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目的:研究中西医结合方法治疗牙周-牙髓联合病变的临床效果。方法:选取牙周-牙髓联合病变患者80例,随机分为对照组和观察组各40例,对照组患者采用常规西医治疗方法,观察组患者在常规西医治疗方法基础上采用中医治疗方法。比较两组患者治疗后牙龈指数(GI)、牙周袋深度(PD)、牙菌斑指数(PLI)、牙龈出血指数(SBI)、探针出血(BOP)等临床指标及不良反应。结果:经过治疗,观察组患者总有效率为95.0%,高于对照组的72.5%,差异有统计学意义(P<0.05)。观察组患者牙周指数改善情况、患牙保留率均优于对照组,差异有统计学意义(P<0.05)。结论:中西医结合治疗牙周-牙髓联合病变的临床治疗效果优于单纯西医根管治疗,其抗菌效果更强,患牙保留率更高。
Objective: To study the clinical effect of integrated traditional Chinese and western medicine on periodontal-endodontic diseases. Methods: Eighty patients with periodontal-endodontic disease were randomly divided into control group and observation group of 40 cases each. Patients in control group were treated by conventional western medicine. Patients in observation group were treated by traditional Chinese medicine. The clinical indexes and adverse reactions such as gingival index (GI), periodontal pocket depth (PD), plaque index (PLI), gingival bleeding index (SBI) and probe bleeding (BOP) were compared between the two groups. Results: After treatment, the total effective rate in observation group was 95.0%, which was higher than that in control group (72.5%), the difference was statistically significant (P <0.05). The observation group patients with periodontal index improvement, tooth retention rate were better than the control group, the difference was statistically significant (P <0.05). Conclusion: The combination of traditional Chinese and western medicine in the treatment of periodontal-endodontic joint lesions is better than the simple Western root canal therapy, its antibacterial effect is stronger and the tooth retention rate is higher.