107份牙周炎专科初诊病历资料分析

发布时间：2018-02-17 06:30

本文关键词： 牙周炎初诊病历资料回顾性分析　出处：《广西医科大学》2014年硕士论文　论文类型：学位论文

【摘要】：目的：了解广西医科大学附属口腔医院牙周炎患者牙周专科初诊时的专科检查情况，为防治牙周炎临床防治提供一些参考资料。方法：我们收集2008年10月以来就诊于广西医科大学附属口腔医院牙周粘膜科门诊的牙周炎患者初诊病历资料，按照严格纳入标准，，选取资料完整的107份牙周炎初诊病历资料进行回顾性分分析，了解牙周专科初诊牙周炎患者的临床特征。分析内容主要包括一般临床资料及牙周指标包括松动度、探诊出血指数（bleeding of probing，BOP）、牙周探诊深度（probingdepth、PD）临床附着丧失（clinical attachment loss、CAL）、缺失牙数等。所有原始数据通过录入牙周专科检查电子表格进行数据分析，用SPSS软件进行统计。结果： 1、病历资料患者一般情况 107例纳入分析的初诊牙周炎患者中，男53例，女54例，年龄20岁到68岁。其中，慢性牙周炎（chronic periodontitis，CP）患者91例，平均年龄40.05岁，主要分布于35-44岁。侵袭性牙周炎（aggressive periodontitis，AgP）患者16例，平均年龄30.5岁，主要分布于20~34岁。 2、诊断情况 85.05%患者诊断为CP，14.95%为AgP。诊断为中、重度牙周炎患者占76.63%。 3、专科检查情况 BOP阳性率大于30%的有89例，PD＞4mm百分比大于30%的有96例、牙龈退缩＞1mm百分比大于30%的有96例、CAL＞5mm百分比大于30%的有92例。根分叉病变大于5颗牙的有27例。松动牙总数为791颗，占所有检查牙总数的30.8%。松动最多的牙位是中切牙，最少的牙位是尖牙。缺牙总数为160颗，占所有检查牙总数的6.32%。缺牙最多者为第一磨牙和中切牙。缺牙牙位最少者为尖牙。结论： 1、我院牙周科患者中，大部分患者专科检查情况堪忧，临床表现较严重；初诊时均已患有中重度牙周炎，初次就诊时已出现明显牙齿松动，对牙周炎认识和重视程度不足。 2、牙周病最易患病的区段是下前牙区，磨牙区，其中好发牙位是第一磨牙和中切牙。患病率最低的的牙位是尖牙。
[Abstract]:Objective: to investigate the clinical data of periodontitis patients in the oral hospital affiliated to Guangxi Medical University, and to provide some reference materials for the prevention and treatment of periodontitis. Methods: we collected the medical records of periodontitis patients in the Department of periodontal mucosa of the affiliated Oral Hospital of Guangxi Medical University since October 2008. The clinical features of 107 patients with periodontitis were analyzed retrospectively, including general clinical data and periodontal indexes, including mobility. The bleeding index of probing bleeds of probing Bop, the periodontal probing depth and the clinical attachment loss attachment loss, missing teeth, etc. All the original data were analyzed by entering the periodontal specialized examination spreadsheet, and the data were analyzed by SPSS software. Results:. 1. General condition of patients with medical records. Among the 107 newly diagnosed periodontitis patients, 53 were male and 54 were female, aged 20 to 68 years. Among them, 91 patients with chronic periodontitis (mean age 40.05 years) were mainly distributed in the age of 35-44 years. 16 patients with aggressive periodontitis were diagnosed as chronic periodontitis. The average age was 30.5 years old, mainly distributed in 20 to 34 years old. 2. Diagnosis. 85.05% patients were diagnosed as CPP 14.95%, moderate and severe periodontitis accounted for 76.63%. 3. Specialist inspections. The positive rate of BOP was more than 30% in 89 cases (PD > 4mm% > 30%) in 96 cases, gingival receding rate > 1 mm% (> 30%) in 96 cases (BOP > 5 mm) in 92 cases, root bifurcation disease in 27 cases (more than 5 teeth), loosening teeth in total (791 cases). The most loose teeth are central incisors and the least teeth are canines. The total number of missing teeth is 160, accounting for 6.32% of the total number of examined teeth. The most lacking teeth are first molars and central incisors. Conclusion:. 1. Among the patients with periodontal diseases in our hospital, most of them had serious clinical symptoms and had moderate and severe periodontitis at the first visit, and their teeth had been loosened obviously at the first visit, and the degree of awareness and attention to periodontitis was not enough. 2. The premolar region and the premolar region are the most susceptible regions of periodontal disease, and the predilection teeth are the first molar and the central incisor, and the lowest incidence is in the canine.
【学位授予单位】：广西医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R781.42

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