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目的分析研究牙周炎通过不同牙龈下冲洗方式的治疗效果,为临床提供参考。方法选取2014年2月—2015年2月收治的牙周炎患者40例(74颗)实施回顾性分析,随机分为对照组和观察组各20例(37颗)。对照组患者给予传统超声龈下刮治后冲洗器给药方式治疗,观察组患者给予超声龈下刮治同步药物冲洗方式治疗。比较两组患者治疗后菌斑指数、探诊出血指数、附着丧失以及探诊深度变化情况及患者满意度。计量资料组间比较采用t检验,组内比较采用配对t检验,计数资料采用χ~2检验,P<0.05为差异有统计学意义。结果观察组患者治疗后的菌斑指数、探诊出血指数、附着丧失、探诊深度分别为(0.88±0.21)、(1.07±0.27)分、(2.11±0.63)、(4.02±0.44)mm,均显著优于对照组的(1.44±0.33)、(2.04±0.68)分、(3.03±0.88)、(5.37±0.85)mm,差异均有统计学意义(均P<0.05)。观察组与对照组患者治疗后菌斑指数、出血指数均较治疗前[(3.29±0.74)、(3.59±1.04)、(3.29±0.88)、(3.31±0.88)分]显著下降,差异均有统计学意义(均P<0.05)。观察组患者满意度为90.0%,显著高于对照组的50.0%,差异有统计学意义(P<0.05)。结论对牙周炎患者通过超声龈下刮治同步药物冲洗方式进行治疗效果明显,应在临床中大力推广使用。
Objective To analyze the curative effect of periodontitis by different subgingival irrigation methods and provide reference for clinical practice. Methods Forty patients (74) with periodontitis who were admitted from February 2014 to February 2015 were retrospectively analyzed and randomly divided into control group and observation group (20 cases, 37 cases). Patients in the control group were given conventional ultrasonic subgingival curettage, and the patients in the observation group were given subgingival curettage and synchronous drug treatment. After treatment, the plaque index, bleeding index, attachment loss, depth of exploration and patient satisfaction were compared between the two groups. Measurement data were compared between groups using t test, the group was compared using paired t test, count data usingχ ~ 2 test, P <0.05 for the difference was statistically significant. Results The plaque index, bleeding index, attachment loss and probing depth in the observation group were (0.88 ± 0.21), (1.07 ± 0.27), (2.11 ± 0.63), (4.02 ± 0.44) mm, (1.44 ± 0.33), (2.04 ± 0.68) points, (3.03 ± 0.88) and (5.37 ± 0.85) mm respectively in the control group, the difference was statistically significant (all P <0.05). The plaque index and hemorrhage index in observation group and control group were significantly lower than those before treatment [(3.29 ± 0.74), (3.59 ± 1.04), (3.29 ± 0.88), (3.31 ± 0.88) points, respectively Statistical significance (all P <0.05). The satisfaction degree of the observation group was 90.0%, which was significantly higher than that of the control group (50.0%), the difference was statistically significant (P <0.05). Conclusion The treatment of patients with periodontitis by means of ultrasonic subgingival cure synchronous drug flushing is obvious and should be vigorously promoted in clinical use.