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目的:观察清热消炎固齿缓释软膏局部用药辅助治疗成人慢性牙周炎(CAP)的疗效。方法:将146例CAP患者采用随机数字表法分为对照组和观察组各73例,2组均予牙周基础治疗,观察组在基础治疗后于牙周袋内放置清热消炎固齿缓释软膏,对照组放置碘甘油,比较2组患者治疗3周后牙龈指数(GI)、牙周袋深度(PD)、附着丧失(AL)的变化以及临床疗效。结果:与治疗前相比,2组治疗3周后,GI、PD、AL均较治疗前降低(P<0.05);观察组各项指标的水平均低于对照组(P<0.05)。临床疗效总有效率观察组98.7%,高于对照组的总有效率(78.0%),差异有非常显著性意义(P<0.01)。结论:清热消炎固齿缓释软膏局部用药辅助治疗CAP,在抑制牙周细菌、减少牙周袋深度以及附着水平、消除牙周炎症等方面作用显著。
OBJECTIVE: To observe the curative effect of local administration of Qingre Anti-inflammatory Retinol Ointment on adult chronic periodontitis (CAP). Methods: A total of 146 patients with CAP were divided into control group and observation group by random number table, 73 cases in each group were given basic periodontal treatment. The observation group was placed in the periodontal pocket Ointment, and control group. The changes of gingival index (GI), periodontal pocket depth (PD), attachment loss (AL) and clinical efficacy were compared between the two groups after 3 weeks of treatment. Results: Compared with those before treatment, the levels of GI, PD and AL in the two groups after treatment were lower than those before treatment (P <0.05). The levels of each index in the observation group were lower than those in the control group (P <0.05). The total effective rate of clinical observation group was 98.7%, higher than that of the control group (78.0%), the difference was significant (P <0.01). Conclusion: Local application of heat-clearing and anti-inflammatory solid oral sustained-release ointment in adjuvant treatment of CAP has significant effects on inhibiting periodontal bacteria, reducing the depth and attachment of periodontal pockets and eliminating periodontal inflammation.