清胃泻火汤治疗菌斑性牙龈炎胃火炽盛证临床研究
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Clinical Study on Qingwei Xiehuo Tang for Plaque Gingivitis with Syndrome of Intense Stomach Heat
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    摘要:

    目的:观察清胃泻火汤治疗菌斑性牙龈炎胃火炽盛证的临床疗效。方法:选取92 例菌斑性牙龈炎胃火炽盛证患者,按随机数字表法分成对照组和研究组,每组46 例。对照组给予超声波洁治和氯己定含漱液等常规治疗,研究组在对照组基础上给予清胃泻火汤治疗,2 组均治疗2 周。比较2 组临床疗效,比较2 组治疗前后牙菌斑指数(PLI)、牙龈指数(GI)、龈沟出血指数(SBI) 及龈沟液中肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)、白细胞介素-8(IL-8) 水平,记录不良反应。结果:研究组总有效率97.83%,高于对照组82.61%(P<0.05)。治疗后,2 组PLI、GI、SBI 均较治疗前降低(P<0.05),研究组PLI、GI、SBI 均低于对照组(P<0.05)。治疗后,2 组龈沟液中TNF-α、IL-6、IL-8 水平均较治疗前降低(P<0.05),研究组龈沟液中TNF-α、IL-6、IL-8 水平均低于对照组(P<0.05)。治疗期间,2 组均无明显不良反应发生。结论:清胃泻火汤治疗菌斑性牙龈炎胃火炽盛证疗效显著,能有效改善患者的牙周环境,降低龈沟液中炎症因子水平,且安全性好。

    Abstract:

    Abstract: Objective: To observe the clinical effect of Qingwei Xiehuo tang on the treatment of plaque gingivitis with syndrome of intense stomach heat. Methods: A total of 92 patients with plaque gingivitis with syndrome of intense stomach heat were selected and divided into the control group and the study group according to random number table method,with 46 cases in each group. The control group was given ultrasonic cleaning, chlorhexidine gargle and other conventional treatments, and the study group was additionally given Qingwei Xiehuo tang based on the treatment of the control group. Both groups were treated for two weeks.The clinical effects in the two groups were compared. The levels of Plaque Index (PLI),Gingival Index(GI) and Sulcus Bleeding Index(SBI) as well as levels of tumor necrosis factor- α(TNF-α),interleukin-6 (IL- 6) and interleukin- 8(IL- 8) in gingival crevicular fluid in both groups were compared before and after treatment. The adverse reactions were recorded. Results: The total effective rate was 97.83% in the study group, higher than that of 82.61% in the control group(P<0.05). After treatment,the levels of PLI,GI and SBI in both groups were decreased when compared with those before treatment(P<0.05),and the above three levels in the study group were lower than those in the control group(P<0.05). After treatment,the levels of TNF-α,IL-6 and IL-8 in gingival crevicular fluid in both groups were decreased when compared with those before treatment(P<0.05),and the above three levels in gingival crevicular fluid in the study group were lower than those in the control group(P<0.05). During treatment,no obvious adverse reactions occurred in both groups. Conclusion:Qingwei Xiehuo tang has a significant therapeutic effect on the treatment of plaque gingivitis with syndrome of intense stomach heat, which can effectively improve the periodontal environment of patients and reduce the levels of inflammatory factors in gingival crevicular fluid with great safety.

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周玉洁.清胃泻火汤治疗菌斑性牙龈炎胃火炽盛证临床研究[J].新中医,2022,54(12):159-161

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  • 在线发布日期: 2022-06-22
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