摘要
目的 针对儿童龋病建构延续性诊疗模式,创建提高儿童龋病防治效果的新模式.方法 成立延续性诊疗小组,筛选符合条件的262例患儿并记录龋均.应用分段随机化分组法将患者分为观察组和对照组,两组均接受常规的诊疗模式治疗,观察组在此基础上实施延续性诊疗措施.两组患者分别在初次就诊后第3个月完成儿童龋病预防知识问卷和菌斑测试,第12个月检查新增龋均及新龋发生率.结果 观察组患儿及家长龋病健康知识掌握情况优于对照组;差异有统计学意义（Z=-9.816,P〈0.001）;菌斑测试中观察组软垢指数（DI）优于对照组,差异有统计学意义（Z=-7.594, P〈0.001）;新增龋均观察组为（1.33±1.16）个,对照组为（4.02±1.87）个,观察组低于对照组,差异有统计学意义（Z=-10.763,P〈0.001）;新龋发生率观察组为87例（67.97%）,对照组为118例（91.47%）,差异有统计学意义（χ2=21.992,P〈0.001）.结论 儿童龋病延续性诊疗模式构建成功,诊疗模式从单纯的以院内为主向以院内诊疗为基础并结合院外主动预防方向的转变,有效降低了儿童患龋风险,适应了新形势的诊疗模式发展需求.
Objective To construct a continuous diagnosis and treatment mode for children with dental caries, so as to improve the prevention and treatment effect of dental caries in children. Methods The continuous treatment group was set up to screen 262 cases of eligible patients and record the decyed, missing, filled teeth. All the patients were randomly divided into experimental group and control group by stage sampling method. The patients in both groups were given routine treatment, and the experimental group also received continuous treatment. The patients of both groups were investigated with children＇s dental caries prevention knowledge questionnaire and plaque test 3 months after the first visit, and 12 months after the first visit, the patients were checked for new caries and new caries incidence. Results Parents dental caries of the observation group was better than that of the control group, and the difference was statistically significant （Z=-9.816,P〈 0.001）. In the plaque test, the debris index （DI） of the observation group was better than that of the control group, and the difference was statistically significant （Z=-7.594,P〈 0.001）. The number of new caries of the experimental group was （1.33±1.16）, which was lower than that of the control group （4.02±1.87）, and the difference was statistically significant （Z=-10.763,P〈0.001）. There were 87 cases of new caries （67.97%） in the experimental group and 118 cases （91.47%） in the control group, and the difference was statistically significant （χ2=21.992,P〈 0.001）. Conclusions The continuous diagnosis and treatment mode of dental caries in children has been successfully constructed. The diagnosis and treatment mode has been transformed from a simple hospital-based treatment to a hospital-based treatment combined with active prevention at home, which effectively reduces the risk of caries in children and adapts to the development needs in the new situation.
作者
杨华
丁超
王晓龙
孙悦
李毅
General Department;Hospital of Stomatology;Jilin University;Changchun;China(Yang H;Pediatric Dentistry Department, Hospital of Stomatology, Jilin University, Changchun 130021, China（Ding C, Sun Y, Li Y;Geriatrics Department, Hospital of Stomatology , Jilin University, Changchun 130021, China （ Wang XL)
出处
《中华现代护理杂志》
2018年第7期768-771,共4页
Chinese Journal of Modern Nursing
基金
吉林省卫生计生白筹经费课题（2015ZC001）
关键词
儿童
龋病
延续性诊疗模式
Child
Dental caries
Continuous diagnosis and treatment mode
