首页|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

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

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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.
Clinical observation of QingweiPowder on peri-implantitis afterimplant restoration
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.

Chinese medicine therapyDental implant

郭风英、孔瑞英、郭海粟、王玉杰、杜倩

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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

河北省邯郸市第二医院口腔科,河北 邯郸 056001

河北省邯郸市口腔医院修复科

河北 邯郸 056001

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中药疗法 牙种植体

邯郸市科学技术研究与发展计划项目

21422083107

2024

河北中医
河北省医学情报研究所,河北省中医药学会

河北中医

CSTPCD
影响因子:0.951
ISSN:1002-2619
年,卷(期):2024.46(9)