首页|西地碘含片联合盐酸米诺环素对老年慢性牙周炎的治疗作用

西地碘含片联合盐酸米诺环素对老年慢性牙周炎的治疗作用

Therapeutic effects of Cydiodine buccal tablets combined with minocycline hydrochloride on elderly chronic periodontitis

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目的 探讨西地碘含片联合盐酸米诺环素软膏治疗老年慢性牙周炎的效果及安全性.方法 选取 106 例老年慢性牙周炎患者,根据治疗方案不同分为两组,每组 53 例.两组均行牙周常规治疗,在此基础上对照组予以西地碘含片治疗,联合组予以西地碘含片加盐酸米诺环素软膏治疗.分析两组治疗有效率,牙周状况指标牙齿附着丧失(AL)、出血指数(BI)、菌斑指数(PLI)和牙周探诊深度(PD),龈沟液促炎因子胸腺基质淋巴细胞生成素(TSLP)、人髓系细胞触发受体-1(TREM-1)、可溶性细胞黏附因子-1(sICAM-1)和白介素-6(IL-6)水平以及不良反应.结果 联合组治疗总有效率96.23%高于对照组84.91%,差异有统计学意义(P<0.05);治疗 1 周、4 周后,联合组CAL、BI、PLI、PD、TSLP、TREM-1、sICAM-1 和IL-6 均低于对照组(P<0.05);两组不良反应比较,差异无统计学意义(P>0.05).结论 西地碘含片联合盐酸米诺环素软膏治疗老年慢性牙周炎,可有效阻止牙周炎症发展,改善牙周功能,提高治疗效果.
Objective To retrospectively analyze the effects of Cydiodine buccal tablets combined with minocycline hydrochloride ointment in the treatment of elderly chronic periodontitis(CP)on periodontal status and pro-inflammatory factors of gingival crevicular fluid.Methods 106 elderly patients with chronic periodontitis were divided into two groups based on different treatment plans,with 53 cases in each group.Both groups were received routine periodontal treatment.On this basis,the control group were received treatment with Cydiodine buccal tablets,while the combination group were received treatment with Cydiodine buccal tablets and minocycline hydrochloride ointment.The effective rates of two treatment groups,including periodontal status indicators such as attachment loss(AL),bleeding index(BI),plaque index(PLI),and periodontal probing depth(PD),as well as levels of pro-inflammatory factors such as thymic stromal lymphopoietin(TSLP),human triggering receptor expressed on myeloid cells-1(TREM-1),soluble intercellular adhesion molecular-1(sICAM-1),and interleukin-6(IL-6)in gingival crevicular fluid,as well as adverse reactions were compared between the two groups.Results The total effective rate of the combined group was higher than that of the control group,and the difference was statistically significant(P<0.05).After 1 week and 4 weeks of treatment,CAL,BI,PLI and PD in the combined group were lower than those in the control group,and the difference was statistically significant(P<0.05).After 1 week and 4 weeks of treatment,TSLP,TREM-1,sICAM-1 and IL-6 in combination group were lower than those in control group,and the difference was statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between the combined group and the control group(P>0.05).Conclusion Cydiodine buccal tablets combined with minocycline hydrochloride ointment are effective in the treatment of CP in the elderly,which can prevent the development of periodontal inflammation,improve periodontal function and have high safety.

Cydiodine buccal tabletsminocycline hydrochloride ointmentchronic periodontitisteath attachment loss

王小莉、李梦芸、叶翠

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河南省老干部康复医院,郑州 450000

南阳医学高等专科学校第一附属医院,南阳 473000

西地碘含片 盐酸米诺环素 慢性牙周炎 牙齿附着丧失

河南省医学科技攻关联合共建项

LHGJ20221008

2024

华夏医学
桂林医学院

华夏医学

影响因子:0.569
ISSN:1008-2409
年,卷(期):2024.37(3)
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