凉膈散与中药控释药条联合治疗急性智齿冠周炎的效果分析

发布时间：2018-01-20 07:35

本文关键词： 凉膈散中药控释药条急性智齿冠周炎效果分析　出处：《中华中医药学刊》2017年11期 　论文类型：期刊论文

【摘要】：目的:探讨凉膈散与中药控释药条联合治疗急性智齿冠周炎的临床疗效。方法:选取2014年4月-2017年1月医院门诊收治的100例机型智齿冠周炎患者。根据随机数字表法分为观察组和对照组各50例。对照组采用凉膈散治疗治疗,观察组采用凉膈散与中药控释药条联合治疗。比较两组患者临床疗效、口腔细菌清除情况、临床症状/体征积分及并发症发生率。结果:观察组患者总有效率(92.0%)显著高于对照组(84.0%)(P0.05)。治疗后3、5 d,两组患者VAS评分均较治疗前有下降,且观察组的VAS评分显著低于对照组(P0.05)。治疗后两组患者口腔细菌数量均明显少于治疗前(P0.05),但组间比较无统计学差异(P0.05)。治疗后,观察组临床症状、体征积分显著低于对照组(P0.05)。观察组患者并发症发生率(4.0%)显著低于对照组(12.0%)(P0.05)。结论:凉膈散与中药控释药条联合治疗急性智齿冠周炎疗效确切,可有效缓解疼痛,改善临床体征,安全可靠。
[Abstract]:Objective: to investigate the clinical effect of Liangge Powder combined with controlled release of traditional Chinese medicine in the treatment of acute wisdom tooth pericoronitis. From April 2014 to January 2017, 100 patients with pericoronitis of wisdom teeth were selected and divided into two groups: observation group (n = 50) and control group (n = 50). The control group was treated with Liangge powder. Treatment. The observation group was treated with Liangge Powder and controlled release drug strip. The clinical efficacy and oral bacterial clearance were compared between the two groups. Results: the total effective rate of patients in the observation group (92.0) was significantly higher than that in the control group (84.0%). VAS scores in both groups were lower than those before treatment. The VAS score in the observation group was significantly lower than that in the control group (P 0.05). After treatment, the number of oral bacteria in the two groups was significantly lower than that in the control group (P 0.05). However, there was no statistical difference between the two groups (P 0.05). After treatment, the clinical symptoms were observed in the observation group. The score of physical signs was significantly lower than that of the control group (P 0.05). The incidence of complications in the observation group was significantly lower than that in the control group (P 0.05). Conclusion: the therapeutic effect of Liangge powder combined with controlled release of traditional Chinese medicine in treating acute wisdom tooth pericoronitis is definite. Can effectively relieve pain, improve clinical signs, safe and reliable.
【作者单位】：绍兴市中医院口腔科;绍兴市中医院中药剂科;
【基金】：浙江省中医药科研基金计划项目(2014zb123)
【分类号】：R276.8
【正文快照】： 急性智齿冠周炎一般多发于18~24岁人群,是指智齿萌出不全或者在阻生时,牙冠周围的软组织发生炎症[1]。发病原因是智齿萌出困难时,在牙冠和龈瓣形成盲袋,导致细菌的存留,急性智齿冠周炎主要为厌氧菌和需氧菌的混合感染[2]。临床症状为牙龈的肿胀疼痛,引起张口受限,咀嚼、吞咽困

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