口腔卫生指导效果的临床评价  

Effect of Oral Hygiene Instruction Program in Clinical

作　　者：张立乐[1] 曹正国[1] 李成章[1] 

机构地区：[1]武汉大学口腔医学院牙周粘膜科,湖北武汉430079

出　　处：《口腔医学研究》2004年第5期549-550,共2页Journal of Oral Science Research

摘　　要：目的 :评价口腔卫生指导的临床效果。方法 :对 82名慢性龈缘炎和牙周炎患者 ,分组采用 2次、5次进行口腔卫生指导 (Ⅰ组为 5次指导组 ;Ⅱ组为 2次指导组 ;Ⅲ组为对照组 )。分别于 1,2 ,6 ,12周通过菌斑控制百分率(plaquecontrolrate ,PCR)和探诊出血百分率 (bloodingonprobingrate ,BOPR)来评价口腔卫生指导效果。 结果 :1周时 ,PCR和BOPR都显著的降低。在 2周时 ,Ⅰ、Ⅱ组的PCR都由基线的 88%降至 30 %左右 ,且BOPR由基线5 5 %降至 12 %左右 ;而对照组 ,PCR由 89%降至 5 0 % ,BOPR由 5 5 %降至 4 4 %。在 6周后 ,Ⅰ、Ⅱ组的PCR和BO PR一直维持低水平 ;而对照组 ,在 6周时 ,PCR为 83% ,BOPR为 5 0 %。 12周时 ,PCR和BOPR分别显著性降至5 7%和 2 5 %。结论 :口腔卫生指导可以非常有效地控制菌斑和改善出血状况 ,2次与 5次指导无差异。Objective: To evaluation of the effect of different visit oral hygiene instruction. Methods: 82 patients, 19～38 years of age with chronic gingivitis, were divided into three groups, Group one: 2-visit group; Group two: 5-visit group; Group three: control group. After 1,2,6, and 12 weeks, we recorded BOPR and PCR to evaluate the difference between different groups. Results: At 1 week, both PCR and BOPR decreased significantly in each group. At 2 week, PCR decreased significantly from 88% to 30% both Group one and two, and BOPR decreased significantly from 55% to 12%, while PCR decreased from 89% to 50% in control group, and there was no significantly difference about BOPR. After 6 weeks, for Group one and two, both PCR and BOPR maintained low level, but for control group, PCR was almost 83% and BOPR was 50%. In 12 weeks,both PCR and BOPR respectively reduced to 57% and 25%. Conclusion: It was very useful for oral hygiene instruction to control the plaque and change the blooding on probing, which is the key and base of periodontal system treatment and maintain of curative effect.

关 键 词：口腔卫生 对照组 PCR) 指导 临床评价 出血 效果 百分率 维持 水平 

分 类 号：R781.4[医药卫生—口腔医学]