循证护理与风险管理在慢性牙周炎患者种植牙术中的应用

Application of evidence-based medicine and risk management in patients with chronic periodontitis

目的探讨循证护理与风险管理在慢性牙周炎(CP)患者种植牙术中的应用效果。方法选择2019年1月—2020年5月在我院接受种植牙术治疗的60例CP患者,利用随机数字表法分为2组,各30例。对照组进行常规护理+循证护理,观察组在对照组基础上进行风险管理,比较2组种植体周围健康状况和口腔行为能力。结果护理后,观察组龈沟出血指数(mSBI)、改良菌斑指数(mPLI)、探针深度(PD)水平均低于对照组,差异有统计学意义(P<0.05);观察组刷牙次数3次/d及以上、刷牙时间3 min及以上、采用颤动法刷牙占比均高于对照组,差异有统计学意义(P<0.05)。结论循证护理联合风险管理能够使CP患者种植体周围健康状况得到改善,提升其口腔行为能力。

Objective To explore the effect of evidence-based medicine and risk management in dental implantation in patients with chronic periodontitis.Methods From January 2019 to May 2020,60 patients with CP who underwent dental implant surgery in our hospital were selected and divided into 2 groups with random number table method,each with 30 cases.The control group received routine nursing+evidence-based medicine,and the observation group adopted risk management on the basis of the control group,they were all nursed until discharged.Compared the health status and oral behavior of the two groups of implants.Results After nursing,the gingival sulcus bleeding index(mSBI),modified plaque index(mPLI),and probe depth(PD)in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05);The frequency of brushing teeth in the observation group was 3 times/d and above,the time of brushing teeth was 3 minutes and above,and the proportion of brushing with the tremor method was higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion Evidence-based medicine and risk management can improve the health of patients with CP around the implant and improve their oral behavior.