摘要
目的比较1周内饮酒超过250 mL与不饮酒牙周炎患者实施龈下刮治和根面平整治疗术(scaling and root planning,SRP)时,对探诊深度(probing depth,PD)和临床附着水平(Clinical Attachment Level,CAL)的影响。方法选择临床上中到重度的牙周炎患者,其中1周饮白酒超过250 mL(或者相当于白酒250 mL)患者75例,不饮酒患者63例,局麻下行龈下刮治和根面平整术(SRP)后,局部龈下放置25%的甲硝唑膜。由同一位检查者分别于初诊及6个月复诊时用牙周探针检查记录探诊深度(PD)和临床附着水平(CAL)。结果治疗后6个月复诊时,饮酒组PD减小量和CAL增加量均小于不饮酒组,螺旋体比例(S%)降低量饮酒组亦较小。结论饮酒患者对SRP治疗的反应性较差,且对于局部抗生素治疗的敏感性亦较低。
Objective To compare drinking more than 250ml in a week and not drinking alcohol in patients with periodontitis un- derwent subgingival scaling and root planning （SRP）, the probing depth （PD） and clinical attachment level （CAL） effect. Methods Patients with moderate to severe periodontitis were selected, including 75 patients who drank more than 250 mL （or the equivalent of liquor 250 mL） in a week, 63 patients who did not drink. SRP was performed under local anesthesia in them, then 25% metronidazole membrane was placed under local subgingival. PD and CAL of the patients were examined by the same examiner with a periodontal probe at the first visit and the subsequent visit after 6 months, respectively. Results At the subsequent visit 6 months later, PD decrease and CAL increase of the drinking group were less than those of the non-drinking group, and the ratio of spirochete（S%） decrease was also small. Conclusion Periodontitis patients with drinking have poor response to SRP treatment, and relatively low sensitivity to local antibiotic treatment.
出处
《中外医疗》
2013年第34期24-25,共2页
China & Foreign Medical Treatment
