首页|复发性口腔溃疡口腔菌群微生态变化及其临床意义初探

复发性口腔溃疡口腔菌群微生态变化及其临床意义初探

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目的 探讨复发性口腔溃疡(ROU)与口腔内菌群变化,为临床ROU防治提供可借鉴依据。方法 收集 2020 年 6 月~2021 年5 月在某院就诊的 130 例ROU患者,按病情发展阶段分为溃疡组(65 例)、愈合组(65 例),并纳入同期 65 例体检健康者为对照组。检测并比较革兰阳性球菌(G+c)、革兰阴性球菌(G-c)、革兰阳性杆菌(G+b)、革兰阴性杆菌(G-b)及球菌、直杆菌、梭状菌、丝状菌、弯曲菌、螺旋体百分比在三组的差异。结果 三组G-c、球菌、直杆菌和梭状菌百分比比较,差异有统计学意义(P<0。05);组间两两比较结果显示:溃疡组和愈合组G-c百分比显著低于对照组(P<0。05),溃疡组G-c百分比显著低于愈合组(P<0。05);溃疡组球菌百分比显著低于对照组和愈合组(P<0。05),溃疡组直杆菌百分比显著高于对照组(P<0。05),溃疡组梭状菌百分比显著高于对照组和愈合组(P<0。05)。结论 微生物菌群变化可能与ROU发病及预后有一定关联,临床上应重视口腔微生态平衡在ROU治疗中的作用。
Primary study of recurrent oral ulcer microecological changes of oral flora and its clinical significance
Objective To explore the recurrent oral ulcer(ROU)and oral flora changes,to provides references for clinical prevention and treatment of ROU.Methods A total of 130 ROU patients treated in a hospital from June 2020 to May 2021 were collected,divided into ulcer group(65 cases)and healing group(65 cases)according to the stage of disease development,and 65 healthy patients in the same period were included as the control group.The differences of three groups in G+coccobacteria(G+c),G-coccobacteria(G-c),G+bacillus(G+b),G-bacillus(G-b)and coccus,straight rods,clostridia,fusiforms,curved rods,spirochetes percentages were detected and compared.Results There was a statistically significant difference in the percentages of G-c,coccus,straight rods and clostridia among the three groups(P<0.05);The results of pairwise comparison between groups showed that the percentage of G-c in the ulcer group and the healing group was significantly lower than that in the control group(P<0.05),and the percentage of G-c in the ulcer group was significantly lower than that in the healing group(P<0.05);The percentage of cocus in the ulcer group was significantly lower than that in the control and healing groups(P<0.05),the percentage of straight rods in the ulcer group was significantly higher than that in the control group(P<0.05),and the percentage of clostridia in the ulcer group was significantly higher than that in the control and healing groups(P<0.05).Conclusion Microbial flora changes may be related to the onset and prognosis of ROU,and clinical attention should be paid to the role of oral microecological balance in the treatment of ROU.

Recurrent oral ulcerMicroecological balanceOral floraGram stain

帅诗、张伟娥、招少萍、曹迈勋

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广州市白云区妇幼保健院口腔科,广州 510400

复发性口腔溃疡 微生态平衡 口腔菌群 革兰染色

2024

中国处方药
南方医药经济研究所

中国处方药

影响因子:0.649
ISSN:1671-945X
年,卷(期):2024.22(6)