VI腔卫生宣教在中年人牙周病治疗中的作用

目的：研究VI腔卫生宣教在中年人牙周病治疗中的作用。方法：选择2010年5月一2011年5月北京大学深圳医院13腔科轻、中度中年牙周病患者120例，随机分为试验组和对照组各60例。牙周治疗过程中护理人员对试验组患者进行13腔卫生宣教和指导。在初诊及治疗之后1个月、3个月、6个月、1年时分别检测两组患者的牙周探诊深度（PD）和牙龈出血指数（BI）。结果：试验组与对照组初诊时的PD和BI指数差异无统计学意义（P〉0．05）；治疗后两组PD和BI指数差异均有统计学意义（P〈0．05）。试验组治疗后1个月至1年的PD和BI指数均明显低于治疗前，比较差异有统计学意义（P〈0．05）；而对照组治疗后1个月和3个月的PD和BI指数虽与治疗前比较，差异有统计学意义（P〈0．05），但治疗后6个月～1年指数逐渐增长至治疗前水平。结论：护理人员应加强临床口腔卫生宣教和指导，把口腔健康教育贯穿于中年牙周病患者治疗的全过程，有助于牙周治疗获得长期持久的效果。

The Effect of Oral Health Indication on the Therapy of Middle-aged Patients with Periodontitis

Objective： TO study the effect of oral health indication on the therapy of middle-aged patients with periodontitis. Method： 120 middle-aged patients with mild or moderate periodontitis, who came to Peking University Shenzhen Hospital for periodontal therapy from May 2010 to May 2011, were included and randomly divided to two groups. One was experimental group, the other was control group, and both groups contained 60 eases, respectively. During the procedure of periodontal therapy, nurses delivered oral health indication to the patients in experimental group. Probing depth and blood index were detected at the moments of first visit, one month, three months, six months and one year after therapy, respectively. Result： At first visit, there was no significant differences of PD and BI between the experimental group and the control group. In the experimental group, compared to the first visit, PD and BI were of significantly different after therapy, however, in the control group, significant differences of PD and BI could only be found in three mouths after therapy. Conclusion： As to achieve long-term effects of periodontal therapy, oral health indication should be emphasized and delivered to middle-aged patients with periodontitis by nurses.