Randomized Clinical Trial of Oral Health Promotion Interventions Among Patients Following Stroke
Randomized Clinical Trial of Oral Health Promotion Interventions Among Patients Following Stroke
复制标题
DOI：
10.1016/j.apmr.2012.10.024
复制
发表时间：
2013-03-01
影响因子：
4.3
通讯作者：
McGrath, Colman
中科院分区：
文献类型：
--
作者：
Lam, Otto L.;McMillan, Anne S.;McGrath, Colman
目的：评估口腔健康促进干预措施对临床口腔健康的有效性。设计：单盲随机对照试验，进行3周以上的住院康复治疗。设置：香港卒中康复病房。参与者：入住康复病房的卒中患者（N=102）。干预措施：患者随机分配：（1）口腔卫生指导，（2）口腔卫生指导和洗必泰漱口水，或（3）口腔卫生指导，洗必泰漱口水，并协助brushings.Main结果Measures：牙菌斑，牙龈出血，口腔功能状态进行了评估，在基线和审查。感染并发症的发展也进行了监测，在临床试验。结果：不良的口腔卫生和口腔卫生习惯的整体忽视观察基线。两组接受洗必泰治疗的患者的牙菌斑减少率均显著高于单纯接受口腔卫生指导的患者（P
Objective: To evaluate the effectiveness of oral health promotion interventions on clinical oral health.Design: Single-blind randomized controlled trial conducted over 3 weeks of in-hospital rehabilitation.Setting: Stroke rehabilitation ward in Hong Kong.Participants: Patients with stroke (N=102) admitted to the rehabilitation ward.Interventions: Patients were randomly assigned either: (1) oral hygiene instruction, (2) oral hygiene instruction and chlorhexidine mouthrinse, or (3) oral hygiene instruction, chlorhexidine mouthrinse, and assisted brushing.Main Outcome Measures: Dental plague, gingival bleeding, and oral functional status were assessed at baseline and review. Development of infectious complications were also monitored during the clinical trial.Results: Poor oral hygiene and an overall neglect of oral hygiene practices were observed at baseline. Reductions in dental plaque were significantly greater in the 2 groups receiving chlorhexidine compared with the group receiving oral hygiene instruction alone (P