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目的:比较洁、刮治术和切开引流术治疗急性牙周脓肿的临床疗效。方法 :将100例急性牙周脓肿患者随机分为2组,分别采用洁、刮治术(实验组)和切开引流术(对照组)作为急症处理的治疗方法,检查并记录患者治疗后1、7、30 d的主观临床症状(疼痛、肿胀、浮起感、龈红肿)和客观临床指标(GI、BI、PD、溢脓、淋巴结肿大、患牙松动度),采用SPSS 19.0软件包对检查结果进行统计学分析。结果:对主观症状的改善,2种方法均在治疗后第1天即有效果,且治疗后30 d仍保持疗效(P<0.05),但治疗后第1、7天的效果实验组优于对照组(P<0.05);治疗后第30天,2种方法改善疼痛、肿胀的差异不大(P>0.05),但实验组对浮起感、龈红肿的改善效果优于对照组(P<0.05)。对客观检查指标的改善,实验组在治疗后第1天GI、BI、PD、溢脓即有改善(P<0.05);治疗后第7天,实验组所有检查指标均有改善(P<0.05),而对照组仅GI、溢脓、淋巴结肿大、松动度有改善(P<0.05),且效果差于实验组(P<0.05);治疗后第30天,2组各检查指标均较治疗前有显著改善(P<0.05);但实验组GI、BI、PD、溢脓、松动度的改善效果优于对照组(P<0.05)结论:治疗急性牙周脓肿,洁、刮治术是一种快速有效改善临床症状及牙周炎症状况且疗效维持时间较长的治疗方法。
Objective: To compare the clinical effect of clean, curettage and incision and drainage in the treatment of acute periodontal abscess. Methods: A total of 100 patients with acute periodontal abscess were randomly divided into two groups. The patients were treated with radical sclerectomy (experimental group) and incision and drainage (control group) respectively. The patients were treated 1 , Subjective clinical symptoms (pain, swelling, floating feeling, gingival swelling) and objective clinical indicators (GI, BI, PD, empyema, lymph nodes enlargement and diseased teeth) at 7 and 30 days. SPSS 19.0 software package The test results for statistical analysis. Results: The improvement of subjective symptoms were effective on the first day after treatment and remained effective on the 30th day after treatment (P <0.05), but the effect of the first and the seventh day after treatment was better than that of the experimental group (P <0.05). On the 30th day after treatment, the pain relief and swelling of the two methods were not significantly different (P> 0.05). However, the improvement effect of the experimental group on floating feeling and gingival swelling was better than that of the control group <0.05). On the first day after treatment, GI, BI, PD and overflow pus improved in the experimental group (P <0.05). On the 7th day after treatment, all the test indexes in the experimental group were improved (P <0.05 ), While the control group had only GI, pus, swollen lymph nodes and looseness (P <0.05), and the effect was worse than that of the experimental group (P <0.05). On the 30th day after treatment, The improvement of GI, BI, PD, overflow pus and loosening degree in the experimental group was better than that of the control group (P <0.05). Conclusion: The treatment of acute periodontal abscess, Is a rapid and effective treatment to improve clinical symptoms and periodontal inflammation and maintain a longer duration of treatment.