首页|葛根芩连汤联合肿痛安胶囊治疗慢性牙周炎的疗效及对Th17/Treg、龈沟液IL-1β、PGE2水平的影响

葛根芩连汤联合肿痛安胶囊治疗慢性牙周炎的疗效及对Th17/Treg、龈沟液IL-1β、PGE2水平的影响

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目的:探讨葛根芩连汤联合肿痛安胶囊治疗慢性牙周炎的疗效,以及对辅助性T细胞 17/调节T细胞(Th17/Treg)、龈沟液白细胞介素-1β(IL-1β)、前列腺素E2(PGE2)水平的影响.方法:选取 2021 年 1 月至 2024 年 1 月收治的 114 例慢性牙周炎患者随机分成两组,各 57 例.两组患者均进行基础治疗,对照组在此基础上给予患者肿痛安胶囊,观察组在对照组基础上给予葛根芩连汤,治疗 30 天.分别记录两组患者治疗前后牙周指标水平、总有效率、Th17/Treg、龈沟液IL-1β、PGE2 水平的变化.结果:治疗后观察组牙周评分均低于对照组(P<0.05);观察组的总有效率为91.23%,高于对照组(P<0.05);治疗后Th17/Treg、龈沟液IL-1β、PGE2 水平显著降低,且观察组的上述指标降低幅度大于对照组(P<0.05).结论:葛根芩连汤联合肿痛安胶囊对慢性牙周炎疗效确切,能够减轻患者临床症状和炎症反应,改善牙周症状.
Effect of Gegenqinlian decoction combined with Chuangtongan capsule on chronic periodontitis and its influence on Th17/Treg,Il-1β and PGE2levels in gingival crevicular fluid
Objective:To investigate the therapeutic effect of Gegenqinlian decoction combined with Chuangtongan capsule on chronic periodontitis and the effects on the levels of helper T cells 17/regulatory T cells(Th17/Treg),interleukin-1β(IL-1β)and prostaglandin E2(PGE2)in gingival crevicular fluid.Methods:A total of 114patients diagnosed with chronic periodontitis and admit-ted to the hospital between January 2021and January 2024were divided into two groups at random-one with 57cases and the other with a control group.Both patient groups received standard medical care.The control group was given Chuangtongan capsule on the basis of this treatment,and the observation group was given Gegenqinlian decoction on the basis of the control group,for 30days.Record re-spectively in the two groups before and after treatment in patients with the periodontal indexes,total effective rate,Th17/Treg,IL-1β and PGE2levels in gingival crevicular fluid.Result:After treatment,the scores of periodontal indexes in both groups were significantly decreased(P<0.05).All of the observation group's periodontal scores were lower than those of the control group(P<0.05).The total effective rate of observation group was 91.23%,which was higher than that of control group(P<0.05).After treatment,the levels of Th17/Treg,IL-1β and PGE2in gingival creval fluid were significantly decreased(P<0.05),and the index of the observation group reduce the amplitude is greater than the control group(P<0.05).Conclusion:Gegenqinlian decoction combined with Chuangtongan capsule has a definite effect on chronic periodontitis,which can reduce the clinical symptoms and inflammatory reaction of patients and improve the periodontal symptoms.

Gegen Qinlian DecoctionChuangtongan capsuleChronic periodontitisTh17/TregPGE2

李晓妮、屈红昕、魏婵

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西安市灞桥区中医医院口腔科,陕西 西安 710038

甘泉县人民医院口腔科,陕西 甘泉 716100

葛根芩连汤 肿痛安胶囊 慢性牙周炎 辅助性T细胞17/调节T细胞 前列腺素E2

2024

四川中医
四川省中医药学会,四川省中西医结合学会,四川省针灸学会,四川省中医药科学院

四川中医

CSTPCD
影响因子:0.522
ISSN:1000-3649
年,卷(期):2024.42(12)