首页|应用牙周基础治疗联合米诺环素对中重度牙周炎的疗效评价

应用牙周基础治疗联合米诺环素对中重度牙周炎的疗效评价

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目的 探究针对中重度牙周炎患者采取牙周基础治疗联合米诺环素的疗效.方法 方便选取2020年10月—2023年10月新泰市人民医院收治的55例中重度牙周炎患者作为研究对象.按照入院治疗先后顺序将其分成参照组(27例)、观察组(28例).予以参照组牙周基础治疗,予以观察组牙周基础治疗联合米诺环素治疗.对比两组患者的疗效、牙周指标、龈沟液炎症指标.结果 观察组临床治疗总有效率(92.86%)比参照组(66.67%)高,差异有统计学意义(χ2=5.892,P<0.05).与治疗前相比,两组患者治疗后的龈沟出血指数(Sulcus Bleeding Index,SBI)、附着水平(Attachment Level,AL)、菌斑指数(Plaque Index,PLI)、牙周袋深度(Periodontalpocket Depth,PD)等牙周指标均降低,且观察组相比参照组较低,差异有统计学意义(P均<0.05);两组患者的转化生长因子-β(Transforming Growth Factor-β,TGF-β)、白介素-6(Interleukin-6,IL-6)、肿瘤坏死因子-α(Tumor Necrosis Factor-α,TNF-α)等龈沟液指标均减少,且观察组相比参照组少,差异有统计学意义(P<0.05).结论 针对中重度牙周炎患者采取牙周基础治疗联合米诺环素治疗有利于患者疗效提高,并可有效改善患者牙周情况,减轻其牙周炎症情况.
Effect of Periodontal Basic Therapy Combined with Minocycline on Mod-erate and Severe Periodontitis
Objective To explore the effect of periodontal basic therapy combined with minocycline in patients with moderate and severe periodontitis.Methods A total of 55 patients with moderate and severe periodontitis treated in Xintai People's Hospital from October 2020 to October 2023 were conveniently selected as the study objects.They were divided into reference group(27 cases)and observation group(28 cases)according to the order of hospitalization.The reference group was given basic periodontal treatment,and the observation group was given basic periodontal treatment combined with minocycline treatment.The therapeutic effect,periodontal index and gingival crevicular fluid inflammation index were compared between the two groups.Results The total effective rate of observation group(92.86%)was higher than that of reference group(66.67%),and the difference was statistically significant(χ2=5.892,P<0.05).Compared to before treatment,After treatment,Sulcus Bleeding Index(SBI),Attachment Level(AL),Plaque Index(Plaque Index),Periodontal pocket Depth(PD)of the two groups were detected,and the observation group was lower than in the reference group,and the differences were statistically significant(all P<0.05).Transforming Growth Factor-β(TGF-β),Interleukin-6(IL-6),Tumor necrosis factor-α(TNF-α)and other gingival crevicular fluid indica-tors all decreased,and the observation group had less necrosis than the reference group,and the differences were sta-tistically significant(all P<0.05).Conclusion For patients with moderate and severe periodontitis,periodontal basic treatment combined with minocycline is beneficial to improve the curative effect of patients,and can effectively im-prove the periodontal condition of patients and reduce the periodontal inflammation.

Periodontal basic treatmentMinocyclineModerate to severe periodontitis

刘俊玲、杨圣凤、马腾

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新泰市人民医院口腔科,山东新泰 271200

牙周基础治疗 米诺环素 中重度牙周炎

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(8)
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