中医辨证治疗牙周病80例疗效观察

Comparison of therapeutic effects of 80 cases of chronic periodontitis treated by syndrome differentiation of traditional Chinese medicine and western medicine

目的观察中医辨证治疗牙周病的临床疗效。方法将160例牙周病患者随机分为2组。治疗组80例采用中医辨证治疗,对照组80例予牙痛安治疗,疗程结束后观察2组临床疗效及病程、年龄、中医分型与疗效关系。结果2组治愈率与总有效率比较差异均有统计学意义(P<0.01),治疗组临床疗效优于对照组。2组1年以下病程患者治愈率比较差异有统计学意义(P<0.05),4年以上病程患者总有效率比较差异有统计学意义(P<0.05),随着病程的延长,治疗组的总有效率和对照组比较差异更加明显。2组40岁以下患者治愈率比较差异有统计学意义(P<0.05),中医药治疗40岁以下牙周病患者的效果明显;2组总有效率除51～60岁比较差异有统计学意义(P<0.05)外,其他各年龄段总有效率比较差异无统计学意义(P>0.05),说明中医药治疗效果与患者年龄分段关系较小。2组阳明火盛型患者治愈率比较差异有统计学意义(P<0.05),2组阴虚火旺型患者总有效率比较差异有统计学意义(P<0.05),治疗组2型临床疗效均优于对照组;2组阴虚火旺型总有效率与本组阳明火盛型比较差异均有统计学意义(P<0.05),2组阴虚火旺型的治疗效果低于阳明火盛型。结论中医辨证治疗牙周病的疗效优于西药组。

Objective To observe the therapeutic effects of chronic periodontitis treated by the therapy of traditional Chinese and western medicine. Methods 160 patients with periodontitis were randomly divided into two groups. At first the cases in two groups were given basic periodontitis treatment, then the patients in treatment group （ n = 80） were given Zhibaidihuang decoction or Shigaozhimu decoction, the cases in control group （ n = 80） were given Yatongan pills. 35 days later, the effects of two groups were evaluated and compared. Results The cure rate and total effective rate in treatment group （23.75%, 90.00% ） were superior to those in control group （5.00%, 71.25%, P 〈0.01 ）. Conclusion The effect of syndrome differentiation of traditional Chinese medicine is better than that western medicine on the treatment of chronic periodontitis.