改良闭口式印模法修复治疗在全口义齿修复老年患者中的应用效果  

Application effect of modified closed-mouth impression in repairing complete dentures in elderly patients

作　　者：李冰婷 张泳 阳冬青 LI Bing-ting;ZHANG Yong;YANG Dong-qing(Department of Stomatology,Shaoguan Stomatological Hospital,Guangdong Province,Shaoguan512000,China)

机构地区：[1]广东省韶关市口腔医院口腔科,广东韶关512000

出　　处：《中国当代医药》2021年第12期130-132,136,共4页China Modern Medicine

基　　金：广东省韶关市卫生健康科研项目(Y20011)。

摘　　要：目的探讨改良闭口式印模法修复治疗在全口义齿修复老年患者中的应用效果。方法选择2018年8月~2019年8月韶关市口腔医院口腔科收治的80例接受全口义齿修复老年患者作为研究对象。根据随机数字表法分为常规组(40例,患牙55颗)和改良组(40例,患牙58颗)。常规组应用传统开口印模法修复治疗,改良组应用改良闭口式印模法修复治疗。比较两组患者经治疗后2个月的临床疗效、全口义齿修复效果、不良反应总发生率、义齿修复质量合格率。结果改良组治疗总有效率高于常规组,差异有统计学意义(P<0.05);改良组义齿修复后咀嚼功能、口腔舒适度、义齿固位性及语言功能评分高于常规组,差异有统计学意义(P<0.05);改良组患者义齿稳定性、义齿固位性及基托边缘伸展性合格率高于常规组,差异有统计学意义(P<0.05);改良组患者不良反应总发生率低于常规组,差异有统计学意义(P<0.05)。结论老年全口义齿修复治疗中,改良闭口印模法的应用效果好、治疗安全性高,该治疗方法具有临床推广与实践价值。Objective To explore the application effect of modified closed-mouth impression in repairing complete dentures in elderly patients.Methods A total of 80 elderly patients who received complete denture restoration in the Department of Stomatology,Shaoguan Stomatological Hospital from August 2018 to August 2019 were selected as the research subjects.According to the random number talbe method,the patients were divided into the conventional group(40 cases,55 teeth)and the improved group(40 cases,58 teeth).The conventional group was treated with traditional open impression,while the improved group was treated with modified closed-mouth impression.The clinical effects,complete denture restoration effects,the total incidence of adverse reactions,and the qualified rate of denture restoration quality of patients between the two groups 2 months after treatment were compared.Results The total effective rate of the improved group was higher than that of the conventional group,and the difference was statistically significant(P<0.05).The scores of masticatory function,oral comfort,denture retention and language function in the modified group were higher than those in the conventional group,and the differences were statistically significant(P<0.05).The qualified rates of denture stability,denture retention and edge extension of denture base in the modified group were higher than those in the conventional group,and the differences were statistically significant(P<0.05).The total incidence of adverse reactions in patients of modified group was lower than that of conventional group,and the difference was statistically significant(P<0.05).Conclusion In the treatment of elderly complete dentures,the modified closed-mouth impression obtains a good application effect in high treatment safety.This therapeutic method has clinical promotion and practical value.

关 键 词：老年患者 全口义齿修复 改良闭口式印模法 治疗效果 安全性 

分 类 号：R322.41[医药卫生—人体解剖和组织胚胎学]