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米诺环素联合激光治疗对慢性牙周炎患者的影响

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目的:探究米诺环素联合激光治疗对慢性牙周炎患者的影响。方法:选取 2021 年 3 月—2023 年 9 月北京积水潭医院贵州医院收治的 80 例慢性牙周炎患者。根据随机数表法将其分为对照组(40 例,患牙 55 颗)和观察组(40 例,患牙 53 颗)。对照组给予激光治疗,观察组给予米诺环素联合激光治疗。比较两组临床疗效,治疗前后牙周健康、炎症因子。结果:观察组总有效率高于对照组,差异有统计学意义(P<0。05)。治疗后,观察组牙龈指数(GI)、菌斑指数(PLI)和牙周袋深度均低于对照组,差异有统计学意义(P<0。05)。治疗后,观察组白细胞介素-17(IL-17)、白细胞介素-8(IL-8)、白细胞介素-6(IL-6)和肿瘤坏死因子(TNF-α)水平均低于对照组,差异有统计学意义(P<0。05)。结论:米诺环素联合激光治疗有利于慢性牙周炎患者炎症反应的缓解,降低牙周袋深度和PLI,改善患者牙周健康,临床疗效好。
Effect of Minocycline Combined with Laser Therapy on Patients with Chronic Periodontitis
Objective:To explore the effect of Minocycline combined with laser therapy on patients with chronic periodontitis.Method:A total of 80 patients with chronic periodontitis treated in Beijing Jishuitan Hospital Guizhou Hospital from March 2021 to September 2023 were selected.They were divided into control group(40 cases,55 affected teeth)and observation group(40 cases,53 affected teeth)according to random number table method.The control group was given laser therapy,and the observation group was given Minocycline combined laser therapy.The clinical effect,periodontal health and inflammatory factors before and after treatment were compared between the two groups.Result:The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).After treatment,the gingival index(GI),plaque index(PLI)and periodontal pocket depth in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After treatment,the levels of interleukin-17(IL-17),interleukin-8(IL-8),interleukin-6(IL-6)and tumor necrosis factor-α(TNF-α)in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:The combination of Minocycline and laser therapy is beneficial for alleviating inflammation in patients with chronic periodontitis,reducing periodontal pocket depth and PLI,improving periodontal health,and achieving good clinical efficacy.

Chronic periodontitisMinocyclineLaser therapyClinical efficacyPeriodontal health

李清霞

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北京积水潭医院贵州医院 贵州 贵阳 550000

慢性牙周炎 米诺环素 激光治疗 临床疗效 牙周健康

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(15)
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