自拟中药清胃解毒汤配合西医疗法治疗智齿冠周炎的疗效研究

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1、自拟中药清胃解毒汤配合西医疗法治疗智齿冠周炎的疗效研究自2009年9月至2011年9月，我们采用清胃解毒汤配合西医疗法治疗智齿冠周炎患者82例，与单纯西药治疗82例作对照，研究如下。 1资料与检查 1.1病例选择 选择我科门诊就诊的智齿冠周炎患者164例。患者临床表现：轻者仅有咀嚼痛和吞咽痛，冠周龈瓣充血、水肿，探痛明显，冠周盲袋内有炎性渗出。重者疼痛明显，冠周龈瓣红肿，冠周盲袋溢脓，患侧面颊部轻度肿胀，张口受限，可伴全身症状，如：发热、乏力、畏寒及患侧区域淋巴结肿大。所有入选病例均无明显颌周间隙感染体征。 1.2一般资料 164例患者随机分为两组，治疗组82例，男43例，女39例；年龄193

2、2岁；病程23天。对照组82例，男44例，女38例；年龄1835岁，病程23天。两组在年龄、性别、病程及临床表现等方面分布相似，经统计学处理，无显著性差异(P>0.05)，具有可比性。 1.3辅助检查 检查可见下颌第三磨牙萌出不全、有龈瓣覆盖、盲袋形成。牙冠周围软组织红肿、龈瓣边缘糜烂、盲袋内有脓性分泌物。有时可形成冠周脓肿，出现颌面肿胀，同侧颌下淋巴肿大，压痛；X线牙片检查能发现阻生智齿的存在及其阴生的形态、位置；化验检查 急性化脓性冠周炎期常有程度不同的白细胞总数增高、中性白细胞比例上升； 2治疗 2.1治疗组与对照组 阿莫西林胶囊0.5g，每日4次，口服；甲硝唑0.2g，每日3次，

3、口服；冠周局部用3过氧化氢溶液、2.0g,L甲硝唑液及0.9生理盐水反复冲洗，干燥后上碘甘油。 2.2治疗组 在上述西医治疗的同时加用中药清胃解毒汤煎服。方药组成：知母12g、栀子12g、山豆根12g、连翘10g、鱼腥草10g、生地黄12g、元胡10g、牡丹皮10g、天花粉15g、青木香10g、白芷10g、升麻10g、生甘草5g。水煎，每日1剂，分2次服。C29C91AFE4CED1B6C8795AD9C91AFE4CED1B6C8795AD91AFE4CED1B6C8795AD9C91FE4CED1B6C8795AD29C91AFEDD1B6C87D1B6C8795AD9C91AFE4CED

4、1B6C8795AD91AFE4CED1B6C8795AD9C91FE4CED1B6C8795AD29C91AF95AD9C91AFE4CED1B6C8795AD91AFE4CED1B6C8795AD9D1B6C8795AD9C91AFE4CED1B6C8795A1AFE4CED1B6C8795AD91AFE4CED1B6C8795AD9C91FE4CED1B6C8795AD29C91AFC91FE4CED1D1B6C8795AD9C91AFE4CED1B6C8795AD91AFE4CED1B6CD1B6C8795AD9C91AFE4CED1B6C8795AD91AFE4CED1B6C8795

5、AD9C91FE4CED1B6C8795AD29C91AF8795AD9C91FE4CED1D1B6C8795AD9C91AFE4CED1B6C8795AD91AFE4CED1B6C87D1B6C8795AD9C91AFE4CED1B6C8795AD91AFE4CED1B6C8795AD9C91FE4CED1B6C8795AD29C91AF5D1B6C8795AD9C91AFE4CED1B6C8795AD91AFE4CED1B6C8795AD9C91FE4CED1B6C8795AD29C91AFAD9C91FE4CED1B6C8795AD29C91AFB6C8795AD29C91AFB6C87

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