EVALUATION OF THE EFFECTIVENESS OF DENTAL COMPLACATIONS PREVENTION AGAINST THE BACKGROUND OF CHEMOTHERAPY IN ONCOLOGICAL PATIENTS IN ZAPORIZHZHIA

A. Filon
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Abstract

SUMMARY. The aim – to investigate the condition of the oral cavity in patients with malignant neoplasms of the mammary gland and lungs before and after chemotherapy and to analyze the effectiveness of dental prophylaxis. Material and methods. To achieve this goal, a statistical study of oncological patients undergoing chemotherapy at the ONCOLIFE medical center (Zaporizhzhia) was performed. 60 patients, both men and women, were enrolled in the study. All respondents were divided into groups according to cancer type: group 1 consisted of 30 lung cancer patients, group 2 comprised 30 breast cancer patients, and group 3, the control group, included 30 people without cancer. Research results have been processed with modern statistical methods on a PC with Statistica 13 software package. Results. The data were checked for normality of distribution since the distribution of most data differs from normal; the median and interquartile range (Me(Q25; Q75)) of data presentation were designed. A comparison of indicators in three independent groups was performed with the Kruskall – Wallis test, in two independent groups – with the Mann – Whitney test, and the non-parametric Wilcoxon test was used to determine the effect of prophylactic treatment. The Chi-square test was used to compare qualitative data. Differences were considered statistically significant at a significance level of p<0.05. Conclusions. Patients with oncopathology accompanied with unsatisfactory oral hygiene, caries and its complications are more likely to get dental problems during chemotherapy treatment. Oncological patients diagnosed with lung cancer and breast cancer developed relatively similar dental complications, which confirms the negative effect of chemotherapy treatment as is.
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肿瘤患者化疗背景下预防牙齿沾染的效果评价
总结。目的:探讨乳腺及肺部恶性肿瘤患者化疗前后口腔状况,分析口腔预防措施的效果。材料和方法。为了实现这一目标,我们对在肿瘤学医学中心接受化疗的肿瘤患者进行了统计研究。60名男性和女性患者参加了这项研究。所有受访者根据癌症类型分为三组:第一组有30名肺癌患者,第二组有30名乳腺癌患者,第三组是对照组,有30名非癌症患者。研究结果用现代统计方法在PC机上用Statistica 13软件包进行了处理。由于大多数数据的分布与正态分布不同,因此对数据进行了分布正态性检查;中位数和四分位数范围(Me(Q25;Q75))的数据表示设计。三个独立组的指标比较采用Kruskall - Wallis检验,两个独立组采用Mann - Whitney检验,采用非参数Wilcoxon检验确定预防治疗的效果。采用卡方检验比较定性资料。p<0.05为显著性水平,认为差异有统计学意义。肿瘤病理伴口腔卫生不佳、龋齿及其并发症的患者在化疗期间更容易出现口腔问题。诊断为肺癌和乳腺癌的肿瘤患者出现了相对相似的牙科并发症,这证实了化疗的负面影响。
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