洁、刮治术和切开引流术治疗急性牙周脓肿的效果比较

Comparative study of two treatment methods for acute periodontal abscess

目的:比较洁、刮治术和切开引流术治疗急性牙周脓肿的临床疗效。方法 :将100例急性牙周脓肿患者随机分为2组,分别采用洁、刮治术(实验组)和切开引流术(对照组)作为急症处理的治疗方法,检查并记录患者治疗后1、7、30 d的主观临床症状(疼痛、肿胀、浮起感、龈红肿)和客观临床指标(GI、BI、PD、溢脓、淋巴结肿大、患牙松动度),采用SPSS 19.0软件包对检查结果进行统计学分析。结果:对主观症状的改善,2种方法均在治疗后第1天即有效果,且治疗后30 d仍保持疗效(P<0.05),但治疗后第1、7天的效果实验组优于对照组(P<0.05);治疗后第30天,2种方法改善疼痛、肿胀的差异不大(P>0.05),但实验组对浮起感、龈红肿的改善效果优于对照组(P<0.05)。对客观检查指标的改善,实验组在治疗后第1天GI、BI、PD、溢脓即有改善(P<0.05);治疗后第7天,实验组所有检查指标均有改善(P<0.05),而对照组仅GI、溢脓、淋巴结肿大、松动度有改善(P<0.05),且效果差于实验组(P<0.05);治疗后第30天,2组各检查指标均较治疗前有显著改善(P<0.05);但实验组GI、BI、PD、溢脓、松动度的改善效果优于对照组(P<0.05)结论:治疗急性牙周脓肿,洁、刮治术是一种快速有效改善临床症状及牙周炎症状况且疗效维持时间较长的治疗方法。

PURPOSE： The aim of this short-term study was to compare the clinical efficacy of 2 different methods to treat acute periodontal abscesses.METHODS： After patient selection,100 cases of acute periodontal abscess were randomly divided into two groups.The experimental group was treated by supra-and subgingival scaling,while the control group was treated by incision and drainage.A clinical examination was carried out to record the following variables： subjective clinical variables including pain,edema,redness and swelling;objective clinical variables including gingival index（GI）,bleeding index（BI）,probing depth（PD）,suppuration,lymphadenopathy and tooth mobility.The data was analyzed with SPSS 19.0 software package.RESULES： Subjective clinical variables demonstrated statistically significant improvements with both methods from the first day after treatment and lasted for at least 30 days（P0.05）,but the results of experimental group showed much better than the control group 1 day and 7 days after treatment.30 days after treatment,there was no significant difference between the two groups in pain and swelling improvement（P0.05）,but the experimental group showed more improvement in edema and redness than the control group（P 0.05）.On improving objective variables,the experimental group showed significant improvement in GI,BI,PD and suppuration 1 day after treatment（P0.05）.After 7 days,all objective clinical variables in the experimental group improved significantly（P0.05）; in the control group,there were significant improvements in GI、suppuration、lymphadenopathy and tooth mobility（P 0.05）,but the four variables of the experimental group showed more improvement than the control group（P0.05）.After 30 days,all objective clinical variables improved significantly in both groups as compared to baseline,but in the experimental group,improvements were more significant regarding to GI,BI,PD,suppuration and tooth mobility（P0.05）.CONCLUSION： The method of supra-and subgingival scaling was rapid and effective in treatment of acute periodontal abscesses.