摘要
目的:探讨复方甘菊利多卡因凝胶治疗智齿冠周炎的临床效果。方法:选取2019年12月~2020年12月在河北医科大学口腔医院治疗的108例智齿冠周炎患者,其中对照组54例患者选用局部冲洗+盲袋内注满碘甘油;54例实验组选用局部涂抹复方甘菊利多卡因凝胶+局部冲洗+盲袋内注满复方甘菊利多卡因凝胶。两组患者持续治疗+观察7 d。观察比较两组的临床疗效、两组患者治疗时疼痛程度、龈沟出血指数(SBI),牙龈指数(GI)、临床症状缓解时间。结果:两组临床疗效比较,实验组总显效率(96.67%)显著高于对照组(78.33%,P<0.05)。在治疗过程中Wong-Baker面部表情评分显示实验组35.2%认为有点痛;1.8%认为疼痛严重;0认为疼痛剧烈,人数均少于对照组但无统计学差异(P>0.05)。实验组1.8%认为无痛,29.6%认为疼痛明显,人数多于对照组,但无统计学差异(P>0.05)。MCHEOPS评分实验组分数低于对照组,但无统计学差异(P>0.05)。治疗后,两组GI、SBI均降低(P<0.05);且实验组牙周指标降低较明显(P<0.05)。实验组牙龈红肿疼痛、张口受限缓解时间、牙龈出血消失时间明显短于对照组(P<0.05)。结论:复方甘菊利多卡因凝胶治疗智齿冠周炎具有较好的治疗效果,能够明显缓解炎症,减轻治疗疼痛,增加患者舒适体验,同时缩短治疗时间,减少就诊次数,值得在临床上推广应用。
Objective:To explore the clinical effect of Compound Chamomile and Lidocaine Hydrochloride Gel in the treatment of wisdom tooth periodontitis.Methods:A total of 108 patients with wisdom tooth periodontitis treated in the Stomatological Hospital of Hebei Medical University from December 2019 to December 2020 were selected.Among them,54 patients in the control group were treated with local irrigation plus Iodine glycerol in the blind bag.Fifty-four cases in the experimental group were treated with a local smear of Compound Chamomile and Lidocaine Hydrochloride Gel+local irrigation+the blind bag filled with Compound Chamomile and Lidocaine Hydrochloride Gel.Both groups were treated continuously and observed for 7 days.The clinical efficacy,degree of pain,sulcus bleeding index(SBI),gingival index(GI),and clinical symptom relief time of both groups were observed and compared.Results:The total effective rate of experimental group(96.67%)was significantly higher than that of control group(78.33%,P<0.05).During the treatment,Wong-Baker facial expression score showed that 35.2%of the experimental group thought it was a little painful;1.8%thought it was severe;0 thought it was severe,and the number of patients in the experimental group was less than that in the control group,but there was no statistical difference(P>0.05).In the experimental group,1.8%thought it was painless and 29.6%thought it was obvious.The number of patients in the experimental group was more than that in the control group,but there was no statistical difference(P>0.05).MCHEOPS score of the experimental group was lower than that of the control group,but there was no significant difference(P>0.05).After treatment,GI and SBI decreased in both groups(P<0.05),and periodontal index decreased significantly in the experimental group(P<0.05).The relief time of gingival swelling and pain,limited mouth opening,and disappearance time of gingival bleeding in the experimental group were significantly shorter than those in the control group(P<0.05).Conclusion:Compound Chamomile and Lidocaine Hydrochloride Gel has a good therapeutic effect in the treatment of wisdom tooth periodontitis.It can obviously relieve inflammation,relieve pain,increase patient's comfort experience,shorten treatment time,and reduce the number of visits.
作者
李宁
孙旭
张晓
陈瑞雪
LI Ning;SUN Xu;ZHANG Xiao;CHEN Ruixue(Department of Prosthodontics, Hebei Key Laboratory of Stomatology,Hebei Clinical Research Center for Oral Diseases, School and Hospital of Stomatology, Hebei Medical University, Shijiazhuang 050017, China.)
出处
《口腔医学研究》
CAS
CSCD
北大核心
2021年第10期914-918,共5页
Journal of Oral Science Research
基金
2020年度河北省医学科学研究课题计划(编号:20200127)
国家级大学生创新性实验计划项目(编号:USIP2018005)
河北省卫生计生委医学科学研究重点课题计划(编号:20180602)
河北省政府资助专科能力建设和带头人培养项目(课题编号:361029)。
关键词
复方甘菊利多卡因凝胶
智齿冠周炎
龈沟出血指数
牙龈指数
Compound Chamomile and Lidocaine Hydrochloride Gel
wisdom tooth periodontitis
sulcus bleeding index
gingival index
