国际虫分类和管理系统 (ICCMS) 协议在印度医院环境中的可行性
Imam Azam1, Vijay P Mathur, Nitesh Tewari
1Department of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All Indian Institute of Medical Sciences, New Delhi, Delhi, India.
概括
国际牙分类和管理系统 (ICCMS) 协议是可行的,用于管理印度儿童的牙. 这种基于风险的方法使得症状显著减少,并在一年内改善了患者的治疗结果.
科学领域:
- 儿科牙科 儿科牙科
- 牙科公共卫生 牙科公共卫生
- 卡里斯管理 卡里斯管理
背景情况:
- 牙损在全球范围内仍然是一个重要的公共卫生问题,特别是在儿童群体中.
- 有效的皮管理需要系统的分类和基于风险的治疗策略.
- 国际空分类和管理系统 (ICCMS) 为空诊断和管理提供了一个结构化的方法.
研究的目的:
- 评估在印度医院环境中实施ICCMS协议的可行性.
- 评估修改后的ICCMS协议在治疗儿童牙方面的有效性.
- 在一年的时间内分析治疗结果,包括症状减轻和患者服从.
主要方法:
- 招募了160名患有牙损伤的3-6岁儿童队列.
- 经过修改的ICCMS协议被用于基于风险的空管理,持续了一年.
- 通过减少症状,患者遵守和风险评估时间来评估可行性,并使用对联t-test和Wilcoxon签名等级测试进行分析.
主要成果:
- 139名儿童完成了为期一年的随访,72.7%的儿童患有高虫风险,27.3%的儿童患有中等风险.
- 在减少活和保持牙完整性方面观察到显著的改善 (P < 0.05).
- 风险评估的平均时间在一年后的召回中显著减少1.99±3.37分钟.
结论:
- ICCMS 协议是一种可行的方法,用于在医院环境中系统地治疗牙损伤.
- 该方案在中度和高牙风险儿科患者的症状减轻方面表现出有效性.
- 在印度实施ICCMS显示出改善空控制结果的前景.
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