CAJ | 학술논문

目的：观察肿痛安胶囊治疗牙龈炎、智齿冠周炎的有效性和安全性。方法选择我院收治的80例牙龈炎、智齿冠周炎患者,随机分为观察组和对照组,每组40例。两组患者在常规冲洗盲袋后,观察组以盐水调肿痛安胶囊成糊剂注入盲袋内,对照组以碘甘油注入盲袋,1次/d。治疗后15 min用视觉摸拟评估法( VAS)记录患者的疼痛程度；治疗前和治疗5 d后,按WHO的疼痛分级标准和龈炎指数记录消炎镇痛的变化情况,并综合评价两种治疗方法的临床疗效。结果①治疗后15 min,观察组、对照组分别有40．0%、10．0%的患者疼痛消失,两组患者VAS评分比较差异有统计学意义(P<0．01)。②治疗5 d后,观察组、对照组分别有90．0%、52．5%的患者疼痛消失,两组患者的龈炎指数分别降低了(0．58±0．15)、(0．38±0．18),有效率分别为67．5%、45．0%,两组比较差异均有统计学意义(P<0．01)。结论肿痛安胶囊治疗牙龈炎、冠周炎具有明显的消炎镇痛效果。
목적：관찰종통안효낭치료아간염、지치관주염적유효성화안전성。방법선택아원수치적80례아간염、지치관주염환자,수궤분위관찰조화대조조,매조40례。량조환자재상규충세맹대후,관찰조이염수조종통안효낭성호제주입맹대내,대조조이전감유주입맹대,1차/d。치료후15 min용시각모의평고법( VAS)기록환자적동통정도；치료전화치료5 d후,안WHO적동통분급표준화간염지수기록소염진통적변화정황,병종합평개량충치료방법적림상료효。결과①치료후15 min,관찰조、대조조분별유40．0%、10．0%적환자동통소실,량조환자VAS평분비교차이유통계학의의(P<0．01)。②치료5 d후,관찰조、대조조분별유90．0%、52．5%적환자동통소실,량조환자적간염지수분별강저료(0．58±0．15)、(0．38±0．18),유효솔분별위67．5%、45．0%,량조비교차이균유통계학의의(P<0．01)。결론종통안효낭치료아간염、관주염구유명현적소염진통효과。
Objective To observe the efficacy and safety of zhongtong′an capsule in the treatment of gingivitis and pericoronitis. Methods 80 patients with gingivitis or pericoronitis in our hospital were randomly divided into ob-servation group and control group,40 cases in each group. After routine rinse treatment for all patients,zhongtong′an capsule paste was injected into the blind bag of observation group,while control group was injected with iodine glycer-in,once daily. After 15 min of treatment,the visual analogue scale ( VAS) was used to record the severity of pain of the patients. The clinical efficacy was evaluated comprehensively according to the WHO classification criteria and gingi-vitis index,and the anti-inflammatory changes was observed. The efficacy of the two groups was evaluated. Results①There were 40. 0% and 10. 0% of the patients with pain disappeared in observation group and control group at 5 min after treatment,there was significant difference between the two groups (P<0. 01);②After 5 d of treatment,90. 0%and 52. 5% of the patients′ pain disappeared in observation group and control group,the gingivitis index reduced by (0. 58 ± 0. 15),(0. 38 ± 0. 18),and the effective rate were 67. 5% and 45. 0%,there were significant differences be-tween the two groups ( P <0. 01 ) . Conclusion Zhongtong′an capsule treatment for gingivitis and pericoronitis has significant antiphlogistic and antalgic effect.