【最新word论文】六味地黄丸配合牙周基础治疗对肾气虚损型牙周炎临床疗效分析【临床医学专业论文】.docVIP

六味地黄丸配合牙周基础治疗对肾气虚损型牙周炎临床疗效分析 【摘要】　目的观察采用六味地黄丸口服配合常规牙周基础治疗，门诊治疗肾气虚损型牙周炎的临床疗效。方法将80例糖尿病肾气虚损型牙周炎的患者，随机分为两组。实验组给予牙周基础治疗和口服六味地黄丸，对照组仅作牙周基础治疗。分别于治疗前和治疗6个月后复查牙周指标的变化。结果两组患者治疗前，菌斑指数(plaque index，PLI)、牙龈指数(gingival index，GI)、受试部位的探诊深度(probing depth，PD) 及附着丧失(attachment loss，AL)均无明显差异(Pgt;0.05)，治疗6个月后复查，两组患者PD，AL有显著性差异(Plt;0.001)。结论六味地黄丸口服配合常规牙周基础治疗对肾气虚损型牙周炎有明显的改善作用。 【关键词】 肾气虚损型牙周炎； 六味地黄丸； 牙周基础治疗 Abstract:ObjectiveTo observe the clinic effect of LiuWeiDiHuang Pill combined with periodental non-surgical treatment on periodontitis patients with deficiency of kidney 換i? Methods80 periodontitis patients with deficiency of kidney 換i?were randomly divided into two groups. The patients in test group were given LiuWeiDiHuang Pills and periodental non-surgical treatment. Other patients in control group were only given periodental non-surgical treatment. The periodontal indexes such as PLI, GI, PD and AL were measured before treatment and after 6 months therapy respectively.ResultsBefore the treatment, the periodontal indexes showed no significant difference (Pgt;0.05). While re-examined 6 months later, PLI and AL had significant difference between the two groups (Plt;0.001). ConclusionLiuWeiDiHuang Pill combined with periodental non-surgical treatment is effective in the treatment of periodontitis patients with deficiency of kidney換i? Key words:Periodontitis with deficiency of kidney換i? Liu Wei Di Huang Pills; Periodental non-surgical treatment 牙周炎，中医又称牙宣，是口腔最常见的两大疾病之一，是以龈肉萎缩、牙根宣露、牙齿松动、经常渗出血液或脓液为特征的病证。若不及时治疗，能造成牙齿过早缺失,直接影响消化功能及全身健康。祖国医学认为，牙周病主要是由于胃火炽盛，火循经上攻牙周，灼烧牙周，或由于肾气亏损，牙周失养而日见松动而发病［1］。本文采用六味地黄丸口服配合牙周基础治疗，门诊治疗肾气虚损型牙周炎，经随访观察，证明有较好疗效，现将治疗方法及效果分析报告如下。 1 材料与方法 1.1 病例选择选择我院口腔科门诊肾气虚损型牙周炎患者80例，年龄40～60岁，其中男性36例，女性44例。入选标准：每位患者至少有20 颗天然牙，每个象限至少有2个后牙；患牙牙周袋深度≥4 mm，探诊出血；患者1个月内均未使用过抗生素，3个月内未接受过牙周治疗；肾气虚损型（主证：病程较久，牙龈红肿，渗血少许，口臭溢脓，脓稀量少，全口多数牙齿松动移位，咀嚼无力，牙间隙变宽，伴腰酸腿软、耳鸣、脱发、阳痿、月经不调等）。 1.2 用药方法将患者随机分为两组,对照组40例，实验组40例。对照组患者牙周基础治疗：常规洁牙去除菌斑、牙结石，用3%双氧水、生理盐水反复交替冲洗牙周袋，并涂布1% 碘甘油。实验组患者在行上述牙周基础治疗后，连续口服六味