牙周-牙髓联合病变患者应用中药汤剂联合西医治疗的效果分析

Effect of Western Medicine Combined with TCM Decoction for Periodontal-Endodontic Lesions in Patients

目的:探讨牙周-牙髓联合病变患者应用中药汤剂联合西医治疗的效果分析。方法:选择2012年3月—2014年5月医院接诊100例牙周-牙髓联合病变患者进行研究。按照入院时间先后顺序将其随机均分为对照组和观察组。观察组50例患者,采用中药汤剂联合西医治疗,对照组50例患者,采用单纯的西医治疗。比较两组患者的临床结果、疗效以及不良反应率。结果:在治疗后,发现观察组患者各项指标值都优于对照组的患者,两组比较具有显著差异(P<0.001);在治疗后,观察组患者总有效率为88.00%,对照组总有效率为72.00%,两组比较具有统计学意义(u=2.641 6,P=0.008 3);两组患者的牙情况均得到了缓解,但观察组的牙齿松动、牙周炎、牙齿叩痛人数少于对照组,差异具有统计学意义(P<0.05)。在治疗后,观察组患者产生不良反应率仅为10.00%,对照组不良反应率为34%,两组比较具有统计学意义(u=2.882 3,P=0.003 9)。结论:中药汤剂联合西医治疗牙周-牙髓联合病变,不良反应率低,效果良好,值得临床推广。

Objective： To discuss the effect of Western medicine combined with TCM decoction in the treatment of periodontal-endodontic lesions in patients. Methods： During March 2012—May 2014,100 cases in our hospital were studied. According to admission chronological order,they were randomly divided into control and observation groups. The observation group had 50 patients which were treated by herbal decoction combined with Western medicine. 50 patients in the control group used a simple western medicine. Clinical outcome between the two groups of patients,the efficacy and adverse reaction rates were compared. Results： After treatment,the index value was found that patients of the observation group were better than patients in the control group and there was a significant difference between the two groups（ P〈 0. 001）. After treatment,the observation group＇s total effective rate was 88. 00% and the total efficiency of the control group was 72. 00% and the two groups had statistical significance（ u = 2. 641 6,P = 0. 008 3）. Tooth status in both groups were eased,but the observation group＇s loose teeth,periodontitis and the number of teeth percussion pain were less than the control group＇s and there was statistically significant difference（ P 〈0. 05）. After treatment,adverse reactions rate was 10. 00% in the observation group and it was 34% of the control group. The two groups were statistically significant（ u = 2. 882 3,P = 0. 003 9）. Conclusion： Decoction combined with Western medicine treatment of periodontal-endodontic lesions has low adverse reaction rate and good effect,worthy of promotion.