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目的:对急性牙龈出血的因素和治疗措施进行分析。方法:选取2008年10月~2013年9月我院口腔科收治的急性牙龈出血患者480例,随机分为两组,单纯组240,采用单纯性止血治疗;综合组240例,在单纯止血基础上依据出血因素进行综合治疗,对比分析两组急性牙龈出血高发因素和临床效果。结果:导致急性牙龈出血的因素为牙周局部病变、全身性疾病,综合组患者的完全止血时间、1个月随访出血率、治疗效果显著优于单纯组,差异具有统计学意义(P<0.05),两组患者均获得成功止血,未发生因急性牙龈出血导致严重不良后果或是死亡病例发生。结论:急性牙龈出血的主要致病因素可为局部牙龈病变和全身性病变引起,因此在单纯止血治疗基础上进行综合治疗,可显著提高止血效果、缩短完全止血时间、降低出血复发率。针对急性牙龈出血患者在诊断和治疗上不但要考虑到局部牙龈的病变,还要考虑全身性疾病,依据致病因素进行全面治疗。
Objective: To analyze the factors and treatment of acute gingival bleeding. Methods: A total of 480 patients with acute gingival bleeding admitted to our department from October 2008 to September 2013 were randomly divided into two groups: simple group (240 cases) and simple hemostasis (240 cases) On the basis of comprehensive treatment of bleeding factors, comparative analysis of two groups of high incidence of acute bleeding gums and clinical effects. Results: The factors leading to acute gingival bleeding were periodontal local lesions, systemic diseases, complete hemostasis time and the follow-up bleeding rate in one month. The treatment effect was significantly better than that of the simple group (P <0.05) ), Two groups of patients were successfully hemostatic, did not occur due to acute gingival bleeding caused serious adverse consequences or deaths occurred. Conclusion: The main pathogenic factors of acute gingival bleeding may be caused by local gingival lesions and systemic diseases. Therefore, the comprehensive treatment based on simple hemostasis can significantly improve the hemostatic effect, shorten the complete hemostasis time and reduce the recurrence rate of bleeding. Acute gingival bleeding in patients with diagnosis and treatment should not only take into account the local gingival lesions, but also consider systemic disease, comprehensive treatment based on risk factors.