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目的:观察中西医结合治疗牙周炎临床疗效。方法:将112例慢性牙周炎患者(共156颗患牙)随机分为2组各56例(78颗)。对照组采用牙周宁口服治疗,观察组在对照组基础上采用中药三黄粉治疗,均治疗4周。观察2组出血指数(BI)和牙周袋深度(PD)及附着丧失(AL)值、临床疗效。结果:第2周时,观察组BI、PD值与对照组比较,差异均有显著性意义(P<0.05)。第4周时,观察组PD值与对照组比较,差异有显著性意义(P<0.05)。第2、4周时,2组患者BI、PD值较治疗前明显下降(P<0.05);第2周时,观察组AL值与治疗前、对照组比较,差异无显著性意义(P>0.05);治疗第4周时,观察组AL值与治疗前、对照组比较,差异有显著性意义(P<0.05)。治疗总有效率观察组为91.03%,对照组为83.33%,2组比较,差异有显著性意义(P<0.05)。结论:中西医结合治疗牙周炎疗效确切,不良反应少,值得推广。
Objective: To observe the clinical efficacy of integrated traditional Chinese and western medicine in the treatment of periodontitis. Methods: A total of 112 patients with chronic periodontitis (total 156 teeth) were randomly divided into two groups of 56 patients (78). The control group was treated with periodontal oral treatment. The observation group was treated with Sanhuang powder on the basis of the control group, both for 4 weeks. The bleeding index (BI) and periodontal pocket depth (PD) and attachment loss (AL) were observed in two groups. The curative effect was observed. Results: At the second week, there were significant differences between the observation group and the control group (P <0.05). At the 4th week, the difference between the PD value of the observation group and the control group was significant (P <0.05). At the 2nd and 4th week, the BI and PD values in the two groups were significantly lower than those before the treatment (P <0.05); at the second week, the AL values in the observation group were not significantly different from those in the control group (P> 0.05). At the 4th week of treatment, there was significant difference in AL value between the observation group and the control group (P <0.05). The total effective rate was 91.03% in the observation group and 83.33% in the control group. There was significant difference between the two groups (P <0.05). Conclusion: The treatment of periodontitis with integrated traditional Chinese and western medicine has definite curative effect and few adverse reactions, which deserves promotion.