中国继续医学教育
中國繼續醫學教育
중국계속의학교육
CHINA CONTINUING MEDICAL EDUCATION
2014年
3期
30-32
,共3页
基础治疗%慢性牙周炎%牙周可疑致病菌
基礎治療%慢性牙週炎%牙週可疑緻病菌
기출치료%만성아주염%아주가의치병균
Basic treatment%Chronic periodontitis%Microbiological
目的：探讨牙周基础治疗对慢性牙周炎龈下微生物构成的影响。方法选择2012年1～10月就诊于乌鲁木齐市口腔医院牙周科的慢性牙周炎患者30例，按慢性牙周炎基础治疗程序施以全口超声波龈上洁治术+超声根面平整术+手工根面平整术，分别于治疗前、治疗后、治疗后1周、治疗后2周采集龈下菌斑进行厌氧培养，测定牙龈卟啉单胞菌、具核梭杆菌、中间普氏菌、消化链球菌、二氧化碳嗜纤维菌、韦荣球菌的检出率和检出量。结果（1）治疗前牙龈卟啉单胞菌、具核梭杆菌、中间普氏菌检出率为100%，治疗后中间普氏菌、消化链球菌、二氧化碳嗜纤维菌、韦荣球菌的检出率下降为0，而牙龈卟啉单胞菌与具核梭杆菌仍存在检出率。治疗后1周及2周时，牙龈卟啉单胞菌、具核梭杆菌、中间普氏菌、消化链球菌、二氧化碳嗜纤维菌、韦荣球菌检出率均比治疗前有所降低，且消化链球菌、二氧化碳嗜纤维菌、韦荣球菌检出率的下降幅度低于其他菌种检出率的下降幅度。（2）治疗前6菌种检出量均高，治疗后中间普氏菌、消化链球菌、二氧化碳嗜纤维菌、韦荣球菌检出量降低为0，牙龈卟啉单胞菌和具核梭杆菌仍有检出量，但明显低于治疗前。治疗后1周及2周时，各菌种检出量均较治疗前低。治疗后第2周相较于治疗后第1周，除韦荣球菌的其他菌种的检出量均具有统计学差异，但存在某些细菌检出量升高，某些细菌检出量减低的情况，而韦荣球菌检出量未见明显统计学差异。结论牙周基础治疗可有效去除牙周可疑致病菌，但不能完全去除。
目的：探討牙週基礎治療對慢性牙週炎齦下微生物構成的影響。方法選擇2012年1～10月就診于烏魯木齊市口腔醫院牙週科的慢性牙週炎患者30例，按慢性牙週炎基礎治療程序施以全口超聲波齦上潔治術+超聲根麵平整術+手工根麵平整術，分彆于治療前、治療後、治療後1週、治療後2週採集齦下菌斑進行厭氧培養，測定牙齦卟啉單胞菌、具覈梭桿菌、中間普氏菌、消化鏈毬菌、二氧化碳嗜纖維菌、韋榮毬菌的檢齣率和檢齣量。結果（1）治療前牙齦卟啉單胞菌、具覈梭桿菌、中間普氏菌檢齣率為100%，治療後中間普氏菌、消化鏈毬菌、二氧化碳嗜纖維菌、韋榮毬菌的檢齣率下降為0，而牙齦卟啉單胞菌與具覈梭桿菌仍存在檢齣率。治療後1週及2週時，牙齦卟啉單胞菌、具覈梭桿菌、中間普氏菌、消化鏈毬菌、二氧化碳嗜纖維菌、韋榮毬菌檢齣率均比治療前有所降低，且消化鏈毬菌、二氧化碳嗜纖維菌、韋榮毬菌檢齣率的下降幅度低于其他菌種檢齣率的下降幅度。（2）治療前6菌種檢齣量均高，治療後中間普氏菌、消化鏈毬菌、二氧化碳嗜纖維菌、韋榮毬菌檢齣量降低為0，牙齦卟啉單胞菌和具覈梭桿菌仍有檢齣量，但明顯低于治療前。治療後1週及2週時，各菌種檢齣量均較治療前低。治療後第2週相較于治療後第1週，除韋榮毬菌的其他菌種的檢齣量均具有統計學差異，但存在某些細菌檢齣量升高，某些細菌檢齣量減低的情況，而韋榮毬菌檢齣量未見明顯統計學差異。結論牙週基礎治療可有效去除牙週可疑緻病菌，但不能完全去除。
목적：탐토아주기출치료대만성아주염간하미생물구성적영향。방법선택2012년1～10월취진우오로목제시구강의원아주과적만성아주염환자30례，안만성아주염기출치료정서시이전구초성파간상길치술+초성근면평정술+수공근면평정술，분별우치료전、치료후、치료후1주、치료후2주채집간하균반진행염양배양，측정아간계람단포균、구핵사간균、중간보씨균、소화련구균、이양화탄기섬유균、위영구균적검출솔화검출량。결과（1）치료전아간계람단포균、구핵사간균、중간보씨균검출솔위100%，치료후중간보씨균、소화련구균、이양화탄기섬유균、위영구균적검출솔하강위0，이아간계람단포균여구핵사간균잉존재검출솔。치료후1주급2주시，아간계람단포균、구핵사간균、중간보씨균、소화련구균、이양화탄기섬유균、위영구균검출솔균비치료전유소강저，차소화련구균、이양화탄기섬유균、위영구균검출솔적하강폭도저우기타균충검출솔적하강폭도。（2）치료전6균충검출량균고，치료후중간보씨균、소화련구균、이양화탄기섬유균、위영구균검출량강저위0，아간계람단포균화구핵사간균잉유검출량，단명현저우치료전。치료후1주급2주시，각균충검출량균교치료전저。치료후제2주상교우치료후제1주，제위영구균적기타균충적검출량균구유통계학차이，단존재모사세균검출량승고，모사세균검출량감저적정황，이위영구균검출량미견명현통계학차이。결론아주기출치료가유효거제아주가의치병균，단불능완전거제。
Objective Exploration on periodontal therapy for chronic periodontitis gum by microorganisms. Methods Chose 30 patients who were diagnosed in Urumqi stomatological hospital from January 2012 to October 2012. The basis of chronic periodontitis treatment program was full mouth ultrasonic gum + ultrasonic clean ruling on root surface smooth + manual root with smooth surface, respectively before and after treatment, 1 and 2 weeks after treatment, anaerobic culture acquisition under the gum plaque, the detection rate and the detection of various strains were measured. Results (1)Before treatment, the porphyromonas gingivalis (Pg), Fusobacterium nucleatum (Fn) and Prevotella intermedia (Pi) detection rate were 100%, after treatment, Capnocytophaga, Prevotella intermedia (Pi), Peptostreptococcus, Veillonella detection rate reduced to 0, At 1 and 2 weeks after treatment, six strains were much lower than before. Addicted to Capnocytophaga, Peptostreptococcus, Veillonella detection rate decreased signiicantly less than other bacteria. (2) 6 strains detected rate was high before treatment, after treatment, detection quantity of Capnocytophaga, Prevotella intermedia(Pi), Peptostreptococcus, Veillonella was 0. the porphyromonas gingivalis (Pg), Fusobacterium nucleatum (Fn) can still be detected, but the quantity was lower than that before treatment. Compared with 1 and 2 weeks after treatment, Veillonella detection quantity had no statistical difference, the rest of the bacteria detection quantity was statistically signiicant, but there were some reduction of bacteria detection quantity, and some rise of bacteria detection quantity. Conclusion Periodontal basic treatment can effectively remove periodontal pathogens suspicious, but can not be completely removed.
