改良Widman牙周翻瓣术治疗牙周炎112例临床护理体会

Clinical nursing experience of modified Widman periodontal flap surgery in the treatment of 112 periodontitis cases

目的探讨改良Widman牙周翻瓣术治疗牙周炎的临床护理方法及效果。方法 112例行改良Widman牙周翻瓣术治疗的牙周炎患者,随机分为观察组和对照组,每组56例。对照组给予常规护理,观察组在对照组基础上予以牙周翻瓣术相应的护理配合干预,观察两组治疗干预后的临床疗效。结果观察组临床治疗总有效率为94.64%,高于对照组的83.93%(P<0.05)。两组治疗后牙龈指数、龈沟出血指数、菌斑指数、牙周附着水平及牙周袋探诊深度等牙周炎相关指标均优于治疗前,且观察组各指标改善程度均优于对照组(P<0.05)。观察组护理效果评价评分为(92.65±3.14)分,患者满意度评价评分为(84.58±3.78)分,均高于对照组的(81.54±4.41)、(64.52±4.55)分,差异有统计学意义(P<0.05)。结论改良Widman牙周翻瓣术治疗牙周炎配合相应的护理干预较常规护理临床疗效更为显著,值得临床推广应用。

Objective To investigate clinical nursing measures and effect by modified Widman periodontal flap surgery in the treatment of periodontitis. Methods A total of 112 periodontitis patients in modified Widman periodontal flap surgery were randomly divided into observation group and control group, with 56 cases in each group. The control group received conventional therapy, and the observation group received additional corresponding nursing intervention. Clinical effects after intervention were observed in both groups. Results The observation group had obviously higher total effective rate as 94.64% than 83.93% of the control group（P〈0.05）. Both groups had improved gingival index and sulcus bleeding index, dental plaque index, periodontal attachment level and periodontal depth after treatment, and the observation group had all much better improved indexes than the control group（P〈0.05）. The observation group had higher nursing evaluation score as（92.65±3.14） points and satisfaction degree score as（84.58±3.78） points than（81.54±4.41） and（64.52±4.55） points in the control group, and their difference had statistical significance（P〈0.05）. Conclusion Modified Widman periodontal flap surgery combined with corresponding nursing intervention provides more precise clinical effect in treating periodontitis than conventional nursing, and it is worth clinical promotion and application.