系统性口腔卫生指导应用于牙周病患者的临床效果观察

Clinical effects of systematic oral hygiene guidance in patients with periodontal disease

目的探讨系统性口腔卫生指导在牙周病患者中的临床应用效果,为改善牙周病患者的护理模式提供理论依据。方法选取2018年7月-2019年7月于西安交通大学口腔医院牙周病科就诊的160例牙周病患者为研究对象。采用系统口腔卫生指导对患者进行干预,比较干预前后患者的菌斑指数、牙周病学调查问卷得分、探诊出血阳性及牙周袋≥4 mm的百分率。结果共有150例患者完成研究。干预后,150例牙周炎患者菌斑指数下降,差异有统计学意义(F=169.98,P<0.01)。干预后150例牙周炎患者口腔卫生行为、知识、态度得分及总得分均高于干预前,差异具有统计学意义(P<0.01)。150例牙周炎患者干预后探诊出血阳性及牙周袋≥4 mm的百分率均低于干预前,差异具有统计学意义(P<0.01)。结论系统性口腔卫生指导应用于牙周病患者,能够使患者更好的掌握口腔卫生维护的方法,对牙周病的维护期有重要意义。

Objective To explore the clinical effects of systematic oral hygiene guidance in patients with periodontal disease,and provide a theoretical basis for improving the nursing model of patients with periodontal disease.Methods Totally 150 patients with periodontal disease attending the Department of Periodontics&Oral Medicine,Hospital of Stomatology,Xi'an Jiaotong University from July 2018 to July 2019 were selected.Systematic oral hygiene guidance was provided to the patients,and the patients'plaque index,periodontal questionnaire scores,the percentages of positive bleeding in palpation and periodontal pockets≥4 mm were compared before and after the intervention.Results Totally,150 patients finished the study.After the intervention,the plaque index of the 150 patients with periodontitis decreased,and the difference was statistically significant(F=169.98,P<0.01).After the intervention,the oral hygiene behavior,knowledge,attitude scores and total scores of the 150 patients with periodontitis were higher than those before the intervention,and the difference was statistically significant(P<0.01).The percentages of positive bleeding in palpation and periodontal pockets≥4 mm after intervention in the 150 patients with periodontitis were lower than those before the intervention,and the difference was statistically significant(P<0.01).Conclusions Systematic oral hygiene guidance applied to patients with periodontal disease can enable the patients to better grasp the methods of oral hygiene maintenance,which is of great significance to the maintenance period of periodontal disease.