J Periodontol:1%二甲双胍凝胶对罹患中/重度慢性牙周炎患者的治疗效果研究:一项临床随机对照试验

2017-07-22 MedSci MedSci原创

这篇研究的目的是为了评估1%二甲双胍(MF)凝胶作为洁治和根面平整术(SRP)的辅助药物治疗中/重度慢性牙周炎的效果。

这篇研究的目的是为了评估1%二甲双胍(MF)凝胶作为洁治和根面平整术(SRP)的辅助药物治疗中/重度慢性牙周炎的效果。

70名受试者按照治疗方法的不同分为2组:SRP + 1% MF和SRP + 安慰剂。分别在治疗前、治疗后3, 6和9个月记录临床指标,包括:菌斑指数(PI)、龈沟出血指数(mSBI)、牙周袋深度(PD)和临床附着水平(CAL)。骨内缺损(IBD)和缺损深度降低百分比(DDR%)的影像学评估通过计算机辅助软件分别在术前、术后6个月和9个月期间进行分析和记录。在安慰剂和MF组最初牙周袋深度≥5mm和≥7mm的亚组中,分别评估PD, CAL和缺损深度降低的变化。

结果显示,在所有就诊患者中,MF组的平均探诊深度减小和平均临床附着水平增加程度均要优于安慰剂组。与安慰剂组相比较,1% MF组最初牙周袋深度≥5mm和≥7mm亚组的临床指标(PD, CAL)得到明显改善。在MF组最初牙周袋深度≥5mm和≥7mm位置的平均缺损深度降低百分比在术后6和9个月要显著低于安慰剂组。

结论:与安慰剂相比较,在病患处应用SRP + 局部施加MF治疗慢性牙周炎不管在最初牙周袋深度≥5mm还是≥7mm的亚组中均可获得更好的临床指标:减少的PD、增加的CAL和显著降低的IBD深度。

原始出处

Pradeep AR, Patnaik K, et al. Efficacy of 1% Metformin Gel in Moderate And Severe Chronic Periodontitis Subjects: A Randomized Controlled Clinical Trial. J Periodontol. 2017 Jul 21:1-10. doi: 10.1902/jop.2017.150096.

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encryptionId=5e456463eee, topicName=治疗效果)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=373a131, createdName=jxrzshh, createdTime=Sat Dec 16 21:10:00 CST 2017, time=2017-12-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1460934, encodeId=793c1460934c3, content=<a href='/topic/show?id=de4331310a4' target=_blank style='color:#2F92EE;'>#凝胶#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=31310, encryptionId=de4331310a4, topicName=凝胶)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=hb2008ye, createdTime=Mon Jul 24 13:10:00 CST 2017, time=2017-07-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1450574, encodeId=9e0914505e4ef, content=<a href='/topic/show?id=f0476e49582' target=_blank style='color:#2F92EE;'>#牙周#</a>, beContent=null, objectType=article, channel=null, 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  5. 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level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67495, encryptionId=f0476e49582, topicName=牙周)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ab585558129, createdName=liuyong2982, createdTime=Mon Jul 24 13:10:00 CST 2017, time=2017-07-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1368623, encodeId=ecac136862340, content=<a href='/topic/show?id=0e30535657b' target=_blank style='color:#2F92EE;'>#慢性牙周炎#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=53565, encryptionId=0e30535657b, topicName=慢性牙周炎)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5c64275, createdName=piaojinhua, createdTime=Mon Jul 24 13:10:00 CST 2017, time=2017-07-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1296168, encodeId=2bfa1296168e5, content=<a 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createdName=有备才能无患, createdTime=Sun Jul 23 09:21:03 CST 2017, time=2017-07-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=225290, encodeId=bd3a22529036, content=学习了,谢谢。, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/xkvRjYnJzzRJ2R0y7VhicibvkjPWHjIMmu4ZpKnE9cWAu4lVicS3uDUCfF4M4JWvrkrYfpb2KehPV0Ee29tPqyPEebBUibiaKhnvD/0, createdBy=f8412001184, createdName=惠映实验室, createdTime=Sun Jul 23 07:40:11 CST 2017, time=2017-07-23, status=1, ipAttribution=)]
    2017-07-24 hb2008ye
  6. 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  7. 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  8. 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  9. 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    2017-07-23 有备才能无患

    与安慰剂相比较,在病患处应用SRP+局部施加MF治疗慢性牙周炎不管在最初牙周袋深度≥5mm还是≥7mm的亚组中均可获得更好的临床指标:减少的PD、增加的CAL和显著降低的IBD深度。

    0

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href='/topic/show?id=7591984530b' target=_blank style='color:#2F92EE;'>#随机对照试验#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=98453, encryptionId=7591984530b, topicName=随机对照试验)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=373b263, createdName=lisa438, createdTime=Mon Jul 24 13:10:00 CST 2017, time=2017-07-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=225344, encodeId=533b2253442e, content=与安慰剂相比较,在病患处应用SRP+局部施加MF治疗慢性牙周炎不管在最初牙周袋深度≥5mm还是≥7mm的亚组中均可获得更好的临床指标:减少的PD、增加的CAL和显著降低的IBD深度。, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7cJ6ejWUr2nIia8qOvAKNdLHr32Df6G8iaoaOx6pHaoiacwp26DaslxZHCGbibZhhCGven4rvmWP60GahtzgFjgCjR/0, createdBy=6b111703011, createdName=有备才能无患, createdTime=Sun Jul 23 09:21:03 CST 2017, time=2017-07-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=225290, encodeId=bd3a22529036, content=学习了,谢谢。, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/xkvRjYnJzzRJ2R0y7VhicibvkjPWHjIMmu4ZpKnE9cWAu4lVicS3uDUCfF4M4JWvrkrYfpb2KehPV0Ee29tPqyPEebBUibiaKhnvD/0, createdBy=f8412001184, createdName=惠映实验室, createdTime=Sun Jul 23 07:40:11 CST 2017, time=2017-07-23, status=1, ipAttribution=)]
    2017-07-23 惠映实验室

    学习了,谢谢。

    0

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