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中文摘要: 目的 探讨牙周基础治疗联合抗生素对中重度慢性牙周炎患者IL-33、IL-6的影响。方法 选取上海市闵行区浦江镇社区卫生服务中心2016年12月—2018年12月接诊的78例中重度慢性牙周炎患者进行研究。根据治疗方法的不同,将其均分为对照组和观察组。对照组采取牙周基础治疗,观察组在对照组的基础上联合抗生素治疗。比较分析两组患者治疗后的有效率,治疗前和治疗后3个月的白细胞介素-33(IL-33)、白细胞介素-6(IL-6)、C-反应蛋白(CRP)、肿瘤坏死因子(TNF-α)水平、牙周指标(牙龈指数、龈沟出血指数、探诊后出血指数以及牙周袋深度)以及不良反应情况。结果 观察组患者总有效率(94.87%)明显高于对照组(79.48%),差异有统计学意义(P<0.05)。治疗前,两组患者的IL-33、IL-6、CRP、TNF-α、GI、SBI、BOP和PD水平差异无统计学意义(P>0.05)。治疗3个月后,观察组IL-33、IL-6、CRP、TNF-α、GI、SBI、BOP和PD水平均明显低于对照组,差异有统计学意义(P<0.05)。观察组不良反应发生率明显低于对照组,差异有统计学意义(P<0.05)。结论 牙周基础治疗联合抗生素能够改善中重度慢性牙周炎患者的血清炎性因子水平和牙周指标,且预后良好,值得临床上应用及推广。
Abstract:Objective To investigate the effect of periodontal foundation therapy combined with antibiotics on IL-33 and IL-6 in patients with moderate to severe chronic periodontitis.Methods 78 patients with moderate or severe chronic periodontitis admitted to our hospital from December 2016 to December 2018 were selected.According to different treatment methods, they were equally divided into control group and observation group.The control group received basic periodontal treatment, while the observation group was treated with antibiotics on the basis of the control group.The effective rate of the two groups after treatment was compared and analyzed. The levels of interleukin-33 (IL-33), interleukin-6 (IL-6), C-reactive protein (CRP), tumor necrosis factor-alpha (TNF-alpha), periodontal index (GI, GI bleeding index, bleeding index after exploration) and periodontal pocket depth were measured before and after treatment for 3 months. And adverse reactions.Results The total effective rate of the observation group (94.87%) was significantly higher than that of the control group (79.48%), with statistical significance (P<0.05). Before treatment, there was no significant difference in the levels of IL-33, IL-6, CRP, TNF-a, GI, SBI, BOP and PD between the two groups (P>0.05). After 3 months of treatment, the levels of IL-33, IL-6, CRP, TNF-a, GI, SBI, BOP and PD in the observation group were significantly lower than those in the control group (P<0.05). The incidence of adverse reactions in the observation group was significantly lower than that in the control group, with statistical significance (P<0.05).Conclusions Periodontal basic therapy combined with antibiotics can improve serum inflammatory factors and periodontal indexes in patients with moderate to severe chronic
periodontitis, and the prognosis is good, which is worthy of clinical application and promotion.
keywords: Periodontal basic therapy antibiotics chronic periodontitis interleukin -33 interleukin -6
文章编号:3201812032 中图分类号:R781.4 文献标志码:
基金项目:
| 作者 | 单位 |
| 李业贤① , 郑东学② |
| Author Name | Affiliation |
引用文本:
