發(fā)布時(shí)間：2018-02-17 00:08

  本文關(guān)鍵詞： 牙周感染 頜面部腫瘤 牙周干預(yù)治療 下呼吸道感染　出處：《南方醫(yī)科大學(xué)學(xué)報(bào)》2017年09期 　論文類型：期刊論文

【摘要】：目的通過縱向干預(yù)實(shí)驗(yàn),探討牙周感染是否為口腔頜面部腫瘤患者術(shù)后發(fā)生下呼吸道感染的風(fēng)險(xiǎn)因素。方法選取2012年1月~2016年12月在我院接受口腔頜面部腫瘤手術(shù)治療并伴有慢性牙周炎的患者,隨機(jī)均分為兩組,實(shí)驗(yàn)組24 h內(nèi)完成一次性牙周干預(yù)治療;對照組給予2周復(fù)方氯己定含漱液含漱,兩組患者在接受牙周治療后進(jìn)行口腔頜面部腫瘤手術(shù)。統(tǒng)計(jì)學(xué)分析牙周干預(yù)治療6周后,兩組的臨床指標(biāo)以及下呼吸道感染發(fā)生率的差異。結(jié)果實(shí)驗(yàn)組在治療6周后菌斑指數(shù)(PLI)、探診出血指數(shù)(BOP)、牙周袋探診深度(PPD)和臨床附著喪失水平(CAL)低于對照組,牙齦退縮水平(GR)數(shù)值高于對照組,牙周炎癥的控制和好轉(zhuǎn)優(yōu)于對照組,P0.01。對照組PLI、BOP、PPD數(shù)值下降,GR和CAL數(shù)值與基線水平組間均數(shù)差異無統(tǒng)計(jì)學(xué)意義,P0.05。實(shí)驗(yàn)組下呼吸道感染的發(fā)生率為2.22%,低于對照組的發(fā)生率7.11%,P0.01。實(shí)驗(yàn)組的咳嗽、咳痰以及癥狀發(fā)生率合計(jì)低于對照組,P0.01。結(jié)論牙周感染是口腔頜面部腫瘤患者術(shù)后發(fā)生下呼吸道感染的相關(guān)因素之一。牙周干預(yù)治療能夠有效控制和改善牙周狀況,降低該類患者手術(shù)后下呼吸道感染的發(fā)病率,以及咳嗽和咳痰等臨床癥狀的發(fā)生率,臨床效果優(yōu)于傳統(tǒng)的復(fù)方氯己定含漱液含漱方法。
[Abstract]:Objective through longitudinal intervention experiment, To investigate whether periodontal infection is a risk factor for lower respiratory tract infection in patients with oral and maxillofacial tumors after operation. Methods patients with oral and maxillofacial neoplasms received surgical treatment in our hospital from January 2012 to December 2016 with chronic periodontitis. Two groups were randomly divided into two groups: the experimental group was treated with one-off periodontal intervention within 24 hours, the control group was given compound chlorhexidine gargle for 2 weeks, and the control group was given compound chlorhexidine gargle. Two groups of patients received periodontal treatment after oral and maxillofacial tumor surgery. Statistical analysis of periodontal intervention after 6 weeks, Results after 6 weeks of treatment, the plaque index (PLI), bleeding index (BPO), periodontal pouch depth (PPD) and clinical attachment loss level (CAL) in the experimental group were lower than those in the control group. The gums receding level (GRG) was higher than that in the control group. The control and improvement of periodontitis was better than that of control group (P 0.01). There was no significant difference in the mean of gr and CAL between the control group and the baseline group. The incidence of lower respiratory tract infection in the experimental group was 2.22, which was lower than that in the control group. The rate was 7.11% and P 0.01. The cough of the experimental group, Conclusion periodontal infection is one of the related factors of lower respiratory tract infection in patients with oral and maxillofacial tumors. Periodontal intervention therapy can effectively control and improve periodontal status. To reduce the incidence of lower respiratory tract infection after operation and the incidence of cough and expectoration, the clinical effect was better than the traditional gargle method of compound chlorhexidine gargle.
【作者單位】： 南方醫(yī)科大學(xué)南方醫(yī)院口腔科;
【基金】：國家自然科學(xué)基金(81701026) 廣東省醫(yī)學(xué)科學(xué)技術(shù)研究基金(A2017539)~~
【分類號】：R739.8

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本文編號：1516754