复方牙痛酊对牙龈炎、冠周炎临床治疗效果观察  

Clinical effects of Fu Fang Ya Tong Ding on gingivitis and pericoronitis

作　　者：万呼春[1] 张爽[1] 吴妮娅[1] 康栋[1] 胡利杰[1] 王礼志[1] 张纪英[1] 谢萍[1] 

机构地区：[1]四川大学华西口腔医院口腔综合治疗科,四川成都610041

出　　处：《华西口腔医学杂志》2008年第2期162-165,共4页West China Journal of Stomatology

摘　　要：目的评价复方牙痛酊对牙龈炎、冠周炎的消炎镇痛效果。方法将120名牙龈炎、冠周炎患者随机分为3组,每组40名。在常规冲洗后,试验组采用复方牙痛酊上药,阳性对照组采用碘甘油上药,阴性对照组不上药。治疗后10min采用VAS标尺法记录3组患者的镇痛感受情况,治疗后3、7d采用疼痛3度记分法和龈炎指数记录消炎镇痛情况,并对3种治疗方法的效果进行综合评价。结果1)治疗后10min试验组40.0%的患者疼痛感基本消失,阳性对照组与阴性对照组患者疼痛缓解的程度不明显;治疗后3、7d,试验组92.5%和95.0%的患者疼痛消失,阳性对照组55.0%和90.0%的患者疼痛消失,阴性对照组在治疗后7d仍有47.5%的患者疼痛未消失。2)治疗后7d,试验组与阳性对照组、阴性对照组相比,其龈炎指数分别降低了25.0%、42.8%,3组之间的龈炎指数差异具有统计学意义(P<0.05)。3)治疗效果综合评价表明,治疗后3d试验组、阳性对照组、阴性对照组的显效率分别为62.5%、45.0%、30.0%,治疗后7d试验组、阳性对照组、阴性对照组的总有效率分别为97.5%、92.5%、77.5%,组间比较差异具有统计学意义(P<0.05)。结论复方牙痛酊治疗牙龈炎、冠周炎具有明显的消炎镇痛效果。Objective To evaluate the clinical effects of Fu Fang Ya Tong Ding on treatment of gingivitis and pericoronitis. Methods 120 clinical patients with gingivitis or pericoronitis were randomly divided into 3 groups（40 patients in each group）. After routine rinse treatment for all patients, patients in the test group were treated with Fu Fang Ya Tong Ding, patients in the positive group were treated with iodine glycerol, while that time patients in the negative group received no treatment anymore. Ten minutes after treatment, visual analogue scale （VAS） was used to record the severity of pain for each patient. 3 days and 7 days later, pain and inflammation degree were also recorded by pain three-degree scoring method and index of gingivitis. The total treatment effects were evaluated under a comprehensive clinical treatment standard. Results 10 minutes after treatment, 40.0% of patients in the test group had almost no pain, while no obvious reduction of pain was found in the control group. 3 days, 7 days after the treatment, 92.5%, 95.0% of patients in the test group had no pain, and 55.0%, 90.0% of patients in the positive group had no pain. In the negative group, there were 47.5% of patients which pain was still remained in 7 days. 7 days after treatment, gingival index in the test group reduced by 25.0% and 42.8% compared with the positive and negative groups（P〈0.05）. 3 days after treatment, 62.5%, 45.0% and 30.0% patients separately in the test, positive and negative groups manifested good effects under the comprehensive clinical treatment standard; after 7 days, 97.5%, 92.5% and 77.5% patients in the 3 groups manifested good effect. The group using Fu Fang Ya Tong Ding had better effects than groups using iodine glycerol or only applying routine rinsing treatment group （P〈0.05）. Conclusion Fu Fang Ya Tong Ding can treat gingivitis and pericoronitis through significantly reducing inflammation and pain.

关 键 词：复方牙痛酊 牙龈炎 冠周炎 消炎 镇痛 

分 类 号：R276.8[医药卫生—中医五官科学]