首页|期刊导航|临床口腔医学杂志|中药辅助治疗慢性牙周炎的疗效及对免疫功能的调节作用

中药辅助治疗慢性牙周炎的疗效及对免疫功能的调节作用OA

Efficacy of traditional Chinese medicine in the adjuvant treatment of chronic periodontitis and its modulating effect on immune function

中文摘要英文摘要

目的:探讨中药辅助治疗慢性牙周炎患者的治疗效果及对免疫功能的调节作用.方法:选取我院于2022 年 9 月~2024 年 7 月收治 108 例慢性牙周炎患者为研究对象,随机数字表法分为观察组、对照组,各 54 例.对比两组中医症候评分、咬合力指标情况、龈沟液炎性因子水平、牙周、免疫功能相关指标、病原菌检出率及临床疗效等.结果:相比对照组,观察组中医证候评分、生活质量评分、探诊深度(probing depth,PD)、菌斑指数(plaque index,PLI)、龈沟出血指数(sulcular bleeding index,SBI)、附着丧失(attachment loss,AL)、咀嚼效率、左侧及右侧咬合力平衡度、辅助性 T 细胞、调节性 T 细胞、前列腺素 E2(prostaglandin E2,PGE2)、白细胞介素-1β(interleukin-1 beta,IL-1β)、IL-6水平及病原菌检出率均下降,而牙槽骨平均密度值与临床总有效率均升高,具有统计学差异(P<0.05).结论:慢性牙周炎患者使用中药辅助治疗效果显著,有利于改善炎症反应,并有助于抑杀口腔病原菌,调节免疫功能.

Objective:To investigate the therapeutic effect of Chinese herbal medicine in the adjuvant treatment of patients with chronic periodontitis and the regulation of immune function.Methods:Totally 108 patients with chronic peri-odontitis admitted to our hospital between September 2022 and July 2024 as study subjects were selected and divided into an observation group and a control group using a random number table,with 54 patients in each group.We compared the two groups in terms of traditional Chinese medicine(TCM)syndrome scores,bite force indices,levels of inflammatory factors in gingival crevicular fluid,indicators related to periodontal and immune function,pathogen detection rates,and clinical efficacy.Results:Compared with the control group,the observation group showed improvements in traditional Chinese medicine syn-drome scores,quality of life scores,probing depth(PD),plaque index(PLI),sulcular bleeding index(SBI),attachment loss(AL),masticatory efficiency,left and right occlusal balance,helper T cells,regulatory T cells,prostaglandin E2(PGE2),in-terleukin-1 beta(IL-1β),and IL-6 levels,as well as the pathogen detection rate,were all lower in the observation group com-pared to the control group,while the mean alveolar bone density and overall clinical response rate were both higher,with sta-tistically significant differences(P<0.05).Conclusion:The use of traditional Chinese medicine as an adjunctive treatment for patients with chronic periodontitis has shown significant results;it helps improve inflammatory responses,suppress and e-liminate oral pathogens,and regulate immune function.

顾蓉蓉;束为

江苏省中医院江北院区(南京市六合区中医院)口腔科 江苏 南京 211500江苏省中医院口腔科 江苏 南京 210029

医药卫生

中药辅助慢性牙周炎炎性因子病原菌免疫功能

Herbal medicine aidChronic periodontitisInflammatory factorsPathogenic bacteriaImmune function

《临床口腔医学杂志》 2026 (9)

526-531,6

10.3969/j.issn.1003-1634.2026.09.004

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