慢性牙周炎患者牙周维护期间依从性不同对临床疗效的影响分析  

Influence of Compliance of Patients with Chronic Periodontitis on Clinical Effect during Periodontal Maintenance

作　　者：关天燕 

机构地区：[1]广东省深圳牙科医疗中心口腔内科,广东深圳518001

出　　处：《口腔医学研究》2015年第5期517-519,共3页Journal of Oral Science Research

摘　　要：目的:观察慢性牙周炎患者牙周维护期间依从性不同对临床疗效的影响。方法:临床纳入慢性牙周炎患者70例,根据患者依从性差异分为完全依从性组以及不完全依从性组,每组35例。所有患者均首先进行为期4周的基础治疗,对于无手术指征者给予牙周维护治疗,并进行定期复查。观察治疗前与治疗12个月后患者菌斑指数(Plaque index,PI)、牙龈指数(Gingival index,GI)以及牙周袋深度(Probing depth,PD)、探针出血(BOP)阳性率、临床附着水平(CAL)等指标。结果:治疗前,两组患者PI、GI、PD、BOP阳性率、CAL水平等差异无显著性;完全依从性组患者治疗6个月、12个月的PI、GI、PD评分、BOP阳性率、CAL水平均明显优于不完全依从性组(P<0.05),具有统计差异。结论:依从性较好的慢性牙周炎患者在接受临床治疗后,疗效要明显优于依从性较差的患者。因此,临床医师需要对慢性牙周炎患者进行定期随访,以提高患者的依从性。Objective：To observe the different influence of compliance of patients with chronic periodontitis on clinical effect during periodontal maintenance.Methods：70cases of patients with chronic periodontitis were selected in our hospital.According to patient compliance,they were divided into complete compliance group and incomplete compliance group,35 cases in each group.All patients were given the foundation treatment for 4weeks and patients without operation indication were given periodontal maintenance therapy and regular reexamination.Before treatment and after 12 months of treatment in patients with plaque index（Plaque,index,PI）,gingival index（Gingival,index,GI）and the depth of periodontal pocket（Probing depth,PD）and other indicators.Results：Before treatment,PI,GI and PD of two groups of patients had no significant difference.After 12 months of treatment,PI,GI and PD of the complete compliance group were（0.23±0.14）,（0.84±0.23）and（0.23±0.14）,PI,GI and PD of incomplete compliance group were（0.81±0.19）,（1.12±0.30）and（0.81±0.19）,（P〈0.05）.Conclusion：Better compliance of the chronic periodontitis patients had better curative effect than the poor compliance of patients.

关 键 词：慢性牙周炎 牙周维护 依从性 临床疗效 

分 类 号：R781.42[医药卫生—口腔医学]