摘要
目的 探究根除幽门螺杆菌（Hp）感染能否提高口腔牙周病的治疗效果。方法 研究时间为2021年1月-2022年12月，研究对象为此期间于我院口腔、消化内科就诊的患有牙周病合并胃内幽门螺杆菌患者，共计104例。通过随机数表法将入组患者分为对照组与观察组，每组各52例。对照组仅针对牙周病进行治疗，并未根除幽门螺杆菌；观察组在治疗牙周病的同时接受消化内科对幽门螺杆菌的治疗。比较2组患者牙周病治疗效果。结果 治疗有效率，观察组为96.15%，对照组为82.69%，观察组高于对照组（P＜0.05）。牙周指标，出血指数（SBI）、牙周探诊深度（PD）、釉牙骨质界处附着丧失（AL）水平在治疗后3个月、6个月、9个月、12个月后，均为观察组低于对照组（P＜0.05）。结论 消化内科与口腔科联合治疗情况下，患者牙周病恢复情况更加理想，可在临床中推广使用。
关键词： 消化内科；口腔科；牙周病；幽门螺杆菌
Abstract
Objective To investigate whether eradicating Helicobacter pylori (Hp) infection can improve the treatment effect of oral periodontal disease. Methods The study period was from January 2021 to December 2022. A total of 104 patients with periodontal disease and Helicobacter pylori in the stomach who were treated in the Department of Stomatology and Gastroenterology of our hospital during this period were included in the study. The enrolled patients were divided into a control group and an observation group using a random number table method, with 52 cases in each group. The control group was only treated for periodontal disease and did not eradicate Helicobacter pylori; The observation group received treatment for Helicobacter pylori in the gastroenterology department while treating periodontal disease. Compare the treatment effects of periodontal disease between two groups of patients. Results The effective rate of treatment was 96.15% in the observation group and 82.69% in the control group, with the observation group being higher than the control group (P<0.05). Periodontal indexes, bleeding index (SBI), periodontal probing depth (PD), and enamel cementum attachment loss (AL) levels were lower in the observation group than in the control group 3 months, 6 months, 9 months, and 12 months after treatment (P<0.05). Conclusion Under the combined treatment of gastroenterology and dentistry, the recovery of periodontal disease in patients is more ideal and can be promoted and used in clinical practice.
Key words： Department of Gastroenterology; Dental Department; Periodontal disease; Helicobacter pylori
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