牙周干预治疗降低口腔颌面部肿瘤患者术后的下呼吸道感染

发布时间：2018-02-17 00:08

本文关键词： 牙周感染颌面部肿瘤牙周干预治疗下呼吸道感染　出处：《南方医科大学学报》2017年09期 　论文类型：期刊论文

【摘要】：目的通过纵向干预实验,探讨牙周感染是否为口腔颌面部肿瘤患者术后发生下呼吸道感染的风险因素。方法选取2012年1月~2016年12月在我院接受口腔颌面部肿瘤手术治疗并伴有慢性牙周炎的患者,随机均分为两组,实验组24 h内完成一次性牙周干预治疗;对照组给予2周复方氯己定含漱液含漱,两组患者在接受牙周治疗后进行口腔颌面部肿瘤手术。统计学分析牙周干预治疗6周后,两组的临床指标以及下呼吸道感染发生率的差异。结果实验组在治疗6周后菌斑指数(PLI)、探诊出血指数(BOP)、牙周袋探诊深度(PPD)和临床附着丧失水平(CAL)低于对照组,牙龈退缩水平(GR)数值高于对照组,牙周炎症的控制和好转优于对照组,P0.01。对照组PLI、BOP、PPD数值下降,GR和CAL数值与基线水平组间均数差异无统计学意义,P0.05。实验组下呼吸道感染的发生率为2.22%,低于对照组的发生率7.11%,P0.01。实验组的咳嗽、咳痰以及症状发生率合计低于对照组,P0.01。结论牙周感染是口腔颌面部肿瘤患者术后发生下呼吸道感染的相关因素之一。牙周干预治疗能够有效控制和改善牙周状况,降低该类患者手术后下呼吸道感染的发病率,以及咳嗽和咳痰等临床症状的发生率,临床效果优于传统的复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.
【作者单位】：南方医科大学南方医院口腔科;
【基金】：国家自然科学基金(81701026) 广东省医学科学技术研究基金(A2017539)~~
【分类号】：R739.8

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