口腔保健服务在改善儿童口腔异味中的作用

Improving oral odor with oral health care services for children

目的探究改善口腔保健服务结合饮食干预对口腔异味的影响,为儿童口腔健康提供科学、正确的引导。方法以2017年6月至2018年4月舟山市妇幼保健院儿保科收治的120名被确诊为口腔异味的儿童为研究对象,随机平均分为研究组与对照组,每组60例;其中对照组采用正常刷牙辅助以漱口水进行口腔保健,研究组在对照组的基础上加强对患儿的饮食干预。比较两组患儿口腔异味改善效果、改善前后的时间间隔,以及复发比例、儿童心理健康水平。结果 (1)干预前研究组患儿口腔异味得分为(6.47±0.37),对照组得分为(6.44±0.29),两组患儿口腔异味程度比较无显著性差异(t=0.180,P>0.05);干预后研究组患儿口腔异味得分为(2.47±0.17),对照组得分为(4.44±0.11),研究组患儿口腔异味显著改善(t=16.856,P<0.001)。(2)对照组取得显著改善时间间隔为(72.8±5.44)小时,研究组取得显著改善时间间隔为(34.7±6.71)小时,两组比较有显著性差异(t=7.639,P<0.01)。(3)出院1、3、6个月后,对照组口腔异味复发例数分别为4(6.67%)、14(23.33%)、26(43.33%),研究组复发例数分别为1(1.67%)、4(6.67%)、7(11.67%),两组比较均有显著性差异(t值分别为2.130、5.227、7.241,均P<0.05)。(4)干预前对照组与研究组心理健康得分分别为(51.47±4.37)和(52.36±5.01),两组比较无显著性差异(t=0.232,P>0.05);干预后对照组与研究组心理健康状况均得到改善,得分分别为(71.97±7.12)和(94.33±8.69),干预后研究组心理健康状况水平明显优于对照组(t=3.452,P<0.05)。结论对口腔异味的治疗不能仅仅停留于口腔层面上,应充分确认其致病原因,结合饮食干预进行治疗。

Objective To explore the effects of oral health care services combined with dietary intervention on oral odor and to provide scientific and correct guidance for children’s oral health.Methods A total of 120 children diagnosed with oral odor were enrolled in Zhoushan Maternity and Infant Hospital from June 2017 to April 2018.They were randomly divided into study group and control group with 60 cases in each group.The control group accepted oral brushing to assist oral health care with mouthwash,while dietary intervention was provided for the study group based on the treatment for the control group.The improvement effects on oral odor,interval before and after improvement,proportion of recurrence,and mental health of children were compared between two groups.Results Before the intervention,the oral odor score of the study group was 6.47±0.37,and that of the control group was 6.44±0.29.There was no significant difference in the degree of oral odor between two groups(t=0.180,P >0.05).After intervention,the score of oral odor of the study group and the control group was 2.47±0.17 and 4.44±0.11,respectively.The improvement of oral odor in the study group was more significant(t=16.856,P<0.001).The interval before and after significant improvement was 72.8±5.44 hours in the control group,and that was 34.7±6.71 hours in the study group.There was significant difference(t=7.639,P<0.01).After 1,3 and 6 months after discharge,the number of recurrent cases of oral odor in the control group was 4(6.67%),14(23.33%),and 26(43.33%),respectively,while that in the study group was 1(1.67%),4(6.67%),and 7(11.67%),respectively.The difference between two groups was significant(t value was 2.130,5.227 and 7.241,respectively,all P<0.05).Before intervention,the mental health scores of the control group and the study group was 51.47±4.37 and 52.36±5.01,respectively,and there was no significant difference between two groups(t=0.232,P >0.05).After intervention mental health of two groups were improved,and the scores were 71.97±7.12 and 94.33±8.69,respectively.In addition,the mental health status of the study group was better than that of the control group(t=3.452,P<0.05).Conclusion The treatment of oral odor cannot be restrained at the level of oral cavity.The causes of the disease should be fully confirmed and treated by combining dietary intervention.