老年患者活动义齿修复后局部炎症反应发生情况及对咀嚼效率的影响评价

Local inflammation after removable denture restoration in elderly patients and its impact on masticatory efficiency

目的探讨老年患者活动义齿修复后局部炎症反应发生情况及对咀嚼效率的影响。方法选择口腔科2017年1月-2018年12月收治的140例老年牙列缺损患者开展前瞻性研究,按照随机数字表法分为两组,每组各70例,对照组施行固定义齿修复治疗,观察组施行活动义齿修复,比较两组的临床疗效、咀嚼效率、局部炎症反应发生率、炎症因子指标。将观察组患者按照是否发生局部炎症反应分为炎症反应组、无炎症反应组,比较两组的咀嚼效率,并分析老年患者活动义齿修复后局部炎症反应与其咀嚼效率的相关性。结果 (1)观察组的临床总有效率较对照组更低(P <0.05),其局部炎症反应发生率较对照组更高(P <0.05);治疗后,观察组的咀嚼效率较对照组更低(P <0.05),其高敏C反应蛋白、白细胞介素-6均较对照组更高(P <0.05)。(2)炎症反应组的咀嚼效率低于无炎症反应组(P <0.05),活动义齿修复后的局部炎症反应与咀嚼效率呈负相关。结论老年患者活动义齿修复后的局部炎症反应发生风险高于固定义齿修复,而局部炎症反应会影响到患者的咀嚼效率,影响到其预后。

Objective To investigate the occurrence of local inflammatory reaction and the effect on masticatory efficiency after removable denture restoration in elderly patients. Methods 140 cases of elderly patients with dentition defect admitted to department of stomatology from January 2017 to December 2018 were selected for prospective study. They were divided into two groups randomly, with70 cases in each group. The control group was treated with fixed denture prosthesis, while the observation group was treated with movable denture prosthesis. The clinical efficacy, masticatory efficiency, incidence of local inflammation and inflammatory factors were compared between the two groups. The patients in the observation group were divided into inflammation group and non-inflammation group according to whether there was local inflammation reaction. The mastication efficiency between the two groups was compared, and the correlation between local inflammation reaction and mastication efficiency of elderly patients was analyzed. Results(1) The total clinical effective rate of the observation group was lower than that of the control group(P < 0.05), and the incidence of local inflammation was higher than that of the control group(P < 0.05);After treatment, the masticatory efficiency of the observation group was lower than that of the control group(P < 0.05), and its high-sensitivity C-reactive protein and interleukin-6 were higher than those of the control group(P < 0.05).(2)The masticatory efficiency of inflammatory response group was lower than that of non-inflammatory response group(P < 0.05), there was a negative correlation between local inflammatory response and masticatory efficiency. Conclusion The risk of local inflammation in elderly patients after removable denture restoration is higher than that of fixed denture restoration, and the local inflammation will affect the masticatory efficiency and prognosis of patients.