超声龈下刮治联合同步1%聚维酮碘液龈下冲洗治疗牙周炎的效果分析

目的探讨超声龈下刮治联合同步1%聚维酮碘液龈下冲洗治疗牙周炎的临床疗效。方法回顾性分析本院2011—2013年口腔科收治的164例牙周炎患者的资料,将患者随机分为观察组和对照组,各82例。两组患者均进行全口洁治、龈下超声刮治及根面平整,观察组患者同步1%聚维酮碘液龈下冲洗治疗,对照组患者用0.9%氯化钠溶液冲洗,比较两组患者治疗后3、6个月牙周袋探诊深度（PD）、龈沟出血指数（SBI）、菌斑指数（PLI）,黑色素类杆菌量和厌氧菌总数。结果两组患者治疗前、后PD、PLI、SBI比较,差异均有统计学意义（P〈0.05）;治疗后观察组PD、PLI、SBI、黑色素类杆菌量和厌氧菌总数与对照组比较,差异有统计学意义（P〈0.05）。结论超声龈下刮治联合同步1%聚维酮碘液龈下冲洗治疗牙周炎,能较长时间控制龈下菌斑,改善牙周炎症情况,疗效满意,值得在临床推广。

Curative Effect of Under Ultrasonic Gum Scraping Combined with Rinse Under 1% Povidone-odine Solution Gingival Treating Periodontitis

Objective To study the curative effect of under ultrasonic gum scraping combined with rinse under 1%povidone- iodine solution gingival treating periodontitis. Methods A retrospective analysis of 164 periodontitis patients＇ s date in our hospital from 2011 to 2013,the patients were randomly divided into observation group and control group,82 cases in each group. Two patients were given underwent full- mouth scaling,subgingival ultrasonic scaling and root planing,the observation group was treated with synchronized flushing treatment under 1% povidone- iodine solution gingival,control group was treated with 0. 9% sodium chloride solution flushing,probing pocket depth（ PD）,sulcus bleeding index（ SBI）,plaque index（ PLI）,the amount of melanin and anaerobic bacteroides total after treatment 3,6 months of the two groups were compared.Results There were statistically significant differences in PD,PLI,SBI of the two groups before and after（ P〈0. 05）. There were statistically significant differences in PD,PLI,SBI,amount of melanin and anaerobic bacteroides total between observation group and control group（ P〈0. 05）. Conclusion Under ultrasonic gum scraping combined with rinse under 1% povidone- iodine solution gingival treating periodontitis gingival can control subgingival plaque for a long time,improve the situation of periodontal disease,curative effect is satisfactory.