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作 者:马江敏[1] 许乐檬 张鹏[2] MA Jiang-min;XU Le-meng;ZHANG Peng(Department of Stomatology, PLA 153th central hospital, Zhengzhou 450000, China)
机构地区:[1]解放军153医院口腔科,副主任医师河南450000 [2]解放军91医院,主任医师河南454000
出 处:《中华老年口腔医学杂志》2018年第3期154-156,共3页Chinese Journal of Geriatric Dentistry
摘 要:目的:研究康复新液对治疗老年复发性阿弗他溃疡的辅助作用。方法:经纳入与排除标准筛选后选择92名复发性阿弗他溃疡患者,使用随机数字表法分为观察组和对照组,每组46名患者。两组均给予口腔溃疡散常规治疗,每日3次;观察组在常规治疗基础上增加康复新液含漱,每次10ml,含漱2-3 min/次,每天3次。两组疗程均为7天。观察两组患者的疼痛视觉模拟评分(VAS)、临床疗效、炎性因子指标、不良反应以及溃疡复发的情况。结果:观察组总有效率(95.7%)大于对照组(82.6%),差异具有统计学意义(P<0.05)。肿瘤坏死因子-α(TNF-α)、白细胞介素-1、6(IL-1、6)水平观察组低于对照组,差异具有统计学意义(P<0.05)。经过随访6个月的随访,观察组的复发率(13.04%)显著低于对照组(30.43%),差异具有统计学意义(P<0.05)。结论:康复新液有助于提高老年患者复发性阿弗他溃疡的治疗效果,降低复发率。Objective:To study the adjuvant effect of Kangfuxin liquid on the treatment of recurrent aphthous ulcer in the elder patients.Methods:92 patients with recurrent aphthous ulcer were randomly divided into observation group and control group,with 46 cases in each group.Both groups received Oral Ulcer Powder,three times a day and observation group was additionally given Kangfuxin liquid,10 ml/time,gargling for 2-3 min,three times a day.Treatment course of 2 groups lasted for 7 days.Visual analog scale(VAS)of pain,clinical symptoms,serum inflammatory cytokines,clinical symptom improvement and recurrence were observed in 2 groups.Results:The total effective rate of observation group(95.7%)was higher than that of control group(82.6%),and the difference was statistically significant(P〈0.05).The levels of TNF-α,IL-1 and IL-6 in observation group were significantly lower than those of control group,with statistical significance(P〈0.05)ulcer duration;after followed up for 6 months,recurrence rate of observation group(13.04%)was significantly lower than that of control group(30.43%),with statistical significance(P〈0.05).Conclusions:Kangfuxin liquid combined with Oral Ulcer Powder helps to improve therapeutic efficacy of patients with recurrent aphthous ulcer and reduce recurrence rate.
关 键 词:老年复发性阿弗他溃疡 康复新液 炎性因子 疗效
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