- 期刊
牙周病的中醫臨床治療研究
Clinicai Study of the Periodontal Disease Chinese Medicine Treatment
摘要
牙周病是人類最古老最普遍的疾病之一，也是導致成年人牙齒脫落的主要原因之一。中醫沒有牙周病的病名，根據其臨床表現，可歸屬於中醫之“牙宣”、“齒衄”“齒動”等病範圍。根據統計，40歲以上的人拔除牙齒的原因有75%是因爲牙周病所造成。牙周病常見的自覺性症狀有牙齦紅、腫、疼痛、出血及牙齒鬆動等。 臨床研究隨機抽取60位病患進行實驗測試，其中男性26人(43.3%)，女性34人(56.7%)：平均年齡爲47.03歲（31~40歲者11人、41~50歲者28人、51~60歲者21人）。經由隨機抽樣將患者分爲二組，實驗組男性13人、女性17人，平均年齡45.47歲（31~40歲者8人、41~50歲者15人、51~60歲者7人）；對照組男性13人、女性17人，平均年齡48.6歲（31-40歲者3人、41-50歲者13人、51-60歲者14人）。實驗組由固定的中醫師根據中醫辨證論治與辨病論治相結合的原則給予每位患者以補腎清火爲主的中藥治療，而對照組不服中藥，給予一般療法。檢測牙周探測深度(PD)、牙齒動搖度(MO)、牙菌斑指數(PI)、牙齦指數(GI)等幾項指標。研究結果顯示中藥之介入對於牙周探測深度(PD)、牙齒動搖度(MO)、牙菌斑指數(PI)有統計上之意義：由統計數字顯示，無論是否有中藥介入，經過治療後病患之各指數皆有減少之趨勢，但是牙周炎在中藥介入治療後病患發炎情形，施用中藥組所測得數值顯著地比未施用中藥組改善，在統計上呈現顯著差異，有統計上之意義，第六週之後可能由於邊際效益遞減，使得中藥介入治療之成效沒有顯著的影響，部分地闡明中醫藥治療牙周病的機理。
並列摘要
Periodontitis is the most common and ancient diseases of humanity. It is one of main reasons of adult's tooth loss. Chinese Name no periodontal disease, according to clinical manifestations, Chinese medicine can be attributed to the ”teeth propaganda”, ”Tooth en”, ”moving teeth” of the disease. According to statistics, people over the age of 40 extracted teeth due to a 75% because of periodontal disease caused by. Common symptoms of periodontal disease is the consciousness of red gums, swelling, pain, bleeding and loose teeth, etc. The clinical features of different etiology and pathogenesis of the corresponding also have some differences, should be fully aware of each other's differences, Differential Treatment, can be achieved good effect. Clinical study were randomly selected to conduct experiments on 60 patients tested, 26 were males (43.3%), 34 were women (56.7%), and the average age was 47.03 years old (31 to 40 years old, 11 were 41 to 50 years old were 28, 51 to 60 years of age 21). Through random sampling will be divided into two patient groups, the experimental group were 13 males and 17 females, with an average age of 45.47 years (31~40 years of age 8, 41 to 50 years old, 15, 51~60 years of age 7) the control group 13 were males and 17 females, with an average age of 48.6 years (31-40 years of age 3, 41-50-year-old, 13, 51-60-14). Fixed by the experimental group under TCM practitioners and Differential Treatment debate on the Treatment of the principle of combining to give each patient to fire Bushen-based Chinese medicine treatment and control group against Chinese medicine, to the general therapy. Detection of probing depth (PD), teeth shaken degrees (MO), plaque index (PI), gingival index (GI), a few indicators. The results showed that the intervention of Chinese medicine for probing depth (PD), teeth shaken degrees (MO), plaque index (PI) of the statistical significance of the statistics show that, irrespective of whether the Chinese intervention patients after treatment The index both reduce the trend, but the Chinese intervention in the treatment of periodontitis patients with inflammatory situation after the application of traditional Chinese medicine constituencies measured values than not significantly improve the application of traditional Chinese medicine group, a statistically significant difference was, Statistics on the significance of the sixth week after the marginal benefits may be reduced, making the effectiveness of Chinese medicine interventional treatment had no significant effect.