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超声龈下清创联合手工根面平整术治疗重度牙周炎的临床效果 被引量:11
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作者 闫乐 王宪娥 +6 位作者 詹雅琳 苗莉莉 韩烨 张楚人 岳兆国 胡文杰 侯建霞 《北京大学学报(医学版)》 CAS CSCD 北大核心 2020年第1期64-70,共7页
目的:比较超声龈下清创术和超声龈下清创联合手工根面平整术的临床效果,探讨超声龈下清创术后实施手工根面平整术的临床必要性。方法:选择2017年10月至2018年10月在北京大学口腔医院牙周科就诊的符合纳入标准的23例重度牙周炎患者,采用... 目的:比较超声龈下清创术和超声龈下清创联合手工根面平整术的临床效果,探讨超声龈下清创术后实施手工根面平整术的临床必要性。方法:选择2017年10月至2018年10月在北京大学口腔医院牙周科就诊的符合纳入标准的23例重度牙周炎患者,采用分口设计的方法,洁治后进行基线检查及随机分组,上、下颌各有一个象限为试验组,单纯采用超声龈下清创联合手工根面平整术治疗,另两个象限为对照组,单纯采用超声龈下清创术治疗,每位患者分上、下半口两次完成治疗,间隔1周,在治疗后2周、1个月、3个月及6个月时随访,记录并比较治疗前后组内及组间探诊深度(probing depth,PD)、临床附着丧失(clinical attachment loss,CAL)和出血指数(bleeding index,BI)的变化。结果:基线时,试验组和对照组的各项临床指标差异无统计学意义,治疗后试验组和对照组的PD、CAL及BI较治疗前均有显著改善。治疗后1个月及3个月,试验组PD减少量均高于对照组,差异有统计学意义[1个月:(2.13±1.31)mm vs.(1.79±1.33)mm,P<0.01;3个月:(2.46±1.33)mm vs.(2.17±1.38)mm,P<0.01],试验组CAL减少量均高于对照组,差异有统计学意义[1个月:(1.89±2.03)mm vs.(1.65±1.93)mm,P<0.01;3个月:(2.03±2.05)mm vs.(1.83±1.97)mm,P<0.05];术后6个月,试验组PD减少量为(2.52±1.40)mm,对照组PD减少量为(2.35±1.37)mm,试验组的改善优于对照组(P<0.01);两组CAL分别减少了(1.89±2.14)mm和(1.77±2.00)mm,差异无统计学意义(P>0.05)。治疗后1、3及6个月两组的BI有所改善,但差异无统计学意义(P>0.05)。结论:与超声龈下清创术相比,超声龈下清创联合手工根面平整术能更有效地降低牙周袋深度及减少临床附着丧失,临床上有必要在超声龈下清创后使用手工器械进行根面平整,以获得更好的临床效果。 展开更多
关键词 重度牙周炎 超声龈下清创联合手工根面平整术 超声龈下清创术 分口对照
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A comparison of the effects of Kangfuxin liquid and watermelon frost spray for recurrent aphthous stomatitis:A meta-analysis 被引量:1
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作者 Yingguang Sun Yuanyuan Yue +3 位作者 Jiemin Shao Meng Gao Yanru Deng Yunjia Feng 《Journal of Chinese Pharmaceutical Sciences》 CAS CSCD 2022年第10期761-772,共12页
Through a meta-analysis,we comprehensively evaluated the clinical efficacy and safety of Kangfuxin liquid(KFXL)in patients with recurrent aphthous stomatitis(RAS).Randomized controlled clinical trials(RCTs)involving R... Through a meta-analysis,we comprehensively evaluated the clinical efficacy and safety of Kangfuxin liquid(KFXL)in patients with recurrent aphthous stomatitis(RAS).Randomized controlled clinical trials(RCTs)involving RAS patients treated with KFXL were systematically retrieved from several online databases from inception to December 2021.All the study selection,data extraction,and quality assessments were performed by two independent investigators using the Cochrane systematic review method.The total effective rate,VAS pain score,recurrence rate,and ulcer healing time were analyzed using Rev Man 5.3 software and Stata 16.0.A total of 17 studies consisting of 1703 patients were included in our investigation.The pooled result indicated that when compared with watermelon frost spray(WFS),KFXL had a significantly superior clinical effectiveness rate(logRR=0.19,95%CI:0.15 to 0.22,P<0.00001).Moreover,the ulcer healing time(MD=–1.63,95%CI=–2.32 to–0.93,P<0.00001),VAS pain score(MD=–1.81,95%CI:–2.65 to–0.97,P=0.00),and recurrence rate(logRR=–0.65,95%CI=–0.89 to 0.42,P<0.00001)of patients with RAS were also significantly improved after receiving the KFXL therapy.Our study revealed that KFXL was a more effective treatment for RAS than WFS,and it could significantly decrease the VAS pain score,recurrence rate,and ulcer healing time in patients.However,our study was limited by the quality of available literature,and further robust trials are needed for a more accurate analysis. 展开更多
关键词 Recurrent aphthous stomatitis Chinese traditional medicine META-ANALYSIS Randomized controlled trial Kangfuxin liquid
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