益气续骨合剂辅助治疗慢性牙周炎的疗效观察.docVIP

精品论文 参考文献 益气续骨合剂辅助治疗慢性牙周炎的疗效观察 盛芳 尚麟 潘旭东 (昆明市中医医院 云南昆明 650011) 【中图分类号】R781.3 【文献标识码】A【文章编号】1672-5085（2012）4-0179-03 【摘要】 目的 观察益气续骨合剂（伤四号合剂）辅助治疗牙周炎的临床疗效。方法 采用口内自身对照研究方法,选择50名牙周炎病人共200个牙周袋分为伤四号合剂实验组和对照组。实验组患牙行洁治、刮治、根面平整后,龈下辅助给予伤四号合剂,对照组仅作洁治、刮治、根面平整,观察两组患牙的牙周临床指标(PLI、SBI、PD、AL、MD)和龈下菌斑螺旋体构成比的动态变化。结果 两组患牙各临床指标在治疗后1周和4周均显著改善,治疗后4周实验组各项指标与治疗后1周相比有显著差异。结论 慢性牙周炎在基础治疗后,龈下局部应用伤四号合剂辅助治疗可取得较好的疗效。 【关键词】 慢性牙周炎 伤四号合剂 牙周袋 洁刮治和根面平整 Curative effect of Compound Yiqi Xugu Hji as adjunctive treatment on chronic periodontitis SHENG Fang，SHANG Lin (Department of Stomatology，Kunming TCM hospital， kunming 650011，China) 【Abstract】　AIM : To observe the clinical effect of local application of compound Yiqi Xugu Hji as adjunctive treatment on chronic periodontitis. METHODS: Fifty patients with periodontitis，including two hundred periodontal pockets，were devided into the test group and the control group randomly. All patients were treated with full mouth SRP，in addition，compound Yiqi Xugu Hji was adiministered subgingivally in the test site every week for 4 weeks. The changes of clinical indices (PLI， SBI，PD，AL,MD) and the percentage of spirochaetes in subgingival plaque were monitored. RESULTS: All indexs of both groups were improved obviously after treatment. PLI，SBI，PD,AL,MD and the percentage of spirochaetes in subgingival plaque of the test group at the 4th week after treatment had obvious difference when compared with those at the 1st week after treatment. CONCLUSION: On the basis of periodontal basic treatment,local application of compound Yiqi Xugu Hji as adjunctive treatment of periodontitis is more effective for chronic periodontitis than scaling and root planning alone. 【Key words】chronic periodontitis compound Yiqi Xugu Hji periodontal pockets scaling and root planning 牙周炎是一种多因素影响的炎症破坏性疾病,其临床表现为牙周软、硬组织的进行性破坏。由于牙周组织,尤其是牙槽骨吸收后再生能力差,因此成为失牙的主要原因。通常情况下常规治疗方法只能控制局部炎症，阻断病情发展,但无法使牙周再生以达到功能上的愈合[1]。菌斑微生物及其代谢产物是牙周炎的始动因子。临床上通常采用洁治、刮治、根面平整(scaling and root planning,SRP)，以去除