心理疏导及口腔健康管理在孕妇牙周病治疗中的作用

摘要

Objective:The aim of this study was to explore the application effect of psychological counseling and oral health management on the periodontal status of pregnant woman.Methods:120 pregnant women in middle gestation were enrolled and randomly divided into case group and control group.Patients in the control group were treated with routine clinical treatment,and the case group was treated with psychological counseling and oral health management,compared the therapeutic effect of two groups.Results:The patients in the case group were less painful than those in the control group during treatment and 1/3 d after operation(P ＜ 0.05).There was no difference between the two groups in the seventh day after the operation.The periodontal status of of two groups were significantly better than those before treatment in the seventh days after treatment (P ＜ 0.05),and there was no difference between the two groups.A month after postpartum,the periodontal indexes of the case group were better than those of the control group (P ＜ 0.05),and the periodontal status of control group more serious compared with the beginning of the trend (P ＜0.05).Conclusion:The use of psychological counseling and oral health management in the clinical treatment of periodontal disease in pregnant women can greatly reduce the pain of patients,and significantly improve the periodontal status of patients.It is worthy of clinical application.%目的:探讨心理疏导及口腔健康管理在妊娠期妇女牙周疾病治疗中的临床应用效果.方法:选取在本院口腔科治疗牙周疾病的孕中期孕妇120例,随机分为实验组和对照组,对照组采用常规的临床治疗,观察组除常规治疗外,还对患者进行心理疏导及口腔健康管理,对比两组患者的临床治疗效果.结果:实验组在术中以及术后第1d、3d的疼痛感均轻于对照组(P＜0.05),第7天两组之间没有差异.牙周状态方面:两组治疗后第7天均较治疗前明显好转(P＜0.05),两组间没有差异.至产后1个月,实验组各项牙周指标均好于对照组(P＜0.05),且对照组与初检时比较有加重趋势(P＜0.05).结论:在孕妇牙周疾病的临床治疗中,运用心理疏导及口腔健康管理可以大大降低患者的疼痛感觉,并显著改善患者牙周状况,值得在临床上推广应用.