孕妇学校对孕妇牙周病治疗依从性的影响

2016-09-24王云霞张惠乐陈润强

中国妇幼健康研究 2016年2期

关键词：牙周病

刘　萍，王云霞，张惠乐，陈润强

(1.深圳市福田妇幼保健院产科；2.口腔科，广东深圳 518045)

孕妇学校对孕妇牙周病治疗依从性的影响

刘萍1，王云霞1，张惠乐2，陈润强2

(1.深圳市福田妇幼保健院产科；2.口腔科，广东深圳 518045)

目的了解孕妇学校的宣教对牙周病孕妇治疗依从性的影响。方法回顾性统计2013和2014年度在深圳市福田妇幼保健院门诊产前检查的孕妇数量，统计其中牙周病患病率及诊断为牙周病后到口腔科接受治疗情况。并将2个年度孕妇牙周病患者接受治疗的情况进行比较分析。结果2013、2014年度门诊建卡产检的孕妇分别为7 260例和8 928例，其中牙周病患者分别为2 824例(38.9%)和3 348例(37.5%)，诊断为牙周病后到口腔科接受治疗者分别为1 440例(51.0%)和3 298例(98.5%)。与2013年相比，2014年的牙周病发病率稍低，经比较差异均无统计学意义(均P>0.05)，而接受治疗者较2013年明显增多，经比较差异有统计学意义(χ2=565.90，P<0.01)。结论孕妇学校牙周病宣教可明显提高牙周病孕妇治疗的依从性，治疗后可降低流产、早产儿及低出生体重儿的发生率，改善了妊娠结局。

牙周病；孕妇学校；依从性；治疗

[Abstract]Objective To explore the impact of publicity and education given by pregnant women school on treatment compliance of pregnant women with periodontosis. Methods Researchers retrospectively collected data concerning total number of pregnant women who received prenatal examination at outpatient department of Women and Children Health Hospital of Futian in Shenzhen in 2013 and 2014, respectively. Moreover,information concerning the morbidity of periodontosis in those women and treatment acceptance at department of stomatology after diagnosis was also collected. A comparative analysis on treatment acceptance was conducted between pregnant women diagnosed with periodontosis in 2013 and those in 2014. Results In 2013 and 2014, the number of pregnant women who received prenatal examination at outpatient department totaled 7 260 and 8 928, respectively. Among them, 2 824 women (38.9%) were diagnosed with periodontosis in 2013 and 3 348 (37.5%) in 2014, respectively. Diagnosed with periodontosis, 1 440 (51.0%) people received treatment in 2013 and 3 298 (98.5%) in 2014. Compared with the situation in 2013, the morbidity of periodontosis was slightly lower in 2014, and the difference was not significant (P>0.05). However, the number of patients who received treatment in 2014 was significantly increased with significant difference (χ2=565.90，P<0.01).Conclusion Pregnant women school can significantly improve treatment compliance of pregnant women with periodontosis through publicity and education. After being treated, the incidence rate of miscarriage, premature and low birth weight infants will be lowered. Thus, pregnant outcomes can be improved.

[Key words]periodontosis; pregnant women school; compliance; treatment

由于孕妇孕期激素水平及饮食习惯等因素，其牙周病的发病率较正常人升高。牙周病不仅对孕妇有不利的影响，而且对胎儿也有较大影响，可导致流产、早产和低出生体重儿[1]。因此，对孕妇牙周病的治疗尤为重要。由于孕妇及家属的认识及其他因素影响顾虑较多，使其孕期牙周病接受治疗的依从性不高。2013和2014年深圳市福田妇幼保健院通过孕妇学校授课对牙周病孕妇进行宣教，使其接受治疗的依从性明显提高，现将结果报告如下。