本文關(guān)鍵詞： 補腎固齒丸 錐形束CT 牙槽骨 牙周基礎(chǔ)治療 牙周炎　出處：《遵義醫(yī)學(xué)院》2014年碩士論文　論文類型：學(xué)位論文

【摘要】：目的：使用補腎固齒丸輔助牙周基礎(chǔ)治療，應(yīng)用錐形束CT(Cone Beam ComputedTomography,CBCT)及相關(guān)軟件檢測牙周炎患者牙槽骨的改變，以觀察補腎固齒丸輔助牙周基礎(chǔ)治療的臨床療效。 方法：本次研究采用對照實驗法，符合中醫(yī)辯證的陰虛火旺型診斷標準的慢性牙周炎患者40例，分為給藥組（n=20）和對照組（n=20）。治療前檢查并記錄各項臨床指數(shù)，包括臨床附著喪失（clinicalat,CAL）、牙周袋探診深度（crobing depth,PD）、牙齦探診出血指數(shù)（bleeding on probing,BOP）、出血指數(shù)（bleeding Index,BI）和中醫(yī)癥候評分，治療前通過CBCT對患者進行影像拍攝，再由兩名口腔醫(yī)師分別在圖像上重復(fù)測量牙槽骨高度。所有患者均接受牙周基礎(chǔ)治療，同時給藥組服補腎固齒丸輔助治療、對照組服維生素C，3個月后行二次臨床檢查及CBCT檢查，統(tǒng)計對比兩組患者治療前、治療后的臨床指標及CBCT測量的牙槽骨高度。將治療前后牙槽骨高度變化值、中醫(yī)癥候評分變化值作為兩個變量，進行線性相關(guān)分析。 結(jié)果：1、兩名口腔醫(yī)師的測量結(jié)果不存在統(tǒng)計學(xué)差異；2、CBCT測量結(jié)果顯示兩組患者治療后平均牙槽骨高度均較治療前增加，且給藥組的牙槽骨高度增加較對照組明顯（P0.05），，兩組患者治療后部分牙周指數(shù)較治療前增加，且給藥組改善的程度明顯優(yōu)于對照組（P0.05）；3、直線相關(guān)分析結(jié)果顯示，牙周炎患者的中醫(yī)癥候評分減少值與牙槽骨高度增加值呈正相關(guān)（r=0.945）。 結(jié)論：1、補腎固齒丸作為牙周基礎(chǔ)治療的輔助手段有助于進一步促進牙周炎患者的牙槽骨修復(fù)。2、錐形束CT及相關(guān)軟件可作為臨床科研中的監(jiān)測手段，通過準確測量牙周炎患者牙槽骨高度在臨床治療中的變化，能夠較準確評估治療方案的效果，同時可為進一步治療提供指導(dǎo)意義。
[Abstract]:Objective: to apply the conical bundle CT(Cone Beam ComputedTomography to the basic periodontal treatment with Bushen Guya Pill. The changes of alveolar bone in patients with periodontitis were detected by CBCTand related software. Methods: 40 patients with chronic periodontitis who met the diagnostic criteria of yin deficiency and fire hypertrophy were studied by control experiment. The patients were divided into two groups: the control group (n = 20) and the control group (n = 20). The clinical indexes were examined and recorded before treatment, including clinical attachment loss. The depth of periodontal pouch exploration was used to detect PD, and the bleeding index of gingival probing was bleeds on probing BOP). Bleeding index index (BI) and TCM symptom score were taken by CBCT before treatment. The height of alveolar bone was measured repeatedly by two stomatologists respectively on the image. All the patients were treated with periodontal basic therapy, while the patients in the medication group were treated with Bushen Guya pills and the control group were treated with vitamin C. After 3 months, two clinical examinations and CBCT examination were performed. The clinical indexes and alveolar bone height measured by CBCT before and after treatment were compared statistically. The changes of alveolar bone height before and after treatment were compared. As two variables, the change value of TCM symptom score was analyzed by linear correlation. Results there was no statistical difference in the measurement results between the two dentists. 2 the results of CBCT measurement showed that the mean alveolar bone height in the two groups was higher than that before treatment, and the alveolar bone height in the administration group was significantly higher than that in the control group (P 0.05). The periodontal index of the two groups after treatment was higher than that before treatment, and the degree of improvement in the treatment group was significantly better than that in the control group (P 0.05). 3. The results of linear correlation analysis showed that there was a positive correlation between the decrease of TCM symptom score and the increase of alveolar bone height in patients with periodontitis. Conclusion Bushen Goodtooth Pill as an auxiliary method of periodontal basic treatment is helpful to further promote alveolar bone repair in periodontitis patients. Cone-beam CT and related software can be used as monitoring methods in clinical scientific research. The changes of alveolar bone height in patients with periodontitis can be accurately evaluated by clinical treatment and can provide guidance for further treatment.
【學(xué)位授予單位】：遵義醫(yī)學(xué)院
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：R781.42

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