清胃散加减治疗种植覆盖修复术后种植体周围炎临床观察  

Clinical observation of QingweiPowder on peri-implantitis afterimplant restoration

作　　者：郭风英[1] 孔瑞英 郭海粟 王玉杰 杜倩 GUO Fengying;KONG Ruiying;GUO Haisu;WANG Yujie;DU Qian(Department of Stomatology,Handan City Eye Hospital(The Third Hospital of Handan),Handan,Hebei 056001;Department of Stomatology,Handan Second Hospital,Handan,Hebei 056001;Department of Prosthodontics,Handan Stomatological Hospital,Handan,Hebei 056001)

机构地区：[1]河北省邯郸市眼科医院(邯郸市第三医院)口腔科,河北邯郸056001 [2]河北省邯郸市第二医院口腔科,河北邯郸056001 [3]河北省邯郸市口腔医院修复科,河北邯郸056001

出　　处：《河北中医》2024年第9期1484-1487,共4页Hebei Journal of Traditional Chinese Medicine

基　　金：邯郸市科学技术研究与发展计划项目(编号:21422083107)。

摘　　要：目的观察清胃散加减治疗种植覆盖修复术后种植体周围炎的临床疗效。方法将94例种植覆盖修复术后种植体周围炎患者按照随机数字表法分为2组,对照组47例术后予盐酸米诺环素软膏口腔局部治疗、甲硝唑片口服,观察组47例在对照组治疗基础上加用清胃散加减。2组均治疗1个月,随访1年。记录2组治疗时间、术后种植体周围软组织肿胀时间、疼痛时间;比较2组种植成功率;比较2组牙槽骨宽度与牙槽骨高度;比较2组治疗满意度评分。结果观察组治疗时间、术后种植体周围软组织肿胀时间、疼痛时间均短于对照组(P<0.05)。观察组种植成功率93.62%(44/47),对照组种植成功率80.85%(38/47),观察组种植成功率高于对照组(P<0.05)。2组拔牙6个月后牙槽骨宽度较本组拔牙前增加(P<0.05),牙槽骨高度降低(P<0.05),2组拔牙6个月后牙槽骨宽度与牙槽骨高度比较差异均无统计学意义(P>0.05)。观察组舒适度评分、咀嚼功能评分均高于对照组(P<0.05)。结论清胃散加减治疗种植覆盖修复术后种植体周围炎疗效明显,治疗时间、术后肿胀时间、疼痛时间均缩短,种植成功率提高,优于盐酸米诺环素软膏口腔局部治疗、甲硝唑片口服治疗。Objective To observe the clinical effect of Qingwei Powder in the treatment of peri-implantitis after implant restoration.Methods Ninety-four patients with peri-implantitisafter implant restorationwere randomly assigned into control group(n=47)and observation group(n=47).All patients received oral local minocycline hydrochloride+metronidazole after operation,those in the observation group additionally received modified Qingwei Powder.The 1-month treatment and 1-year follow-up were performed in the two groups,aiming to compare the treatment time,postoperative swelling time and pain time of peri-implant soft tissue,implant success rate,alveolar bone width and height,patient satisfaction.Results The treatment time,postoperative swelling time and pain time of peri-implant soft tissue in the observation group were significantly shorter than those of the control group(P<0.05).The implant success rate of the observation group was significantly higher than that of the control group(93.62%[44/47]vs 80.85%[38/47],P<0.05).The two groups had significantly increased 6-month alveolar bone width,and decreased alveolar bone height(both P<0.05).The 6-month alveolar bone width and height in the observation group were similar to the control group(P>0.05).The comfort score and chewing function score of the observation group were significantly higher than those of the control group(P<0.05).Conclusion Campared with local minocycline hydrochloride+metronidazole,QingweiPowder on peri-implantitis afterimplant restorationhas a significant effect,it can shorten treatment time,postoperative swelling time and pain time,improve the implant success rate.

关 键 词：中药疗法 牙种植体 

分 类 号：R781.05[医药卫生—口腔医学] R289.6[医药卫生—临床医学]