论文部分内容阅读
目的通过比较慢性阻塞性肺疾病(COPD)伴慢性牙周炎患者在进行牙周干预治疗前后COPD急性发作(AECOPD)频率的变化,探讨牙周干预治疗对AECOPD的预防作用。方法对43例COPD伴慢性牙周炎的患者进行牙周干预治疗,分别记录干预前及干预一年后患者的菌斑指数(PLI)、出血指数(BI)及牙周附着丧失(AL);回顾性调查患者干预前一年并随访观察干预后一年患者AECOPD的次数、因AECOPD住院的次数以及累计住院天数。结果牙周干预治疗前后患者的PLI分别为2.24±1.16,1.36±0.73(P<0.05);BI分别为3.25±1.04,2.13±1.49(P<0.05);AL分别为(4.16±1.05)mm与(3.01±0.55)mm(P<0.05)。牙周干预治疗前一年及牙周干预治疗后一年患者的平均AECOPD次数分别为(4.1±0.9)次,(2.8±0.8)次;因AECOPD住院的平均次数分别为(2.2±0.8)次,(1.5±0.5)次;累计平均住院天数分别为(27.8±10.2)d,(20.3±7.9)d(P均<0.05)。结论牙周干预治疗促进了患者的口腔卫生及牙周健康状况,并降低了COPD伴慢性牙周炎患者AECOPD的发生频率,提示牙周干预治疗可能成为预防AECO-PD的新的辅助方法。
Objective To compare the frequency of acute exacerbation of COPD (AECOPD) before and after periodontal intervention in patients with chronic obstructive pulmonary disease (COPD) and chronic periodontitis to explore the preventive effect of periodontal intervention on AECOPD. Methods Periodontal intervention was performed in 43 patients with COPD and chronic periodontitis. The plaque index (PLI), bleeding index (BI) and periodontal attachment loss (AL) were recorded before and one year after intervention. The number of AECOPD patients, the number of hospitalizations due to AECOPD and the number of days of hospitalization were retrospectively investigated. Results The PLI of patients before and after periodontal intervention were 2.24 ± 1.16 and 1.36 ± 0.73, respectively (P <0.05), BI were 3.25 ± 1.04 and 2.13 ± 1.49 respectively (P <0.05), AL was (4.16 ± 1.05) mm and (3.01 ± 0.55) mm (P <0.05). The average number of AECOPD in patients who had been treated one week before periodontal intervention and one year after periodontal intervention was (4.1 ± 0.9) and (2.8 ± 0.8) times, respectively. The average number of hospitalizations for AECOPD was (2.2 ± 0.8) times , (1.5 ± 0.5) times respectively. The average length of hospital stay was (27.8 ± 10.2) days and (20.3 ± 7.9) days respectively (all P <0.05). Conclusion Periodontal intervention can promote oral health and periodontal health of patients and reduce the frequency of AECOPD in COPD patients with chronic periodontitis. It suggests that periodontal intervention may be a new adjunct method to prevent AECO-PD.