认知行为干预对维持慢性牙周炎治疗效果的作用  

Effectiveness of cognitive behavioral intervention on the maintenance of chronic periodontitis' treatment

作　　者：丁芳[1] 吕亚林[1] 王杰[1] 刘银花[1] 

机构地区：[1]首都医科大学附属北京安贞医院口腔医疗中心,北京100029

出　　处：《首都医科大学学报》2015年第5期768-772,共5页Journal of Capital Medical University

基　　金：国家自然科学基金(81170282)~~

摘　　要：目的观察认知行为干预是否能够维持慢性牙周炎的治疗效果。方法选取慢性牙周炎患者85名,牙周基础治疗后采用数字表法随机分为2组,对照组给予常规口腔卫生宣教,实验组给予包括口腔健康教育的认知行为干预。分别于治疗前、治疗后2个月、治疗后4个月、治疗后6个月进行牙周检查并记录牙周指标。结果治疗后2个月时实验组的菌斑指数(plague index,PLI)、出血指数(bleeding index,BI)、探诊深度(probing depth,PD)、附着丧失(attachment loss,AL)与对照组比较,差异均无统计学意义(P>0.05)。治疗后4个月时实验组的PLI为1.48±0.29,对照组为1.77±0.25,两组差异有统计学意义(P=0.000);治疗后4个月时实验组的BI(2.41±0.31)低于对照组(2.54±0.22),差异有统计学意义(P=0.020);实验组的PD(3.18±0.25)mm,低于对照组(3.38±0.31)mm,差异有统计学意义(P=0.001)。治疗后4个月实验组的AL(2.59±0.21)低于对照组(2.77±0.30),差异有统计学意义(P=0.002)。治疗后6个月时实验组的PLI、BI、PD、AL仍低于对照组,差异有统计学意义(P<0.01)。结论认知行为干预对维持慢性牙周炎牙周基础治疗的疗效是有益的,可以纳入牙周维护治疗的范畴。Objective To observe if cognitive behavioral intervention could maintain the treatment effect for chronic periodontitis.Methods Eighty five patients with chronic periodontitis were randomly divided into two groups. The controls accepted routine oral hygiene instruction after periodontal initial therapy. The experimental group accepted cognitive behavioral intervention including oral health education. The periodontal clinical index was noted at baseline,2 months,4 months and 6 months after periodontal initial therapy.Results The plague index（ PLI）,bleeding index（ BI）,probing depth（ PD） and attachment loss（ AL） of the experimental group were lower than those of the controls at 2 months after treatment,though the difference was not significant. The PLI of the experimental group at4 months after treatment was significantly lower than that of the controls（ 1. 48 ± 0. 29 vs 1. 77 ± 0. 31,P = 0. 000）. Also,the BI of experiment group was significantly lower that of than the controls（ 2. 41 ± 0. 31 vs 2. 56 ± 0. 23,P = 0. 013）,the PD of experimental group was significantly lower than that of the controls[（ 3. 18 ± 0. 25） mm vs（ 3. 38 ± 0. 30） mm,P = 0. 001]. The AL of experimental group was also significantly lower than that of the controls at 4 months after treatment,（ 2. 59 ± 0. 21 vs 2. 77 ± 0. 30,P = 0. 002）. At 6months after treatment,the PLI、BI、PD and AL of the experiment group were significantly lower than those of the control group.Conclusion The effectiveness of cognitive behavioral intervention on the maintenance of periodontal initial treatment for periodontitis is significant. And it can belong to the category of periodontal maintenance therapy.

关 键 词：慢性牙周炎 牙周基础治疗 认知行为干预 

分 类 号：R871.4[医药卫生—运动医学]