摘要
目的 评价复方甘菊利多卡因凝胶在超声龈上洁治术中的抗菌及镇痛疗效,以期为临床舒适化诊疗提供依据。方法 按照纳入标准选取菌斑性龈炎患者30例,按照自身对照的方法,采取抛硬币的方式将患者左右半口分别分为试验组与对照组,在超声龈上洁治术前于龈沟内置入适量复方甘菊利多卡因凝胶的一侧为试验组,对照组使用同一注射针管进行模拟注射药物(实则并未有药物注入龈沟),洁治术后采用视觉模拟量表(visual analog scale,VAS)记录术中疼痛数值并评价镇痛效果;同时采集洁治前、洁治后1周的龈下菌斑,PCR法检测牙龈卟啉单胞菌(porphyromonas gingivalis,Pg)的量。结果 试验组与对照组在超声龈上洁治术中的VAS值,经配对t检验,差异有统计学意义(P<0.05);洁治后试验组Pg的检出率少于对照组,但无统计学差异(P>0.05)。结论 超声龈上洁治术中应用复方甘菊利多卡因凝胶具有一定抗菌效果,还能够有效减少患者的酸软、疼痛等不适,具有一定的临床应用前景。
Objective To evaluate the antimicrobial and analgesic effect of compound chamomile lidocaine gel(CCLG)in ultrasonic scaling so as to provide basis for clinical comfort. Methods Selected according to the inclusion criteria for patients 30 cases of ultrasonic scaling on the ruling, in accordance with the method of self-reflection,flip a coin on the patients about half a mouth as the test group and control group respectively, the ultrasonic gum on clean governance in gingival sulcus preoperatively in a moderate amount of compound chamomile lidocaine gel side as the test group, control group use the same injection needles to pretent injectable drugs, but did not have a drug into the gingival sulcus, this operation which ensure that patients cannot perceive side injection drug;Visual analogue scale(VAS) was used to record intraoperative pain and evaluate the analgesic effect after detoxification;at the same time, subgingival plaques were collected before and 1 week after scaling, and Pg was detected by PCR. Results VAS values of the test group and the control group in ultrasonic supragival scaling were statistically significant(P<0.05);After scaling, the detection rate of subgingival Pg in the test group was less than that in the control group, but there was no difference between groups(P >0.05). Conclusion The application of CCLG in ultrasonic scaling has a certain antibacterial effect, and can effectively reduce the patient’s discomfort, such as acid and soft pain, which has a good clinical application prospect.
作者
宿瑞婷
何晓宇
石晶
SU Ruiting;HE Xiaoyu;SHI Jing(Shanxi Medical University School and,Hospital of Stomatology,Taiyuan 030001)
出处
《现代口腔医学杂志》
CAS
2022年第1期15-18,共4页
Journal of Modern Stomatology
基金
山西省卫生健康委员会科研项目资助(2020TD17)。
关键词
超声龈上洁治术
复方甘菊利多卡因凝胶
镇痛
菌斑
Ultrasonic supragingival scaling
Compound chamomile lidocaine gel
Analgesia
Bacteria
