超声波洁治术联合口服清开灵胶囊治疗老年菌斑性龈炎的临床价值  

The clinical value of ultrasonic scaling combined with Qingkailing capsule in the treatment of senile plaque gingivitis

作　　者：邬志锋[1] 方丽丽[2] 徐岩[1] 杨旭 张则明[1] WU Zhi-feng;FANG Li-li;XU Yan(Department of Stomatology, No.2 Affiliated Hospital of Qiqihar Medical University,Qiqihar 161000, China)

机构地区：[1]齐齐哈尔医学院附属第二医院口腔科,黑龙江齐齐哈尔161000 [2]齐齐哈尔医学院附属第二医院神经内科,黑龙江齐齐哈尔161000 [3]齐齐哈尔五官医院口腔科,黑龙江齐齐哈尔161000

出　　处：《中国医学装备》2017年第2期63-67,共5页China Medical Equipment

摘　　要：目的:探讨超声波洁治术联合口服清开灵胶囊治疗老年菌斑性龈炎的临床价值。方法:选取51例菌斑性龈炎老年患者,采用自体对照方法随机单盲设计分组,将患者的一侧牙齿设置为观察组(526颗患牙),应用超声波洁治术联合口服清开灵胶囊进行治疗;将患者的另一侧牙齿设置为对照组(512颗患牙),应用压电陶瓷式治疗仪进行治疗。对比两组牙龈沟出血指数、菌斑指数以及探诊出血阳性位点率等临床指标判定疗效;采用视觉模拟标尺(VAS)观察患者对不同治疗方式的主观评价。通过扫描电镜观察牙釉质表面情况。结果:观察组患牙治疗前后牙周附着丧失、探诊深度、龈沟出血指数、菌斑指数及探诊出血比较,差异有统计学意义(t=4.050,t=3.997,t=3.872,t=3.784,t=4.151;P<0.05);对照组患牙治疗前后牙周附着丧失、探诊深度、龈沟出血指数、菌斑指数及探诊出血比较,差异有统计学意义(t=5.561,t=3.717,t=3.009,t=4.671,t=3.992;P<0.05);治疗后1个月,观察组与对照组在牙周附着丧失、探诊深度、龈沟出血指数、菌斑指数及探诊出血各项临床指标比较,差异无统计学意义(t=0.392,t=1.002,t=0.792,t=0.885,t=1.172,P>0.05)。两组患者的治疗时间比较,差异无统计学意义(t=0.465,P>0.05)。观察组患者主观评价为(32.62±5.48)分,对照组主观评价为(41.69±5.16)分,两种治疗方法自主评分比较,差异有统计学意义(t=8.624,P<0.05)。结论:两种方法治疗菌斑性龈炎均具有显著的临床疗效,但是应用超声波洁治术联合口服清开灵胶囊可以显著缓解患者的疼痛,降低不适感,同时使用超声治疗仪对牙釉质表面的创伤性较小,釉质表面更为平整。Objective: To investigate the clinical value of ultrasonic scaling combined with Qingkailing capsule in the treatment of senile plaque gingivitis. Methods: To select 51 elderly patients with plaque gingivitis as the study objects, and the randomized single-blind design and autologous control methods were adopted. One side of the teeth was set as the observation group (526 teeth), which was used ultrasonic cleaning combined with Qingkailing capsule for treatment; the other side of the tooth was set as the control group (512 teeth),which was used piezoelectric ceramic treatment instrument for treatment. To compare the following: gingival sulcus bleeding index, plaque index,and probing the positive rate of hemorrhagic sites; the visual analog scale (VAS) was used to observe the subjective evaluation of different treatment modalities. The enamel surface was observed by scanning electron microscope.Results: The series of comparison results of teeth indexes between before and after treatment in observationgroup were, periodontal attachment loss (t=4.050, P=0.031), probing depth (t=3.997, P=0.043), sulcus bleedingindex (t=3.872, P=0.045), plaque index (t=3.784, P=0.046), probing hemorrhage (t=4.151, P=0.030), and all ofthem were statistical significance (P<0.05). The series of comparison results of teeth indexes between before andafter treatment in control group were, periodontal attachment loss (t=5.561, P=0.022), probing depth(t=3.717,P=0.040), sulcus bleeding index (t=3.009, P=0.047), plaque index (t=4.671, P=0.036), probing hemorrhage(t=3.992, P=0.043), and all of them were statistical significance (P<0.05). After treatment one month, the series ofcomparison between observation group and control group were not statistical significance (P>0.05) as following:periodontal attachment loss (t=0.392, P=0.862), probing depth(t=1.002, P=0.582), sulcus bleeding index (t=0.792,P=0.551), plaque index (t=0.885, P=0.546), probing hemorrhage (t=1.172, P=0.511). There was no statisticallysignificant difference between the two group

关 键 词：超声波洁治术 菌斑性龈炎 老年患者 清开灵胶囊 

分 类 号：R445.1[医药卫生—影像医学与核医学]