延续性口腔健康教育在双波长激光治疗老年慢性牙周炎患者中的效果评价  

Effect of continuous oral health education on elderly patients with chronic periodontitis treated with dual-wavelength laser

作　　者：瞿冬琳 顾燕琳 刘义[1] 廖骞[1] QU Dong-lin;GU Yan-lin;LIU Yi;LIAO Qian(Department of General Dentistry,Shanghai Ninth People's Hospital,College of Stomatology,Shanghai Jiao Tong University School of Medicine,National Clinical Research Center for Oral Diseases,Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology. Shanghai 200011,China)

机构地区：[1]上海交通大学医学院附属第九人民医院·口腔医学院口腔综合科国家口腔疾病临床医学研究中心上海市口腔医学重点实验室上海市口腔医学研究所

出　　处：《上海口腔医学》2019年第3期321-324,共4页Shanghai Journal of Stomatology

摘　　要：目的:探讨对双波长激光治疗的老年慢性牙周炎患者应用延续性口腔健康教育的临床效果。方法:选择2016年3月-2018年3月接受双波长激光治疗的150例老年慢性牙周炎患者,随机分为2组。将75例应用常规诊间口腔卫生宣教的患者设为对照组,75例应用延续性口腔健康教育的患者设为实验组。采用SPSS21.0软件包对所得数据进行统计学分析,比较2组的口腔行为、牙龈指数、菌斑指数变化。结果:实验组正确刷牙、定期口腔检查与维护、口腔良好习惯所占比例分别为97.33%、93.33%、92.00%,均显著高于对照组(P<0.05);实验组干预3个月和6个月后,牙龈指数和菌斑指数分别为1.24±0.14、1.08±0.10和1.50±0.10、1.69±0.26,均显著低于对照组(P<0.05)。结论:对双波长激光治疗的老年慢性牙周炎患者应用延续性口腔健康教育,可改善其口腔行为和牙周状况,值得推广应用。PURPOSE:To explore the clinical effect of continuous oral health education on elderly patients with chronic periodontitis treated with dual wavelength lasers.METHODS:The clinical data of 150 elderly patients with chronic periodontitis treated with dual-wavelength laser in Shanghai Ninth People’s Hospital between March 2016 and March2018 were analyzed and divided into 2 groups according to the different intervention plans applied.Seventy-five cases receiving routine oral hygiene education were taken as the control group,and the other 75 patients receiving continuous oral health education were set as the experimental group.Oral behavior,gingival index and dental plaque index in the two groups were analyzed and compared using SPSS 21.0 software package.RESULTS:The proportions of patients with correct brushing,taking regular oral examination and maintenance,and keeping good oral habits in the experimental were97.33%,93.33% and 92.00%,respectively,which were significantly higher than those in the control group(P<0.05).The gingival index and dental plaque index 3 and 6 months after intervention were(1.24 ±0.14) and(1.08±0.10),(1.50±0.10)and(1.69±0.26),respectively in the experimental group,which were significantly lower than those in the control group(P<0.05).CONCLUSIONS:For elderly patients with chronic periodontitis treated with dual-wavelength laser therapy,application of continuous oral health education can improve their oral behavior and periodontal status,therefore is worthwhile to be popularized in clinical application.

关 键 词：慢性牙周炎 老年 双波长激光 口腔健康教育 口腔行为 

分 类 号：R781.4.2[医药卫生—口腔医学]