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牙龈及牙周炎几种疗法的疗效观察山西省人民医院（０３００１２）郝梅近年来，我们用洁治术、刮治术加药物的综合疗法治疗牙龈及牙周炎症１７４例。１７４例患者分别采用四种进行治疗，现将观察结果，简介如下。一、一般资料：随机取自我院门诊牙龈及牙周炎患者１７４例。其中男７１例，女１０３例；年龄最大６３岁、最小１３岁。主要症状为牙龈出血、口臭、牙龈肿痛、溢浓、牙松劲、咀嚼无力等。二、治疗方法：１７４例患者随机分为四组。１．第一组（５０人）：先行洁刮治术，术后即服抗菌优０．５克／日２次；灭滴灵０．２克／日３次，同时给嗽口药。２．第二组（７５）人：先服抗菌优及灭滴灵，服法同前，药眼完后行洁刮治术，术后给予含漱药。３．第三组（１９人）：洁刮治术后服螺旋霉素０．４克／日４次／５日，给含嗽药。４．第四组（２Ｏ人）：仅服螺旋霉素及含漱药。三、观察方法１．菌斑指数（ＰＬＩ）：①记分标准：０：无菌斑；１：邻面有菌斑覆盖，覆盖面及到颊舌侧牙冠一半的１／３；２：覆盖１／３～２／３；３：覆盖２／３以上。②计算方法：各牙菌斑之和，除以牙数即为菌斑指数。③观察方法：全部患者治疗前用２％四碘荧光素染色，检查菌斑情况，记录６颗牙菌斑指数；治疗后２周、３
Gingival and periodontitis treatment of several observations Shanxi Provincial People's Hospital (030012) Hao Mei In recent years, we use the treatment of neat, curettage and drug combination therapy in the treatment of gingival and periodontal inflammation in 174 cases. 174 patients were treated with four kinds, respectively, the observations are summarized below. First, the general information: Randomly taken from our hospital outpatient gingiva and periodontitis in 174 patients. There were 71 males and 103 females; the oldest was 63 years old and the youngest was 13 years old. The main symptoms of bleeding gums, bad breath, swollen gums, overflowing thick, loose teeth, chewing weakness. Second, the treatment: 174 patients were randomly divided into four groups. 1. The first group (50): first clean curettage, antibacterial superior postoperative service 0.5 g / day 2 times; metronidazole 0.2 g / day 3 times, while giving mouth lotion medicine. 2. The second group (75): the first anti-bacterial superior and metronidazole, service method with the former, the eye after the end of clean and curettage, after giving gargle medicine. 3. The third group (19): Scrape after cure spiramycin 0.4 g / day 4 times / 5, to cough medicine. 4. The fourth group (2O): only serving spiramycin and gargle. Third, the observation method Plaque index (PLI): ① Scoring criteria: 0: no plaque; 1: adjacent plaque covered, coverage and to the buccal lingual half of the crown 1/3; 2: covering 1/3 to 2/3 3: covering 2/3 or more. Calculation method: the sum of each plaque, divided by the number of teeth that is plaque index. ③ Observation method: Before treatment, all patients were stained with 4% iodine-fluorescein, plaque condition was examined and 6 plaque index was recorded. After 2 weeks of treatment, 3