中青年牙周炎的临床特点和治疗体会

邹义超1 ，邹林含2

（1.陕西省洋县医院口腔科，陕西 汉中，723300；2.齐齐哈尔医学院，黑龙江 齐齐哈尔，161006）

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摘要：

目的 探讨中青年牙周炎的临床特点和治疗方法。方法 选取58例中青年牙周炎患者为研究对象，总结其临床特点，并随机将其分为观察组（n=30）和对照组（n=28），对照组患者采用局部用药联合口服抗生素治疗，观察组在对照组的基础上加用微波治疗，观察和比较两组患者临床效果。结果 中青年牙周炎患者以局限性多见和轻度病变为主；有吸烟、饮酒等嗜好的男性患者重于女性，且随年龄的增长，患病会逐渐加重，并伴随全身疾病，治疗困难。治疗后，两组患者菌斑指数（PI）、探诊出血指数（SBI）、探诊深度（PD）、附着丧失（AL）较治疗前均有所改善（P<0.05），且观察组的改善程度优于对照组（P<0.05）；观察组总有效率（90.0%）明显高于对照组（71.4%）（P<0.05）。结论 采取综合治疗方式治疗中青年牙周炎患者，临床效果满意。

关键词：中青年牙周炎；菌斑指数；附着丧失

中图分类号：R781.4文献标志码：A文章编号：2096-1413(2017)08-0058-02

Clinical characteristics and treatment experience of periodontitis in young and middle-aged patients
ZOU Yi-chao 1, ZOU Lin-han 2
(1. Department of Stomatology, Yangxian County Hospital of Shaanxi, Hanzhong 723300; 2. Qiqihar Medical University, Qiqihar 161006, China)\

ABSTRACT：Objective To explore the clinical characteristics and treatment of periodontitis in young and middle -aged patients. Methods The clinical data of 58 patients with periodontitis were analyzed retrospectively. All the patients were divided into observation group (n=30) and control group (n=28). The control group was treated by medication and oral antibiotic, while the observation group was treated with microwave treatment on the basis of the control group. The clinical effects were compared between the two groups. Results The majority of young and middle-aged patients with periodontitis were mainly mild lesions. Male patients who had smoking, drinking and other hobbies were more serious than women. With the growth of age, the disease will gradually increase, accompanied by systemic diseases, which was difficult to treat. After treatment, the plaque index (PI), detection of bleeding index (SBI), depth of exploration (PD), attachment loss (AL) were better than those before treatment of the patients in the two groups (P<0.05), and the improvement of the observation group was better than those of the control group (P<0.05). The total effective rate of the observation group (90.0% ) was significantly higher than that of the control group (71.4%) (P<0.05). Conclusion Comprehensive treatment has satisfactory clinical results for young and middle-aged patients with periodontitis.
KEYWORDS: periodontitis in young and middle-aged patients; detection of bleading indes; attachorent loss

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