Nd:YAG激光联合牙周基础治疗在老年慢性牙周炎患者中的应用效果  

Application effects of Nd:YAG laser combined with periodontal non-surgical treatment in elderly patients with chronic periodontitis

作　　者：连会娜 谢佳典 李永彦 LIAN Huina;XIE Jiadian;LI Yongyan(The Third People’s Hospital of Puyang,Puyang City Oral Laser Medicine Key Laboratory,1.Department of Periodontal Mucosal Disease,Puyang 457000 Henan,China;The Third People’s Hospital of Puyang,Puyang City Oral Laser Medicine Key Laboratory,Department of Oral and Maxillofacial Surgery,Puyang 457000 Henan,China)

机构地区：[1]濮阳市第三人民医院,濮阳市口腔激光医学重点实验室牙周粘膜病科,河南濮阳457000 [2]濮阳市第三人民医院,濮阳市口腔激光医学重点实验室口腔颌面外科,河南濮阳457000

出　　处：《中国民康医学》2024年第19期41-43,47,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察Nd:YAG激光联合牙周基础治疗在老年慢性牙周炎(CP)患者中的应用效果。方法:回顾性分析2022年1—12月该院收治的100例老年CP患者的临床资料,按照治疗方法不同将其分成研究组与对照组各50例。对照组给予牙周基础治疗,研究组在对照组基础上联合Nd:YAG激光治疗,两组均治疗3个月。比较两组治疗前后牙周指标[探诊深度(PD)、牙周附着水平(CAL)、菌斑指数(PLI)、龈沟出血指数(SBI)]、龈沟液炎性因子[白细胞介素(IL)-1β、IL-6、IL-8、超敏C反应蛋白(hs-CRP)]、牙周微循环指标[牙龈血流速度(BCV)、血流量(GBF)]水平和咀嚼效率。结果:治疗后,研究组PLI、SBI评分和PD、CAL水平均低于对照组,差异有统计学意义(P<0.05);治疗后,研究组IL-1β、IL-6、IL-8、hs-CRP水平均低于对照组,差异有统计学意义(P<0.05);治疗后,研究组BCV、GBF水平和咀嚼效率均高于对照组,差异有统计学意义(P<0.05)。结论:Nd:YAG激光联合牙周基础治疗应用于老年CP患者可降低牙周指标、龈沟液炎性因子水平,提高牙周微循环指标水平和咀嚼效率,效果优于单纯牙周基础治疗。Objective:To observe application effects of Nd:YAG laser combined with periodontal non-surgical treatment in elderly patients with chronic periodontitis(CP).Methods:The clinical data of 100 elderly patients with CP admitted to the hospital from January to December 2022 were retrospectively analyzed.According to different treatment methods,they were divided into study group and control group,50 cases in each group.The control group was given periodontal non-surgical treatment,while the study group was treated with Nd:YAG laser on the basis of that of the control group.Both groups were treated for 3 months.The levels of periodontal indexes[probing depth(PD),periodontal attachment level(CAL),plaque index(PLI),gingival sulcus bleeding index(SBI)],gingival crevicular fluid inflammatory factors[interleukin(IL)-1β,IL-6,IL-8,highsensitivity C-reactive protein(hs-CRP)]and periodontal microcirculation indexes[gingival blood flow velocity(BCV),blood flow(GBF)],and the masticatory efficiency were compared between the two groups before and after the treatment.Results:After the treatment,the PLI and SBI scores and the PD and CAL levels in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the treatment,the levels of IL-1β,IL-6,IL-8 and hs-CRP in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).Further,after the treatment,the levels of BCV,GBF and masticatory efficiency in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:The Nd:YAG laser combined with periodontal non-surgical treatment in the elderly patients with CP can reduce the levels of periodontal indexes and inflammatory factors in gingival crevicular fluid,and improve the levels of periodontal microcirculation indexes and masticatory efficiency.Moreover,it is superior to simple periodontal nonsurgical treatment.

关 键 词：ND:YAG激光 牙周基础治疗 老年 慢性牙周炎 牙龈微循环 咀嚼效率 

分 类 号：R718.42[医药卫生—妇产科学]