认知行为干预辅助治疗固定矫治儿童牙龈炎.pdfVIP

·126· ·学术交流· 认知行为干预辅助治疗固定矫治儿童牙龈炎 韩璐兰倩孙昌娟刘秀梅 behavioral 【摘要】 目的观察认知行为干预(cognitivetherapy，CBT)能否提高同定矫治儿童牙龈炎 的治疗效果。方法将60例患儿随机分为两组，对照组在行牙周基础治疗前只进行常规口腔卫生宣教， 干预组除常规口腔卫生宣教外，通过口腔健康教育进行认知行为干预。比较两组在基线、治疗后1月、治 疗后3月和治疗后6月的菌斑指数(PLI)、牙龈指数(GI)和探诊出血(BOP)等指标。结果基础治疗后两 组各项指标均有明显改善(与治疗前比较P0．0I)，且干预组各项指标的改善能维持相对较长的时间，明 显好于对照组(P0．01)。结论认知行为干预能明显提高患者口腔健康维护的主观能动性，提高牙周基 础治疗的效果。 【关键词】认知行为干预；牙龈炎；依从性；牙周基础治疗 behavioral8San t0 childrenwith6xedorthodon- Cognitive therapyadjunctive gingivitis therapytreating ticsHAN Lu，1．ANQian，SUNChang-juan，LIUXiu—Mei(FoshanStomatological 528000，China Hospital，Foshan Theaimofthis Wastoassessthe effectof behavioral 【Abstract】Objects study adjunct cognitive therapy childrenwithfixedorthodontics．Methods60 childrenwere di— (CBT)intreatinggingivitis gingivitis randomly videdintotwo control received oral instructionsbeforeinitial groups．The periodontal group onlyregularhygiene thetest receivedCBT oralhealtheducationbesides oral instrue- treatment，while regular group through hygiene tions．Clinicalmeasurements andBOPweretakenand at and3and6 includingPLI．GI baseline．1 compared monthsaftertreatment．ResultsTheclinicalmeasurementswere inbeth improvedapparentlygroups(PO．01)． The maintainedfora inthetest ConclusionsCBTCanenhancethe impacts longerperiod group(JP0．01)． of andtherefore theeffectof initial compliancepatientsapparently improve periodontaltherapy．