摘要
目的:分析基于失效模式和效应分析(FMEA)分级管理模式在慢性牙周炎患者口腔种植修复中的应用情况。方法:纳入九江学院附属口腔医院2020年4月—2022年4月慢性牙周炎患者80例,采用随机数字表法将患者分为研究组(40例)和对照组(40例)。研究组采用基于FMEA分级管理模式干预,对照组采用传统管理模式干预,两组均干预6个月。比较两组菌斑指数、出血指数、探诊深度、种植体周围黏膜炎发生率、口腔健康评估量表(OHAT)、焦虑自评量表(SAS)和抑郁自评量表(SDS)评分。结果:干预前、干预1个月后,两组菌斑指数、出血指数及探诊深度对比,差异均无统计学意义(P>0.05);干预1个月后,两组的探诊深度、出血指数及菌斑指数均低于干预前(P<0.05);干预6个月后,两组探诊深度、出血指数及菌斑指数均低于干预1个月后,且研究组均低于对照组(P<0.05)。与对照组相比,研究组种植体周围黏膜炎发生率更低(P<0.05)。干预6个月后,两组SAS、SDS评分均低于干预前(P<0.05)。干预6个月后,两组OHAT评分均低于干预前,且研究组低于对照组(P<0.05)。结论:基于FMEA分级管理模式可改善慢性牙周炎口腔种植修复患者牙周功能、负性情绪及口腔健康,降低种植体周围黏膜炎发生率。
Objective:To analyze the application of hierarchical management mode based on failure mode and effect analysis(FMEA)in oral implant repair of patients with chronic periodontitis.Method:A total of 80 patients with chronic periodontitis were included in the Affiliated Stomatological Hospital of Jiujiang University from April 2020 to April 2022,the patients were divided into a study group(40 cases)and a control group(40 cases)by random number table method.The study group was intervened by hierarchical management mode based on FMEA,while the control group was intervened by traditional management mode,both groups were intervened for 6 months.The plaque index,bleeding index,depth of exploration and the incidence of peri-implant mucositis,scores of the oral health assessment tool(OHAT),self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were compared between the two groups.Result:Before intervention and 1 month after intervention,there were no statistical significant differences in plaque index,bleeding index,and depth of exploration between the two groups(P>0.05);after 1 month of intervention,the depth of exploration,bleeding index,and plaque index of the two groups were lower than those before intervention(P<0.05);after 6 months of intervention,the depth of exploration,bleeding index,and plaque index of both groups were lower than those of the control group after 1 month of intervention,and those in the study group were lower than those in the control group(P<0.05).Compared with the control group,the incidence of peri-implant mucositis in the study group was lower(P<0.05).After 6 months of intervention,the SAS and SDS scores of both groups were lower than those before intervention(P<0.05).After 6 months of intervention,the OHAT scores of both groups were lower than those before intervention,and that in the study group was lower than that in the control group(P<0.05).Conclusion:Based on the hierarchical management model of FMEA,the periodontal function,negative emotion and oral health of patients with ch
作者
邢晏
高璇
XING Yan;GAO Xuan(The Affiliated Stomatological Hospital of Jiujiang University,Jiujiang 332000,China;不详)
出处
《中国医学创新》
CAS
2023年第34期101-105,共5页
Medical Innovation of China
基金
江西省卫生计生委科技计划项目(20197226)。
关键词
慢性牙周炎
种植修复
失效模式和效应分析
菌斑指数
探诊深度
种植体周围黏膜炎
Chronic periodontitis
Implant repair
Failure mode and effect analysis
Plaque index
Depth of exploration
Peri-implant mucositis
