摘要
目的:评价和比较三种不同的漱口液对牙周手术后早期伤口愈合和牙菌斑控制的效果。方法:选择2018年6月~2018年10月期间在本院口腔科接受牙周手术治疗的45例患者作为研究对象。将受试者随机分配到三个使用不同漱口液组中:A组(含酒精的西吡氯铵),B组(不含酒精的CHX),C组(含酒精的CHX)。分别在术后第7天和第14天评估早期伤口愈合指数(EHI)和牙菌斑指数(PI)、牙菌斑覆盖的百分比(P%)。结果:在术后第7天,组间比较没有发现显著差异。在术后第14天,C组的EHI值显著低于B组。术后第7天与第14天组内比较显示,A组和C组EHI值显著降低,但B组未显示显著变化。在术后第14天,组间比较显示,B组和C组的PI值和P%均显著低于A组。结论:酒精的存在可能增加CHX在伤口早期愈合反应中的作用,并且酒精性CHX在术后斑块控制方面优于西吡氯铵和无酒精性CHX。
Objective To evaluate and compare the effectiveness of three different mouthrinses in plaque control and early wound healing after periodontal flap surgery.Methods Forty-five patients who underwent periodontal surgery from June 2018 to October 2018 were selected as the study subjects.The subjects were randomly assigned to three groups using different mouthwashes:group A(alcohol-based cetylpyridinium chloride),group B(alcohol-free CHX),and group C(alcohol-based CHX).At the 7th and 14th day after operation,early wound healing index(EHI),plaque index(PI)and percentage of plaque coverage(P%)were recorded,respectively.Results At day 7,healing response was not significantly different among groups.At day 14,EHI in group C was significantly lower than that in group B.Between 7th and 14th postsurgical day,a significant reduction of EHI values was revealed at groups A and C,but not at group B.At day 14,the PI value and P%in group B and C were significantly lower than those in group A.Conclusions Alcohol may increase the role of CHX in early wound healing,and alcoholic-based CHX is superior to C31G and alcoholic-free CHX in plaque control after operation.
作者
朱志颖
何淼
孙静雅
Zhu Zhi-ying;He Miao;Sun Jing-ya(Department of Stomatology,Wu Jing Te Se Yi Xue Zhong Xin,Tianjin 300162,China)
出处
《湖南师范大学学报（医学版）》
2020年第6期152-155,共4页
Journal of Hunan Normal University(Medical Sciences)
关键词
氯己定
酒精
西吡氯铵
漱口水
牙周手术
伤口愈合
牙菌斑
chlorhexidine
alcohol
cetylpyridinium chloride
mouthrinses
periodontal surgery
wound healing
plaque
