西帕依固龈液冲洗联合超声龈下刮治牙周炎疗效观察  

Effect of Xipayi Guyin Liquid on Periodontitis as a Subgingival Irrigation during Ultrasonic Debridement

作　　者：张建霞 辛越红 路丽[1] 郭立华[1] 张红艳[1] 韩燕[1] ZHANG Jian-xia;XIN Yue-hong;LU Li;GUO Li-hua;ZHANG Hong-yan;HAN Yan(Department of Stomatology,Xiyuan Hospital,China Academy of Chinese Medical Sciences,Beijing（100091)

机构地区：[1]中国中医科学院西苑医院口腔科,北京100091

出　　处：《中国中西医结合杂志》2018年第8期945-949,共5页Chinese Journal of Integrated Traditional and Western Medicine

摘　　要：目的评价超声龈下刮治联合西帕依固龈液冲洗对中重度慢性牙周炎患者的临床疗效。方法30例中重度慢性牙周炎患者随机分为原液组、稀释组和对照组,每组10例。在超声龈下刮治的过程中原液组使用西帕依固龈液原液冲洗,稀释组使用稀释1倍的西帕依固龈液冲洗,对照组使用无菌蒸馏水冲洗,于治疗前、治疗后1周及6周观察各组牙周指标,包括探诊深度(PD)、附着丧失(AL)、菌斑指数(PLI)、出血指数(BI)。结果与本组治疗前比较,三组治疗后1、6周时PD、AL、PLI、BI值均下降(P<0.01)。与本组治疗后1周比较,三组PD、AL、BI治疗后6周均下降(P<0.01,P<0.05)。与对照组比较,原液组和稀释组在治疗1周和6周时两个牙区PD、BI改善程度更明显(P<0.01,P<0.05)。与稀释组比较,在治疗1周和6周时原液组的PD、BI减少程度在前牙区更明显(P<0.01,P<0.05)。治疗1周时,与对照组比较,原液组和稀释组两个牙区PLI降低程度更明显(P<0.01,P<0.05)。结论超声龈下刮治联合西帕依固龈液冲洗可提高牙周炎的治疗效果,使用西帕依固龈液原液较稀释液治疗效果更佳。Objective To evaluate the clinical effects of Xipayi Guyin Liquid as a simultaneous irrigation to ultrasonic subgingival debridement for periodontal treatment.Methods Thirty patients with moderate to severe chronic periodontitis were randomly assigned to the following three groups：undiluted liquid group（ULG,ultrasonic debridement with subgingival delivery of Xipayi Guyin Liquid）,diluted liquid group（DLG,ultrasonic debridement with50% Xipayi Guyin Liquid）,and control group（CG,ultrasonic debridement with distilled water）,10 cases in each group.Periodontal parameters such as probing depth（PD）,attachment loss（AL）,plaque index（PLI）and bleeding index（BI）were collected and analyzed before treatment and1 and6 weeks after treatment.Results Compared with before treatment,PD,AL,PLI,and BI decreased in the three groups at 1 and 6 weeks after treatment（P〈0.01）.PD,AL and BI in the three groups decreased at 6 weeks when compared with1 week after treatment（P〈0.01,P〈0.05）.The improvement of PD and BI was more obvious in ULG and DLG at 1 week and6 weeks after treatment compared with CG regarding the anterior or posterior teeth region（P〈0.01,P〈0.05）.Compared with DLG,the reduction of PD and BI in ULG was more significant in the anterior teeth area at 1 week and6 weeks after treatment（P〈0.01,P〈0.05）.The decline of PLI was more obvious in ULG and DLG than that in CG at 1 week after treatment in both anterior and posterior teeth regions（P〈0.01,P〈0.05）.Conclusion The adoption of Xipayi Guyin Liquid during ultrasonic scaling could be a valuable adjunct to periodontal treatment,and the therapeutic effect of undiluted Xipayi Guyin Liquid is superior to the 50% diluted one.

关 键 词：牙龈下刮治术 慢性牙周炎 西帕依固龈液 超声药物冲洗 

分 类 号：R781.42[医药卫生—口腔医学]