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目的:观察口炎清颗粒治疗慢性牙周炎的疗效、安全性及对炎性细胞因子的影响。方法:110例慢性牙周炎患者随机分为对照组(55例)和观察组(55例)。对照组患者接受详细的口腔卫生指导、全口龈上洁治、龈下刮治和根面平整等常规治疗;观察组患者在对照组治疗的基础上给予口炎清颗粒20 g,开水冲服,每日2次。两组疗程均为4周。观察两组患者的临床疗效,治疗前后菌斑指数(PLI)、牙龈指数(GI)、牙周探诊深度(PD)、临床附着水平(CAL)、白细胞介素17(IL-17)和IL-21水平及不良反应发生情况。结果:两组患者均完成治疗,无失访患者。观察组患者总有效率显著高于对照组,差异有统计学意义(P<0.05)。治疗后,两组患者PLI、GI、PD、CAL、IL-17和IL-21水平均显著低于同组治疗前,且观察组显著低于对照组,差异均有统计学意义(P<0.05)。两组患者不良反应发生率比较,差异无统计学意义(P>0.05)。结论:在常规治疗的基础上,口炎清颗粒治疗慢性牙周炎的疗效显著,可显著改善牙周症状,降低炎性细胞因子水平,且未增加不良反应的发生。
OBJECTIVE: To observe therapeutic efficacy and safety of Kouyanqing granules for chronic periodontitis and it effects on inflammatory cytokine. METHODS: 110 patients with chronic periodontitis were divided into control group (55 cases) and observation group (55 cases). Control group accepted the periodontal basic treatment as oral hygiene instruction, supragingival scaling, subgingival scaling and root planning. Observation group was additionally given Kouyanqing granules 20 g orally, twice a day, on the basis of control group. Both groups were treated for 4 weeks. Clinical efficacies of 2 groups were observed as well as the levels of plaque index(PLI),gingival index (GI), probing depth(PD), clinical attachment level(CAL), IL-17,IL-21, and the occurrence of ADR. RESULTS: Both groups completed the treatment, and no patient lost to follow up. Total response rate of observation group was significantly higher than that of control group, with statistical significance (P<0.05). After treatment, the levels of PLI,GI, PD, CAL, IL-17 and IL-21 in 2 groups were significantly lower than before, and the observation group was significantly lower than the control group, with statistical significance (P<0.05). There was no statistical significance in the incidence of ADR between 2 groups (P>0.05). CONCLUSIONS: Based on routine treatment, Kouyanqing granules show significant therapeutic efficacy for chronic periodontitis, can significantly improve periodontal symptom and reduce inflammatory factor level, but do not increase the incidence of ADR.
慢性牙周炎口炎清颗粒炎性细胞因子疗效安全性
Chronic periodontitisKouyanqing granulesInflammatory cytokineTherapeutic efficacySafety
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