه تکمیل شد. تجزیه و تحلیل هم با استفاده ازآزمون های آماری کای-دو، تی- مستقل، و ضریب همبستگی در نرم افزار22</span></span></span><span dir="LTR" new="" roman="" style="font-family:" times="">&nbsp; spss </span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:120%"><span new="" roman="" style="font-family:" times="">و</span></span></span><span dir="LTR" new="" roman="" style="font-family:" times=""> Graphpad Prism8 </span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:120%"><span new="" roman="" style="font-family:" times="">انجام گرفت</span></span></span><span dir="LTR" new="" roman="" style="font-family:" times="">.</span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:120%"><span style="font-family:"Times New Roman","serif""></span></span></span></span></span></span></span></span></span><br> <span style="font-size:9pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:120%"><span sans-serif="" style="font-family:Arial,"><span style="color:#404040"><b><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:120%"><span new="" roman="" style="font-family:" times=""><span style="color:#548dd4">یافته ها:</span></span></span></span></b><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:120%"><span new="" roman="" style="font-family:" times=""> میانگین سنی افراد مورد مطالعه در گروه مبتلا به دیابت 3&plusmn;4/13 و درگروه سالم 9/2&plusmn;8/12 سال بود. و از نظرسن دوگروه تفاوت آماری معنی داری نداشتند</span></span></span><span dir="LTR" new="" roman="" style="font-family:" times="">(P>0.05). </span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:120%"><span new="" roman="" style="font-family:" times="">تعداد دندان های</span></span></span><span dir="LTR" new="" roman="" style="font-family:" times="">&nbsp; DMFT</span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:120%"><span new="" roman="" style="font-family:" times="">در کودکان مبتلا به دیابت نوع1 به طور معنی داری بیشتر از کودکان سالم بود</span></span></span><span dir="LTR" new="" roman="" style="font-family:" times="">(P<0.05). </span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:120%"><span new="" roman="" style="font-family:" times="">بین تعداد دندانپ های پوسیده و</span></span></span><span dir="LTR" new="" roman="" style="font-family:" times=""> HbA1c </span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:120%"><span new="" roman="" style="font-family:" times="">رابطه معنی دار وجود دارد</span></span></span><span dir="LTR" new="" roman="" style="font-family:" times="">(r=0.3</span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:120%"><span new="" roman="" style="font-family:" times="">، </span></span></span><span dir="LTR" new="" roman="" style="font-family:" times="">P=0.004). </span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:120%"><span new="" roman="" style="font-family:" times="">همچنین بین</span></span></span><span dir="LTR" new="" roman="" style="font-family:" times=""> DMFT </span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:120%"><span new="" roman="" style="font-family:" times="">و</span></span></span><span dir="LTR" new="" roman="" style="font-family:" times=""> HbA1c</span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:120%"><span new="" roman="" style="font-family:" times="">رابطه مستقیم و از نظر آماری معنی دار است</span></span></span><span dir="LTR" new="" roman="" style="font-family:" times="">(r=0.36, P=0.001). </span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:120%"><span style="font-family:"Times New Roman","serif""></span></span></span></span></span></span></span></span></span><br> <span style="font-size:9pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:120%"><span sans-serif="" style="font-family:Arial,"><span style="color:#404040"><b><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:120%"><span new="" roman="" style="font-family:" times=""><span style="color:#548dd4">نتیجه گیری:</span></span></span></span></b><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:120%"><span new="" roman="" style="font-family:" times=""> در این مطالعه</span></span></span><span dir="LTR" new="" roman="" style="font-family:" times=""> (DMFT) </span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:120%"><span new="" roman="" style="font-family:" times="">در گروه بیماران دیابتی نسبت به گروه سالم بیشتر بود. همچنین ارتباط مستقیمی بین</span></span></span><span dir="LTR" new="" roman="" style="font-family:" times=""> HBA1C </span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:120%"><span new="" roman="" style="font-family:" times="">و</span></span></span><span dir="LTR" new="" roman="" style="font-family:" times="">&nbsp; (DMFT) </span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:120%"><span new="" roman="" style="font-family:" times="">مشاهده شد</span></span></span><span dir="LTR" new="" roman="" style="font-family:" times="">.