罗爱华,杨文龙,孙轶,岳朝晖
LUO Aihua,YANG Wenlong,SUN Yi,YUE Zhaohui

• 1:贵州省人民医院口腔科
• 2:贵州省人民医院肿瘤科

摘要(Abstract)：

目的:评估头颈部肿瘤患者放射治疗前的口腔健康状况。方法:对100名准备接受放射治疗的头颈肿瘤患者进行口腔卫生行为的问卷调查和口腔健康状况检查,统计患者每天刷牙次数、刷牙时间、牙线使用情况及是否曾行口腔检查,统计患龋率、牙周病患病率、牙石指数(CI-S)≥1的比例及牙列缺损率,并对患者提出治疗建议,同时比较农村和城市患者上述指标的差异。结果:每日刷牙至少2次者占52. 5%,从未使用过牙线及未曾行口腔检查者分别占87. 9%和66. 7%,城市患者刷牙频率、曾使用牙线和行口腔检查比例高于农村患者,差异具有统计学意义(P <0. 05);患龋率为48. 5%,牙周病患病率达62. 6%,CI-S≥1的患者占73. 7%,牙列缺损率22. 2%,农村患者CI-S≥1的比例高于城市患者(P <0. 05); 92. 0%的患者需在放射治疗前进行口腔疾病治疗,以洁治和拔牙者居多。结论:多数头颈部肿瘤患者同时患有不同种类及不同程度的口腔疾病,提倡放射治疗前行口腔检查和治疗。
Objective: To evaluate the oral health status of inpatients with head and neck neoplasm before radiotherapy. Methods: A questionnaire survey and oral health examination were conducted in100 inpatients with head and neck tumors prepared for radiotherapy. The number of times of brushing teeth,the time of brushing,the use of dental floss and whether the inpatients ever had oral examination were counted. The incidence of dental caries,the prevalence of periodontal disease,the ratio of CI-S≥ 1 and the rate of dentition defect were analyzed. The treatment suggestions were put forward,and the differences between rural and urban inpatients were compared. Results: 52. 5% of the patients brushed their teeth at least twice a day,87. 9% and 66. 7% never used dental floss and never visited a dentist respectively. The frequency of brushing teeth,dental floss use and dental examination were higher in urban patients than in rural patients. The difference was statistically significant( P < 0. 05).The incidence of dental caries was 48. 5%,the prevalence rate of periodontal disease was 62. 6%,patients with CI-S≥1 accounted for 73. 7%,the dentition defect rate was 22. 2%,and the proportion of CI-S≥1 in rural patients was higher than that in urban patients( P < 0 05). 92. 0% of the patients were required to be treated with oral diseases before radiotherapy and most of them needed to have their teeth cleaned or have tooth extraction. Conclusion: Most patients with head and neck neoplasms also have oral diseases,and it is recommended that oral examination and treatment be performed before radiotherapy.

关键词(KeyWords)： 头颈部肿瘤;放射疗法;口腔卫生;口腔疾病;健康状况
head and neck neoplasm;radio therapy;oral hygiene;oral diseases;healthy status

Abstract:

Keywords:

基金项目(Foundation): 贵阳市科技计划项目[(20151001)社69号]

作者(Author): 罗爱华,杨文龙,孙轶,岳朝晖
LUO Aihua,YANG Wenlong,SUN Yi,YUE Zhaohui

DOI: 10.19367/j.cnki.1000-2707.2018.12.022

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