›› 2017, Vol. 37 ›› Issue (3): 223-226.

• 临床研究 • 上一篇    下一篇

微创拔牙对老年患者口腔健康生存质量的影响

张睿1,张玲阁1,李喜红1,李锐2   

  1. 1. 郑州市口腔医院
    2. 郑州大学第一附属医院
  • 收稿日期:2016-09-27 修回日期:2016-11-22 出版日期:2017-03-28 发布日期:2017-04-12
  • 通讯作者: 李锐 E-mail:zzulirui@126.com
  • 基金资助:
    国家自然科学基金项目

Effect of minimally invasive tooth extraction on dental-related quality of life in the elder patients

  • Received:2016-09-27 Revised:2016-11-22 Online:2017-03-28 Published:2017-04-12

摘要: [摘要] 目的 评价老年患者微创拔牙术前、术后生存质量的差别。方法 选取2013年5月—2015年5月在我院就诊的老年患者63例,使用微创方法拔除其161颗残根残冠,于术前、术后发放口腔健康影响程度量表中文版(OHIP-14),根据量表具体条目进行打分,量表总分越高,表明口腔健康生存质量状况越差,以此来评价术前及术后1周患者生存质量的变化。结果 老年患者微创拔牙手术后,OHIP-14总分低于拔牙治疗前(P<0.05)。“功能限制”、“生理性疼痛”、“心理不适”、“生理障碍”、“心理障碍”五个领域的得分均较术前有所下降(P<0.05)。其中,“生理性疼痛”领域负面影响百分比术前为50.8%,术后为9.5%,有明显改善(P<0.05)。结论 老年患者的残根残冠使用微创拔牙方法拔除,准备充分,效果良好,值得推广。

关键词: 口腔健康影响程度量(OHIP-14), 老年患者,残根残冠, 微创拔牙

Abstract: Objective  To evaluate the effect of minimally invasive tooth extraction on dental-related quality of life in the elder patients. Methods 161 teeth in elder patients who were treated in our hospital from May 2013 to May 2015 were extracted by minimally invasive tooth extraction. The Chinese version of oral health impact profile-14(OHIP-14)was employed to evaluate the impact of quality of life in these patients before and 1 week after treatment. The higher the scale scores are, the worse the oral health life quality is. Results After the minimally invasive tooth extraction,OHIP-14 total scores were lower than those before with significant difference (P<0.05). The scores on “functional limitation”, “physiological pain”, “psychological discomforts”, “physiological disorder” and “psychological disorder” after treatment were all significantly lower than those before treatment(P<0.05).The negative impact on "physiological pain" significantly decreased after treatment(p<0.05)(from 50.8% to 9.5%). Conclusion Minimally invasive tooth extraction for elder patients has full preparations and good effect, which is an ideal medical treatment and worth of being generalized.

Key words: the Chinese version of oral health impact profile-14(OHIP-14), the elder patients, minimally invasive tooth extraction

中图分类号: