盐酸米诺环素联合Vitapex糊剂治疗乳牙瘘管型根尖周炎患儿的效果  

Effects of Minocycline hydrochloride combined with Vitapex paste in treatment of children with fistula periapical periodontitis of deciduous teeth

作　　者：陈志艳 CHEN Zhiyan(Guanling Autonomous County People’s Hospital,Anshun 561300 Guizhou,China)

机构地区：[1]关岭自治县人民医院,贵州安顺561300

出　　处：《中国民康医学》2025年第1期61-63,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察盐酸米诺环素联合Vitapex糊剂治疗乳牙瘘管型根尖周炎患儿的效果。方法:回顾性分析2021年9月至2023年9月该院收治的80例乳牙瘘管型根尖周炎患儿的临床资料,按照治疗方法不同将其分为对照组和观察组各40例。对照组采用Vitapex糊剂治疗,观察组采用盐酸米诺环素联合Vitapex糊剂治疗,比较两组治疗前后疼痛程度[视觉模拟评分法(VAS)]评分、牙周指标(龈沟出血指数、菌斑指数、牙周探诊深度)水平和治疗4周不良反应发生率。结果:治疗1、3、6周后,两组VAS评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);治疗后,两组龈沟出血指数、菌斑指数和牙周探诊深度均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:盐酸米诺环素联合Vitapex糊剂治疗乳牙瘘管型根尖周炎患儿可降低VAS评分和牙周指标水平,效果优于单纯Vitapex糊剂治疗。Objective:To observe effects of Minocycline hydrochloride combined with Vitapex paste in treatment of children with fistula periapical periodontitis of deciduous teeth.Methods:The clinical data of 80 children with fistula-type periapical periodontitis of deciduous teeth admitted to this hospital from September 2021 to September 2023 were retrospectively analyzed.According to different treatment methods,they were divided into control group and observation group,40 cases in each group.The control group was treated with Vitapex paste,while the observation group was treated with Minocycline hydrochloride combined with Vitapex paste.The pain degree[visual analogue scale(VAS)]score,the periodontal index(gingival sulcus bleeding index,plaque index,periodontal probing depth)levels before and after the treatment,and the incidence of adverse reactions after 4 weeks of treatment were compared between the two groups.Results:After 1,3 and 6 weeks of treatment,the VAS scores of the two groups were lower than those before the treatment,those in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).After the treatment,the gingival sulcus bleeding index,plaque index and periodontal probing depth of the two groups were lower than those before the treatment,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of adverse reactions after 4 weeks of treatment between the two groups(P>0.05).Conclusions:Minocycline hydrochloride combined with Vitapex paste can reduce the VAS scores and the periodontal index levels in the treatment of the children with fistula periapical periodontitis of deciduous teeth.Moreover,it is superior to simple Vitapex paste treatment.

关 键 词：盐酸米诺环素 VITAPEX糊剂 乳牙瘘管型根尖周炎 疼痛程度 不良反应 

分 类 号：R781.3[医药卫生—口腔医学]