儿童口腔溃疡治疗及研究.docVIP

儿童口腔溃疡治疗及研究【摘要】 目的对比局部治疗儿童口腔溃疡和综合治疗儿童口腔溃疡的疗效,分析找出最适合治疗儿童口腔溃疡的治疗方法。方法 将104例各种儿童口腔溃疡患者分为局部治疗组和综合治疗组。每组52例。局部治疗组按局部治疗方法进行治疗。综合治疗组按综合治疗方法进行治疗。结果 综合治疗组总有效率明显高于局部治疗组。综合治疗组口腔溃疡愈合的天数明显少于局部治疗组。 结论 综合治疗方法可快速治愈儿童口腔溃疡患者,提高儿童机体机能,加强抗病能力,有效防止复发。从而提高儿童口腔溃疡临床疗效。 【关键词】 儿童口腔溃疡;综合治疗 Treatment and analysis of childrens oral ulcer 【Abstract】 Objective To Comparison local treatment of children with oral ulcers and comprehensive treatment of children with oral ulcers efficacy analysis to identify the most appropriate treatment of children with oral ulcer treatment. Methods 104 patients with a variety of children?s oral ulcer patients were divided into local treatment group and the combination therapy group 52 cases in each group local treatment group treated by local treatment combined therapy group treated by combined treatment. Tesults The combination therapy group was significantly higher than the total effective topical treatment grouporal ulcers combined therapy group was less than the number of days the healing of partial treatment group. Conclusion Comprehensive treatment of children?s oral ulcers can quickly cure patients, to improve children?s body functions, strengthen resistance to diseases, and thus effectively prevent the recurrence ofclinical efficacy to improve children?s oral ulcer. 【Key words】 Oral ulcer; Comprehensive treatment 作者单位:516211广东省惠州市惠阳区人民医院口腔科 口腔溃疡是一种最常见的口腔黏膜疾病,患病率高,易复发。本病发生不受年龄、性别限制,但以青壮年居多,女性略多于男性。发病部位多以非角化黏膜为主,如唇、颊、舌、口底、软腭等。溃疡发生频率、大小、数目个体差异较大,初起时黏膜部位有触痛或灼样感觉,以后则有水肿、充血、溃疡,常见的溃疡直径均小于5 mm,圆形或椭圆形,周围有红晕,表面有假膜,溃疡愈合期一般为7~10 d左右,重者时间较长,可达1个月以上,甚至数月之久。本病病因复杂,发病机制不明,有各种不同观点及看法。国内外文献已报道的病因研究包括病毒、细菌、免疫学异常、精神神经因素、遗传因素、营养缺乏、氧自由基变化、微循环障碍等,临床治疗口腔溃疡虽有多种治疗方法,却无特效药[1]。 1 资料与方法 1.1 一般资料 104例各类型儿童口腔溃疡,现采用Lehner分型方法,即将口腔溃疡分为以下三种类型:轻微溃疡,口炎型溃疡,亦称疱疹样溃疡、重型溃疡,亦称巨型溃疡或复发性坏死性黏膜腺周围炎。将104例儿童口腔溃疡患者分为两组,局部治疗组52例,男35例,女17例。其中轻微溃疡15例,口炎型溃疡30例,重型溃疡7例。综合治疗组52例,男33例,女19例,其中轻微溃疡12例,口炎型溃疡32例,重型溃疡8例。两组病例在性别、年龄及病情等方面差异无显著性意义。见表1。? 表1 治疗方法男女轻微溃疡口炎型溃疡重型溃疡 局部治疗组3517153