系统口腔护理干预在改善牙周病患者牙菌斑控制效果及口腔保健行为中的作用

Effect of systematic oral care on plaque control and oral hygiene behaviors of patients with periodontal disease

目的探讨系统口腔护理干预在改善牙周病患者牙菌斑控制效果与口腔保健行为中的作用。方法选取2017年6月—2018年5月收治的牙周病患者80例。采用随机数字表法将患者随机分为观察组和对照组,各40例。2组均行牙周病基础治疗。对照组予以常规护理,观察组予以系统口腔护理干预。比较2组干预前和干预4周的牙菌斑控制情况和口腔保健行为。结果干预后,2组牙龈指数、牙龈出血指数、牙周袋探诊深度和菌斑指数均较干预前明显改善(P<0.05),且观察组优于对照组(P<0.05)。干预后,2组刷牙次数>3次/d、刷牙时间>3 min/次、竖刷或颤动牙刷、合理使用牙线的人数均较干预前明显提高(P<0.05),且观察组日均刷牙次数>3次、次均刷牙时间>3 min、竖刷或颤动刷牙、合理使用牙线比例均高于对照组(P<0.05)。结论为牙周病患者提供系统口腔护理干预,能够取得更好的牙菌斑控制效果,并改善患者口腔保健行为。

Objective To investigate the effect of systematic oral care on plaque control and oral hygiene behaviours of patients with periodontal disease.Methods Totally 80 patients with periodontal disease were assigned to the observation group and the control group,with 40 cases in each group.The control group received routine care during the treatment,and the observation group was given systematic interventions of oral care.The effect on plaque control and oral hygiene behaviours of patients were evaluated and compared between two groups.Results The outcomes of gingival index,gingival bleeding index,depth of periodontal probe penetration and plaque index were improved after the intervention,and the effect on plaque control in the observation group was superior than that in the control group(P<0.05).The proportions of patients who brushed teeth more than 3 times per day,brushed teeth more than 3 minutes per time,adopted vertical brushing or fibrillation brushing,used dental floss appropriately in the observation group were higher than those in the control group,respectively(P<0.05).Conclusion The systematic oral care is potentially effective to control the dental plaque and improve the oral hygiene behaviours of patients with periodontal disease.