出 处:《中国实用医药》2025年第7期90-93,共4页China Practical Medicine
摘 要:目的探讨口腔正畸所致慢性牙龈炎患儿予以康复新液治疗对其疼痛、牙龈肿胀的影响。方法60例口腔正畸所致慢性牙龈炎患儿,随机分为对照组与观察组,每组30例。对照组患儿采用牙周洁治术治疗,观察组患儿在对照组基础上采用康复新液治疗。比较两组患儿的疼痛情况、牙龈肿胀情况、牙菌斑指数、龈沟出血指数、炎症水平和治疗效果。结果治疗后,观察组疼痛Ⅰ级27例(90.00%)、Ⅱ级3例(10.00%)、Ⅲ级0例;对照组疼痛Ⅰ级8例(26.67%)、Ⅱ级13例(43.33%)、Ⅲ级9例(30.00%)。观察组患儿治疗后疼痛情况优于对照组(P<0.05)。治疗后,观察组牙龈肿胀Ⅰ级26例(86.67%)、Ⅱ级4例(13.33%)、Ⅲ级0例;对照组牙龈肿胀Ⅰ级7例(23.33%)、Ⅱ级15例(50.00%)、Ⅲ级8例(26.67%)。观察组患儿牙龈肿胀情况优于对照组(P<0.05)。治疗后,两组患儿牙菌斑指数和龈沟出血指数均低于治疗前,且观察组牙菌斑指数(1.08±0.43)分和龈沟出血指数(1.97±0.88)分低于对照组的(1.49±0.47)、(2.66±0.91)分(P<0.05)。两组治疗后的白细胞介素-6和单核细胞趋化蛋白-1水平均低于治疗前,且相比于对照组,观察组更低;两组治疗后的转化生长因子-β均高于治疗前,且相比于对照组,观察组更高(P<0.05)。观察组治疗总有效率(96.67%)相比于对照组(70.00%)更高(P<0.05)。结论口腔正畸所致慢性牙龈炎患儿应用康复新液治疗,可减轻患儿的疼痛程度、肿胀情况和炎症反应,促进患儿的牙龈状况得到改善,提高治疗效果。Objective To explore the effect of Kangfuxin liquid on the pain and gingival swelling in children with chronic gingivitis caused by orthodontic treatment.Methods 60 children with chronic gingivitis caused by orthodontic treatment were randomly divided into control group and observation group,with 30 cases in each group.The control group was treated with periodontal scaling,while the observation group was treated with Kangfuxin liquid on the basis of the control group.The pain status,gingival swelling,dental plaque index,gingival sulcus bleeding index,inflammation level,and treatment effect of the two groups were compared.Results After treatment,27 patients(90.00%)had gradeⅠpain,3 patients(10.00%)had gradeⅡpain,and 0 patients had gradeⅢpain in the observation group;in the control group,8 patients(26.67%)had gradeⅠpain,13 patients(43.33%)had gradeⅡpain,and 9 patients(30.00%)had gradeⅢpain.The pain in the observation group after treatment was better than that in the control group(P<0.05).After treatment,there were 26 cases(86.67%)of gradeⅠswelling,4 cases(13.33%)of gradeⅡswelling and 0 cases of gradeⅢswelling in the observation group;in the control group,there were 7 cases(23.33%)of gradeⅠswelling,15 cases(50.00%)of gradeⅡswelling and 8 cases(26.67%)of gradeⅢswelling.The gingival swelling in the observation group was better than that in the control group(P<0.05).After treatment,the dental plaque index and gingival sulcus bleeding index in both groups were lower than those before treatment;the dental plaque index and gingival sulcus bleeding index were(1.08±0.43)and(1.97±0.88)points in the observation group,which were lower than(1.49±0.47)and(2.66±0.91)points in the control group(P<0.05).After treatment,the levels of interleukin-6 and monocyte chemotactic protein-1 in both groups were lower than those before treatment,and the observation group was lower than the control group;the transforming growth factor-βin both groups was higher than that before treatment,and the observation group was
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