</span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:120%"><span style="font-family:"Times New Roman","serif""></span></span></span></span></span></span></span></span></span><br> &nbsp; <span style="font-size:9pt"><span style="line-height:120%"><span sans-serif="" style="font-family:Arial,"><span style="color:#404040"><span dir="RTL" lang="AR-SA" style="font-size:11.0pt"><span style="line-height:120%"><span new="" roman="" style="font-family:" times=""><span style="color:black"></span></span></span></span></span></span></span></span><br> <span style="font-size:9pt"><span style="line-height:120%"><span sans-serif="" style="font-family:Arial,"><span style="color:#404040"><b><span style="font-size:11.0pt"><span style="line-height:120%"><span new="" roman="" style="font-family:" times=""><span style="color:#548dd4">Introduction:</span></span></span></span></b><span style="font-size:11.0pt"><span style="line-height:120%"><span new="" roman="" style="font-family:" times=""><span style="color:black"> Diabetes&nbsp; mellitus is a group of metabolic diseases characterized by high blood sugar levels (due to insufficient insulin production or insulin resistance, or both). The aim of this study was to evaluate the status of DMFT index in children and adolescents with type 1 diabetes in comparison with healthy children in Ilam province.</span></span></span></span></span></span></span></span><br> <span style="font-size:9pt"><span style="line-height:120%"><span sans-serif="" style="font-family:Arial,"><span style="color:#404040"><b><span style="font-size:11.0pt"><span style="line-height:120%"><span new="" roman="" style="font-family:" times=""><span style="color:#548dd4">Matearils and Methods:</span></span></span></span></b><span style="font-size:11.0pt"><span style="line-height:120%"><span new="" roman="" style="font-family:" times=""><span style="color:black"> The study is a comparative study. The sample size for this study was 160 cases&nbsp; including all children and adolescents aged 9-18 years, 80 patients with type 1 diabetes (case group) and 80 healthy cases (control group) who were similar in age and sex. A written consent and a researcher-made questionnaire were completed by the two groups. The analysis was performed using chi-square, independent t-test, and correlation coefficient in SPSS 22 and Graphpad Prism8 software.</span></span></span></span></span></span></span></span><br> <span style="font-size:9pt"><span style="line-height:120%"><span sans-serif="" style="font-family:Arial,"><span style="color:#404040"><b><span style="font-size:11.0pt"><span style="line-height:120%"><span new="" roman="" style="font-family:" times=""><span style="color:#548dd4">Results:</span></span></span></span></b><span style="font-size:11.0pt"><span style="line-height:120%"><span new="" roman="" style="font-family:" times=""><span style="color:black"> The mean age of the subjects was 13.4&plusmn;3 in the diabetic group and 12.8&plusmn;2.9 years in the healthy group. There was no statistically significant difference between the two groups (P> 0.05). The number of DMFT teeth in children with type 1 diabetes was significantly higher than healthy children (P <0.05). There was a significant relationship between the number of decayed teeth and HbA1c (r = 0.3, P = 0.004). Also, there is a direct and statistically significant relationship between DMFT and HbA1c (r = 0.36, P = 0.001).</span></span></span></span></span></span></span></span><br> <span style="font-size:9pt"><span style="line-height:120%"><span sans-serif="" style="font-family:Arial,"><span style="color:#404040"><b><span style="font-size:11.0pt"><span style="line-height:120%"><span new="" roman="" style="font-family:" times=""><span style="color:#548dd4">Conclusion:</span></span></span></span></b> <span style="font-size:11.0pt"><span style="line-height:120%"><span new="" roman="" style="font-family:" times=""><span style="color:black">In this study (DMFT) was higher in the diabetic group than in the healthy group. A direct correlation was also&nbsp; seen between HBA1C and (DMFT).</span></span></span></span></span></span></span></span><br> &nbsp; شاخصDMFT, دیابت نوع1 , پوسیدگی , انسولین , کودکان DMFT index, Type 1 diabetes, caries, insulin , children 47 54 http://jiapd.ir/browse.php?a_code=A-10-1-146&slc_lang=fa&sid=1 A Nazari عارف نظری 10031947532846002358 10031947532846002358 No Iran F Mohammadi فرهاد محمدی 10031947532846002359 10031947532846002359 No Iran E Shafiei الهام شفیعی 10031947532846002360 10031947532846002360 No Iran R Najafi رضا نجفی 10031947532846002361 10031947532846002361 No Iran Kh Abdal خدیجه ابدال 10031947532846002362 10031947532846002362 Yes Iran