文献类型：期刊文献

中文题名：复方黄芩含漱液治疗错牙合矫治所致牙龈炎30例临床观察

英文题名：Clinical observation on 30 cases of gingivitis caused by malocclusion orthodontic treatment treated by Fufang Huangqin Hanshuye( 复方黄芩含漱液)

作者：邵长江[1];邢晓华[1];桑临惠[1];贺军权[2]

第一作者：邵长江

机构：[1]甘肃中医药大学附属医院口腔科,甘肃兰州730020;[2]甘肃省药品检验研究院业务科,甘肃兰州730050

第一机构：甘肃中医药大学第二附属医院

年份：2021

卷号：38

期号：5

起止页码：59

中文期刊名：甘肃中医药大学学报

外文期刊名：Journal of Gansu University of Chinese Medicine

语种：中文

中文关键词：牙龈炎;错牙合矫治;复方黄芩含漱液;牙龈指数;菌斑指数;龈沟出血指数;临床疗效

外文关键词：gingivitis;malocclusion orthodontic treatment;Fufang Huangqin Hanshuye(复方黄芩含漱液);gingival index;dental plaque index;sulcus bleeding index(SBI);clinical efficacy

摘要：目的观察复方黄芩含漱液对错牙合矫治所致牙龈炎的临床疗效。方法将60例错牙合矫治所致牙龈炎患者采用随机数字表法分为治疗组和对照组,各30例。治疗组使用复方黄芩含漱液含漱,每日3次,每次15 m L,每次含漱3 min,漱后30 min内禁食水;对照组同法使用生理盐水含漱。治疗4周后比较2组的临床疗效以及治疗前后的牙龈、菌斑、龈沟出血指数评分,菌斑菌群结构。结果对照组总有效率为83.3%(25/30),治疗组为96.7%(29/30),2组比较差异有统计学意义(P<0.05)。治疗后2组患者牙龈、菌斑、龈沟出血指数评分均明显降低,与同组治疗前比较差异有统计学意义(P<0.05),且治疗组降低更明显,与对照组治疗后比较差异均有统计学意义(P<0.05)。治疗后治疗组患者菌斑G+球菌百分比明显升高,G+杆菌、G-杆菌、螺旋体百分比明显降低,对照组患者菌斑G+球菌百分比明显升高,G-杆菌百分比明显降低,与同组治疗前比较差异均有统计学意义(P<0.05);治疗后治疗组患者菌斑G+球菌百分比明显高于对照组,G-杆菌、螺旋体百分比明显低于对照组,2组比较差异均有统计学意义(P<0.05)。结论复方黄芩含漱液治疗错牙合矫治所致牙龈炎疗效确切,可有效改善患者的临床症状,优化口腔内环境,提高错牙合矫治效果,具有良好的临床应用推广价值。
Objective To observe the clinical efficacy of Fufang Huangqin Hanshuye( 复方黄芩含漱液) on gingivitis caused by malocclusion orthodontic treatment. Methods Sixty cases of gingivitis caused by malocclusion orthodontic treatment were divided into treatment group and control group according to random number table method,with 30 cases in each group. The treatment group gargled with Fufang Huangqin Hanshuye,3 times a day,15 m L each time,with a gargle for 3 min each time,and abstained from food and water within 30 min after gargle. The control group gargled with normal saline using the same method. After 4 weeks of treatment,the clinical efficacy,gingiva index,dental plaque index,gingival sulcus bleeding index( SBI) scores and structure of dental plaque and flora before and after treatment were compared between the 2 groups. Results The total effective rate was 83.3%( 25/30) in the control group and 96.7%( 29/30) in the treatment group. There was statistically significant difference between the 2 groups( P<0.05). After treatment,the scores of gingiva index,dental plaque index and gingival SBI in the 2 groups significantly decreased than those in the same group before treatment( P < 0.05),and the decrease in the treatment group was more significant,and the differences were statistically significant compared with those in the control group after treatment( P < 0.05). After treatment,the percentage of G+cocci in the treatment group increased significantly,and the percentage of G+bacilli,G-bacilli and spirochetes decreased significantly.The percentage of G+cocci in the control group increased significantly,and the percentage of G-bacilli decreased significantly,and the difference was statistically significant compared with those in the same group before treatment( P<0.05). After treatment,the percentage of plaque G+cocci in the treatment group was significantly higher than that in the control group,and the percentages of G-bacilli and spirochetes therein were significantly lower than those in the control group,and the differences were statistically significant between the 2 groups( P<0.05). Conclusion It has definite efficacy,can effectively improve the clinical symptoms of the patients,optimize the oral environment and improve the effects of malocclusion orthodontic treatment to gargle with Fufang Huangqin Hanshuye for gingivitis caused by malocclusion orthodontic treatment,which has good clinical application and popularization value.