ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾病预防与控制 Disease Prevention and Control 医学学术期刊 双月刊
2026-05-034 临床药物与手术治疗 2026, 2(05): 133-136

浓替硝唑含漱液联合米诺环素软膏治疗牙周炎的效果

镇江市第三人民医院

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摘要

目的 分析牙周炎患者采用浓替硝唑含漱液联合米诺环素软膏治疗对其疼痛症状与睡眠质量的影响。方法 以随机数表法对本院2022年9月至2025年9月收治的100例牙周炎患者实施分组,对照组(n=50)单一采用米诺环素软膏治疗,观察组(n=50)联合使用浓替硝唑含漱液与米诺环素软膏治疗,对比两组患者牙周健康状况[探诊深度(PD)、菌斑指数(PLI)、牙龈指数(GI)]、炎症因子[肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)、C-反应蛋白(CRP)]水平、疼痛程度[视觉模拟量表(VAS)]与睡眠质量[匹兹堡睡眠质量量表(PSQI)]。结果 治疗4周后,与对照组相比,观察组PD、PLI、GI较低;TNF-α、IL-6、CRP水平较低;VAS评分较低;PSQI评分较低,差异均有统计学意义(P<0.05)。结论 对牙周炎患者实施浓替硝唑含漱液联合米诺环素软膏治疗,可有效改善牙周健康状态,减轻炎症反应,缓解疼痛症状,提升睡眠质量。

Abstract

Objective To analyze the effect of using concentrated tinidazole mouthwash combined with minocycline ointment on the pain symptoms and sleep quality of patients with periodontitis. Methods Using the random number table method, 100 patients with periodontitis admitted to our hospital from September 2022 to September 2025 were divided into two groups. The control group(n=50) received only minocycline ointment treatment, while the observation group(n=50) received combined treatment with concentrated tinidazole mouthwash and minocycline ointment. The periodontal health status [probing depth(PD), plaque index(PLI), gingival index(GI)], inflammatory factors [tumor necrosis factor-α(TNF-α), interleukin-6(IL-6), C-reactive protein(CRP)], pain degree [visual analogue scale(VAS)], and sleep quality [pittsburgh sleep quality index(PSQI)] were compared between the two groups. Results After 4 weeks of treatment, compared with the control group, the PD, PLI, and GI of the observation group were lower; the levels of TNF-α, IL-6, and CRP were lower; the VAS score was lower; and the PSQI score was lower. The differences were statistically significant(P<0.05). Conclusion Treating patients with periodontitis with concentrated tinidazole mouthwash combined with minocycline ointment can effectively improve periodontal health status, reduce inflammatory responses, alleviate pain symptoms, and improve sleep quality.

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[1]邱阿芳,王莹,陈迪迪,等.浓替硝唑含漱液联合米诺环素软膏治疗牙周炎的效果[J].疾病预防与控制,2026,2(05):133-136.