坏死性龈炎发病特征的临床研究

Clinical study on the Cousing Charactries of the Necrotic Gingivitis

目地了解坏死性龈炎发病特征。方法:对患者性别、年龄、职业、婚姻、发病月份、住址、文化程度、偏侧咀嚼习惯、发病前身体健康问题,发病前后有药史、牙周单症及联合症检出率、单区段受累及多受累区段检出率、血常规、出凝血时间、血小板计数、血型、进行了记录。结果男性占多数(78.42%),成人占多数(85.61%),已婚占多数(77.54%),常在外进餐的职业占多数(77.69%)。4月份为发病高峰,其中患者中的构成为13.66%,无偏侧侧咀嚼习惯占多数(92.38%)。高中及大专文化合计占多数(72.13%)。发病前无健康问题占多数(65.55%),有健康问题者中感染性疾病占多数(75.56%)。发病前多无用药史(66.19%)。牙周症状中单项症状检出率前3位的是:早起刷牙出血(79.41%),牙龈疼(63.24%),早起牙龈自发出血(57.04%);组合症状检出率前3位的是:牙龈坏死+牙龈出血+牙龈疼痛+口臭(43.28%)、牙龈坏死+牙龈出血+口臭(25.37%)、牙龈坏死+牙龈出血+牙龈疼痛(16.42%),有86.57%的患者同时具各3项及3项以上症状。发病区段以上前牙(13.12.11.21.22.23)最高(94.12%)以左上(24.25.26.27)最低(81.26%)。受累区段最多为6个区段,检出率最高(63.24%)占大半。受累最少的区段为1个区段,检出率最低(0.47%)。血常规多半正常(60.55%),PLT仅少数降低(1.83%),出凝血时间均正常。患者中,B血型者高于全国常模(X2=9。4514,p<0.01)型者少于全国常模(X2=8.0704,p<0.01)结论:男性、成人、已婚、外餐、4、5、6月,无偏侧咀嚼习惯,多具备3项及3项以上症状,多区受累,牙龈出血分出凝血时间血小板计数无关。

Objective dise Research on the cousing chatactries of the necrotic gingibitis.Methods We should make records, for the patients, of the genders, ages, profession, marriages, cousing mouths, academics, unilateral masticational habits, health condition before dise cousing, medition history, Single periodontal disease and joint disease detection rate, single-and multi-segment involvement affected section of the detection rate of blood, the clotting time, platelet count, blood type.Result the majority is male （78.42%）, adults（85.61%）, married patients （77.54%）,and patients who have meals outside get the majority（77.69%）.April is the peak time, Patients which constitute 13.66%, no unilateral chewing habit side of the majority （92.38%）. Senior secondary and tertiary cultures together accounted for the majority （72.13%）. No health problems prior to the onset of the majority （65.55%）, persons who have health problems, infectious diseases accounted for the majority （75.56%）. Prior to the onset of many non-medication （66.19%）. Individual symptoms of periodontal symptoms before the detection rate of the three is： get up early brush your teeth bleeding （79.41%）, gum pain （63.24%）, early spontaneous gingival bleeding （57.04%）; combination of symptoms prior to detection rate is 3 ： gingival necrosis gingival ＋ gingival bleeding ＋ pain ＋ bad breath （43.28%）, gingival bleeding gingival necrosis ＋ ＋ bad breath （25.37%）, gingival necrosis gingival ＋ gingival bleeding ＋ pain （16.42%） and 86.57% of patients at the same time with the 3 items and more than three symptoms. More than the incidence of anterior segment （13.12.11.21.22.23） the highest （94.12%） to left （24.25.26.27） the lowest （81.26%）. Section involved a maximum of six sections, the highest detection rate （63.24%） accounted for more than half. For the section involved at least one section, the lowest detection rate （0.47%）. Most of the normal routine （60.55%）, PLT is only a small number of lower （1.83%）, the clotting time were normal. Patients, B blood group were higher than the national norm （X^2 = 9. 4514, p 〈0.01） type are less than the national norm （X^2 = 8.0704, p 〈0.01）.Conclusion male, adults, married, outside meals, April, March, June, non-unilateral mastication habit.