医学临床研究
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医学临床研究  2024, Vol. 41 Issue (4): 489-491    DOI: 10.3969/j.issn.1671-7171.2024.04.003
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光动力疗法辅助治疗中度慢性牙周炎患者的临床疗效*
李夏宁1, 张梦雪1, 王智1, 赵红宇2**
1.河南大学赛思口腔医院,河南 郑州 450002;
2.郑州大学第一附属医院口腔医学中心,河南 郑州 450000
Clinical Effect of Photodynamic Therapy in the Treatment of Moderate Chronic Periodontitis
LI Xianing, ZHANG Mengxue, WANG Zhi, et al
SATH Hospital of Stomatology Henan University, Zhengzhou Henan 450002
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摘要 【目的】探讨光动力疗法(PDT)辅助治疗中度慢性牙周炎患者的临床疗效。【方法】选择2021年1月至2023年9月在河南大学赛思口腔医院诊治的26例中度慢性牙周炎患者,从每个患者中选取双侧牙周组织破坏程度接近的2颗同名牙,并按照随机数字表法分为观察组[采用根面平整术(SRP)联合PDT治疗]和对照组(采用SPR治疗),每组26颗牙。两组均行口腔卫生宣教及龈上洁治术,1周后(治疗前)记录牙周探诊深度(PD)、出血指数(BI)和探诊出血(BOP)情况,所有PD≥4 mm的牙齿均进行SRP,比较两组治疗前、治疗6周后、治疗12周后PD、BI及BOP阳性率。【结果】两组治疗前PD、BI及BOP阳性率比较,差异无统计学意义(P>0.05); 两组治疗6周后、治疗12周后PD、BI及BOP阳性率均显著低于治疗前,差异具有统计学意义(P<0.05);且观察组治疗6周后、治疗12周后PD、BI及BOP阳性率均显著低于对照组,差异有统计学意义(P<0.05)。 【结论】PDT作为SPR的辅助治疗方法,可在短期内降低PD,减轻牙龈炎症及牙龈出血情况,比单纯SPR治疗临床效果好。
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李夏宁
张梦雪
王智
赵红宇
关键词 慢性牙周炎/治疗光动力疗法治疗结果    
Abstract:【Objective】To investigate the clinical effect of photodynamic therapy (PDT) in the treatment of moderate chronic periodontitis. 【Methods】A total of 26 patients with moderate chronic periodontitis diagnosed and treated in SATH Hospital of Stomatology Henan University from January 2021 to September 2023 were selected. Two teeth with the same name with similar damage degree of bilateral periodontal tissue were selected from each patient. They were divided into the observation group (treated with SRP combined with PDT) and the control group (treated with SPR alone) according to random number table method, with 26 capsules in each group. Oral hygiene education and supragingival cleaning were performed in both groups. Periodontal probing depth (PD), bleeding index (BI) and probing bleeding (BOP) were recorded 1 week later (before treatment), and SRP was performed on all teeth with PD≥4 mm. The positive rates of PD, BI and BOP were compared between the two groups before treatment, 6 weeks after treatment and 12 weeks after treatment. 【Results】Before treatment, there was no significant difference in the positive rates of PD, BI and BOP between two groups (P>0.05). The positive rates of PD, BI and BOP after 6 weeks and 12 weeks of treatment were significantly lower than before treatment, with statistical significance (P<0.05). The positive rates of PD, BI and BOP in the observation group were significantly lower than those in the control group after 6 weeks and 12 weeks of treatment, with statistical significance (P<0.05). 【Conclusion】PDT, as an adjunct therapy for SPR, can reduce PD in the short term, relieve gingival inflammation and gingival bleeding. It has better clinical effect than SPR alone.
Key wordsChronic Periodontitis/TH    Photochemotherapy    Treatment Outcome
收稿日期: 2023-11-29     
中图分类号:  R781.42  
基金资助:*中国工程科技发展战略河南研究院2022年战略咨询研究项目(编号:2022HENYB02)
通讯作者: **E-mail:lxnstarlxn@163.com   
引用本文:   
李夏宁, 张梦雪, 王智, 赵红宇. 光动力疗法辅助治疗中度慢性牙周炎患者的临床疗效*[J]. 医学临床研究, 2024, 41(4): 489-491.
LI Xianing, ZHANG Mengxue, WANG Zhi, et al. Clinical Effect of Photodynamic Therapy in the Treatment of Moderate Chronic Periodontitis. JOURNAL OF CLINICAL RESEARCH, 2024, 41(4): 489-491.
链接本文:  
http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2024.04.003     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2024/V41/I4/489
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