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目的探讨康复新液辅助刮治和根面平整治疗慢性牙周炎的近期效果及预后。方法选择2011年2月—2015年2月本院口腔科门诊收治的慢性牙周炎患者60例,随机分为对照组和治疗组各30例。两组患者检查后均行刮治和根面平整术治疗并对牙周袋进行冲洗随后行药物含漱,对照组含漱3%双氧水与生理盐水,治疗组患者含漱康复新液,两组疗程均为12周。分别于治疗前、治疗12、52周后,对菌斑指数(plaque index,PLI)、牙龈出血指数(bleeding index,BI)、探诊深度(probing depth,PD)、探诊出血(bleeding on probing,BOP)、附着丧失(attachment loss,AL)情况进行测定,并对临床疗效进行评价。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χ2检验,P<0.05为差异有统计学意义。结果治疗组总有效率为93.33%,高于对照组的73.33%,差异有统计学意义(P<0.05)。治疗12周时,对照组与治疗组患者的PLI、BI、PD、BOP得分别为(1.61±0.56)、(2.79±0.45)分、(3.39±0.69)mm、(25.21±2.95)%、(1.66±0.55)、(2.04±0.51)分、(2.79±0.74)mm、(12.88±3.25)%,均较治疗前的(2.98±0.71)、(3.82±0.71)分、(4.81±0.82)mm、(70.53±18.12)%、(3.01±0.65)、(3.79±0.68)分、(4.76±0.79)mm、(69.14±19.15)%明显改善,差异均有统计学意义(均P<0.05)。两组治疗12周时BI、BOP、PD比较差异均有统计学意义(均P<0.05)。治疗52周后,治疗组PLI、BI、PD、BOP分别为(1.71±0.35)、(2.21±0.38)分、(2.88±0.47)mm、(14.43±2.99)%,均明显优于对照组的(2.06±0.74)、(3.11±0.52)分、(3.55±0.64)mm、(28.35±5.07)%,差异均有统计学意义(均P<0.05)。结论应用康复新液辅助刮治和根面平整治疗慢性牙周炎,可显著提高近期疗效和预后效果。
Objective To investigate the short-term effect and prognosis of Kangfuxinye on the treatment of chronic periodontitis by auxiliary scraping and root-surface-leveling. Methods Sixty patients with chronic periodontitis admitted to our department from February 2011 to February 2015 were randomly divided into control group and treatment group, 30 cases each. After the examination, the patients in both groups were treated with curettage and root radicalization, and the periodontal pocket was rinsed and followed by drug rinse. The control group was rinsed with 3% hydrogen peroxide and saline, and the patients in the treatment group were given rinse rehabilitation fluid. The two groups The course of treatment is 12 weeks. The plaque index (PLI), bleeding index (BI), probing depth (PD), bleeding on probing , BOP), attachment loss (AL) were measured, and the clinical efficacy was evaluated. Measurement data were compared between groups using t test, the group was compared using paired t test, count data using χ2 test, P <0.05 for the difference was statistically significant. Results The total effective rate of the treatment group was 93.33%, which was higher than that of the control group (73.33%), the difference was statistically significant (P <0.05). At 12 weeks of treatment, the PLI, BI, PD and BOP in control group and treatment group were (1.61 ± 0.56), (2.79 ± 0.45), (3.39 ± 0.69) mm and (25.21 ± 2.95)%, respectively 1.66 ± 0.55, 2.04 ± 0.51, 2.79 ± 0.74, and 12.88 ± 3.25 respectively, which were significantly higher than those before treatment (2.98 ± 0.71), (3.82 ± 0.71), (4.81 ± 0.82) mm , (70.53 ± 18.12)%, (3.01 ± 0.65), (3.79 ± 0.68) points, (4.76 ± 0.79) mm and (69.14 ± 19.15)% respectively. There were significant differences between the two groups (all P <0.05). The difference of BI, BOP and PD between the two groups was statistically significant at 12 weeks (all P <0.05). After treatment for 52 weeks, the PLI, BI, PD and BOP in the treatment group were (1.71 ± 0.35), (2.21 ± 0.38), (2.88 ± 0.47) mm and (14.43 ± 2.99)%, respectively, (2.06 ± 0.74), (3.11 ± 0.52) points, (3.55 ± 0.64) mm and (28.35 ± 5.07)% respectively. There were significant differences between the two groups (all P <0.05). Conclusions The application of Kangfuxin liquid to cure scraping and rooting in chronic periodontitis can significantly improve the short-term curative effect and prognosis.