牙周病患者菌斑控制情况及相关影响因素分析  

Analysis of control status and related influencing factors of plaque in patients with periodontal disease

作　　者：刘苗 刘瑾[1,2,4] 王昱新 程百祥 程政 雷冰[1,2,3] LIU Miao;LIU Jin;WANG Yuxin;CHENG Baixiang;CHENG Zheng;LEI Bing(Hospital of Stomatological Xi′an Jiaotong University/Shaanxi Key Laboratory of Craniomaxillofacial Precision Medicine,Xi′an 710004,Shaanxi Province,China;Shaanxi Provincial Dental and Jaw Disease Clinical Research Center,Xi′an 710004,Shaanxi Province,China;Department of Stomatology,Hospital of Stomatological Xi′an Jiaotong University,Xi′an 710004,Shaanxi Province,China;Department of Periodontology,Hospital of Stomatological Xi′an Jiaotong University,Xi′an 710004,Shaanxi Province,China)

机构地区：[1]西安交通大学口腔医院/陕西省颅颌面精准医学研究重点实验室,陕西西安710004 [2]陕西省牙颌疾病临床研究中心,陕西西安710004 [3]西安交通大学口腔医院口腔综合科,陕西西安710004 [4]西安交通大学口腔医院牙周科,陕西西安710004

出　　处：《新乡医学院学报》2023年第12期1126-1130,共5页Journal of Xinxiang Medical University

基　　金：国家自然科学基金资助项目(编号:82101068);西安交通大学口腔医院临床新技术、新业务项目(编号:xjkqxjs2019-08)。

摘　　要：目的探讨牙周病患者菌斑控制情况及其相关影响因素。方法采用随机抽样方法选择2018年5月至2022年5月就诊于西安交通大学口腔医院的350例牙周病患者为研究对象。患者均行全口龈上洁治术,术后7~10 d复诊时对患者进行全口菌斑评估及检测、口腔一般检查及口腔卫生行为的问卷调查。采用单因素和多因素logistic回归分析影响菌斑控制效果的因素。结果本研究共发放350份问卷,收回有效问卷340份(97.14%)。患者总菌斑指数为(68.42±16.93)%;上颌菌斑指数低于下颌(P<0.05),前牙区菌斑指数低于后牙区(P<0.05);左半口和右半口菌斑指数比较差异无统计学意义(P>0.05);1区与2区菌斑指数比较差异无统计学意义(P>0.05),3区与4区菌斑指数比较差异无统计学意义(P>0.05);3区和4区菌斑指数分别高于1区和2区(P<0.05)。远中和舌侧面菌斑指数比较差异无统计学意义(P>0.05),其余各牙面菌斑指数两两比较差异均有统计学意义(P<0.05)。单因素分析结果显示,不同性别、不同文化程度、不同疾病严重程度、不同刷牙时间、不同刷牙方法患者的菌斑指数比较差异有统计学意义(P<0.05);多因素logistic回归分析结果显示,疾病严重程度和刷牙方法是影响菌斑指数的因素(P<0.05)。结论牙周病患者菌斑控制总体情况不理想,疾病严重程度和刷牙方法是菌斑指数控制效果的影响因素,应加强口腔卫生宣教以促进牙周病患者的菌斑控制。Objective To investigate the status of plaque control in patients with periodontal disease and its related influencing factors.Methods A total of 350 periodontal disease patients admitted to the Hospital of Stomatological Xi′an Jiaotong University from May 2018 to May 2022 were selected as the research subjects by the random sampling method.All patients underwent total supragingival oral prophylaxis.The total oral plaque assessment and detection,general oral examination,and a questionnaire survey on oral hygiene behavior will be conducted when patients came back for return visit at 7-10 days after operation.Single factor and multivariate logistic regression analysis were used to analyze the factors affecting the effectiveness of plaque control.Results A total of 350 questionnaires were distributed in this study,and 340 valid questionnaires(97.14%)were collected.The total plaque index of the patient was(68.42±16.93)%;the plaque index in maxillary was significantly lower than that in mandibular(P<0.05);the plaque index in anterior tooth area was significantly lower than that in the posterior tooth area(P<0.05);there was no significant difference in plaque index between the left and right halves of the mouth(P>0.05);there was no significant difference in plaque index between zone 1 and zone 2(P>0.05);there was no significant difference in plaque index between zone 3 and zone 4(P>0.05);the plaque index in zone 3 and zone 4 was significantly higher than that in zone 1 and zone 2,respectively(P<0.05).There was no significance difference in the plaque index between distal and lingual surfaces(P>0.05),while there was significance difference in the plaque index between the other dental surfaces(P<0.05).The results of univariate analysis showed that there were significant difference in plaque index among patients with different genders,educational levels,disease severity,brushing duration,and brushing method(P<0.05);the results of multivariate logistic regression analysis showed that the severity of the disease and brus

关 键 词：引导生物膜疗法 牙周病 菌斑控制 横断面调查 影响因素 

分 类 号：R781.4[医药卫生—口腔医学]