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目的:观察西帕依固龈液预防正畸患者早期牙龈炎的临床疗效。方法:将2012年1月至2012年12月在医院口腔科门诊接受正畸治疗的错牙合畸形50例,随机分成试验组与对照组,每组各25例。对照组于正畸治疗后采用常规口腔卫生保健措施。试验组在常规口腔卫生保健的基础上,每日进行西帕依固龈液含漱。观察并比较两组患者矫治前及矫治后1、3个月复诊时牙龈指数(GI)、菌斑指数(PLI)以及龈沟出血指数(SBI)。结果:矫治后1、3个月时试验组GI、PLI及SB均低于对照组,差异有统计学意义(P<0.05);试验组在矫治前、矫治后1、3个月GI、PLI及SB水平差异有统计学意义(P<0.05)。两组患者于3个月复诊时,对照组发现牙龈炎13例,占52%,试验组有牙龈炎患者4例,占16%,对照组牙龈炎发生率高于试验组,差异有统计学意义(χ2=7.219,P=0.007)。结论:固定正畸患者选择西帕依固龈液治疗能够有效降低PLI、GI、SBI,获得满意疗效。
Objective: To observe the clinical efficacy of Xipayilian gingival fluid in preventing orthodontic patients with early gingivitis. Methods: From January 2012 to December 2012, 50 patients with malocclusion who underwent orthodontic treatment were randomly divided into experimental group and control group, with 25 cases in each group. The control group received routine oral hygiene after orthodontic treatment. The experimental group routinely performed oral hygiene and rinsed daily with Siphualide gargle. The gingival index (GI), plaque index (PLI) and sulcus bleeding index (SBI) were observed and compared before treatment and 1, 3 months after treatment. Results: The GI, PLI and SB of the experimental group were lower than those of the control group at 1 month and 3 months after treatment (P <0.05). Before treatment, GI and PLI And SB level difference was statistically significant (P <0.05). In the two groups of patients at the 3-month follow-up, the control group found that 13 cases of gingivitis, accounting for 52%, 4 cases of gingivitis in the experimental group, accounting for 16%, the incidence of gingivitis in the control group was higher than the experimental group, the difference was statistically significant Significance (χ2 = 7.219, P = 0.007). Conclusion: The treatment of fixed orthodontic patients with xipayi gingival fluid can effectively reduce the PLI, GI, SBI, to obtain satisfactory results.