口腔与脾胃等多脏腑经络关系密切.口腔生理功能的正常发挥,有赖于脾胃等多脏腑经络的滋养.脏腑经络功能失常,可致口腔溃疡、扁平苔癣、灼口综合征等多种口腔疾病,而望唇、望舌有利于诊断脏腑病变.临床上,通过调整脏腑功能来治疗口腔科常见病、疑难病,常能取得较好的疗效.

目的 观察中药内服结合湿敷治疗慢性唇炎的临床疗效.方法 将60例慢性唇炎患者分成治疗组30例,对照组30例.治疗组口服自制唇风饮颗粒,外用自制中药祛湿清解散湿敷;对照组口服唇风饮颗粒.疗程7d.观察患者临床疗效、唇部病损愈合情况.结果 治疗组总有效率为96.6％,对照组总有效率为82.1％,治疗组明显高于对照组.结论 中药内服外用治疗慢性唇炎疗效确切.

Objective To observe the curative effect of Kouchuang Yin on recurrent oral ulcer in clinic. Methods The patients (n=60) with recurrent oral ulcer were divided into the treatment group and control group (each n=30). The treatment group was given Kouchuang Yin and control group, Kouyanqing Keli. A therapeutic course was 3 months. The total numbers and interval of ulcer were observed for judging long-term curative effect. Results The cure rate, obvious effective rate and total effective rate were all higher in the treatment group than those in the control group. The total numbers of ulcer were less in the treatment group than those in the control group, and the total interval of ulcer was longer in the treatment group than that in the control group. Conclusion Kouchuangyin Keli had a significant advantage in decreasing ulcer numbers and prolonging the interval.

目的:评价中药牙周合剂治疗慢性牙周炎的临床效果.方法:试验对符合研究条件的19例病人的190颗牙齿,采用随机双盲对照分组,对照组88颗牙和治疗组102颗牙,分别检查其牙周探诊深度、探诊出血、牙齿松动度,观察牙龈红肿、牙龈出血、牙齿松动、口臭等主观症状,并进行口腔卫生宣教,对2组受试牙进行龈上洁治后,1周后复诊,实施超声龈下刮治术,对照组治疗中以蒸馏水进行冲洗,后以复方硼砂漱口液含漱,每日3次,共做4周；治疗组治疗中以中药合剂反复进行牙周冲洗,后以中药合剂含漱,每日3次,共做4周,第4周复诊,再次检查上述牙周指征和临床主观症状,对比前后变化以观察治疗疗效.结果:治疗组与对照组总有效率分别为91.97％和76.14％,在探诊深度、龈炎指数、牙体动度的改善上,治疗组均好于对照组.结论:清热解毒、活血化瘀、补肾壮骨中药在抑制炎症反应,改善局部血循环,促进骨组织再生,有很好的疗效.中西医结合可优势互补,提高疗效,在治疗慢性口腔疾病方面,具有较为可观的前景.

Objective To observe the curative effect of Taixian Soluble Granules on erosive oral lichen planus (OLP). Method All erosive OLP patients (n=30) were divided into the treatment group (n=18) treated with Taixian Soluble Granules and Jinhoujian Spray, and control group (n=12) treated with levomisole and Jinhoujian Spray. The therapeutic course was 2 months. The curative effect in clinic and curative effect to TCM syndrome manifestations were observed. Result The total effective rate of curative effect in clinic was better slightly in the treatment group than that in the control group, but the curative effect to TCM syndrome manifestations was much better in the treatment group than that in the control group. There were no adverse reactions observed in the treatment group. Conclusion Taixian Soluble Granules can relieve the clinical symptoms and TCM syndrome manifestations of erosive OLP effectively.

TCM stomatology,as a characteristic clinical course in Chinese medicine specialty in our university,has been offered for 30 years.With the rapid development of stomatology and society transition,medical practitioners accorded to different levels and requirements should be trained to meet the social demands.The reform of teaching content,optimization of courses,highlight of features and deepened teaching reform are carried out to train TCM physicians with theory and practical ability in stomatology,and basic knowledge of oral health care.

OBJECTIVE:To assess the potential efficacy and safety of Jinhoujian in local treatment of oral ulcer.METHODS:This pilot clinical observation was a 5-days randomized,double-blind,placebo-controlled trial of Jinhoujian.60 patients with oral ulcer met from 4 hospitals,and were divided 2 groups.30 patients(experimental group)received local spray of Jinhoujian,other 30 patients(control group) received local spray of normal saline.The changes of pain sense and the size of ulcers were measured.RESULTS:Pain VAS scores were significantly lower on second day,third day,fourth day and fifth day after spray of Jinhoujian,compared with that before treatment(P0.001).But after sprayof normal saline,only on the fifth day VAS score was lower than that before treatment(P0.01),and on fifth day after spray of Jinhoujian,compared with spray of normal saline,pain VAS scores of were significantly lower(P0.01).The diameters of oral ulcers were significantly reduced after spray of Jinhoujian,compared with that before treatment and after spray of normal saline(P0.001,P0.05).After spray of Jinhoujian,oral ulcers had been healed,this difference was statistically significant(P0.01).CONCLUSION:The spray of Jinhoujian may be a safe and efficient method for local treatment of oral ulcers.

慢性牙周炎是牙周组织破坏性疾病,病变累及牙龈、牙槽骨、牙周膜、牙骨质,又称做破坏性牙周炎.迄今为止,慢性牙周炎仍然是人类失牙的第一大原因.虽然有许多因素可以参与慢性牙周炎的形成和发展,但菌斑是始动因素,所以控制菌斑是慢性牙周炎治疗中的重要环节.为此,我们采用中药牙周抑菌方牙周冲洗治疗慢性牙周炎,取得了一定的疗效,现总结报道如下.

目的:验证清开灵注射液治疗干燥综合征的临床疗效.方法:将60例患者按积分分为治疗组30例和对照组30例,分别采用清开灵注射液和生津口服液治疗,观察两组在口干、眼干、唾液流率、施墨氏试验、血沉、A/G、免疫球蛋白、唾液Na+;唾液SigA等治疗前后的变化.结果:治疗后两组在各项指标上均有改善,但清开灵组优于对照组,尤以血沉,唾液Na+、口干、眼干治疗前后有极显著的差异,Hb、IgA、IgM、IgG、唾液流率、SigA、施墨氏试验、角膜荧光染色.结论:清开灵注射液是治疗干燥综合征疗效较高的药物.

1 临床资料 39例患者中,女34例,男性5例,年龄18～76岁.均排除肿瘤、神经疾病引起的舌痛,并排除局部刺激因素,如牙齿锐利边缘、不良修复体、溃疡等.舌尖灼痛29例,全舌痛3例,舌麻木5例,舌痒2例.舌部无触痛和味觉异常,舌体活动自如.

观察固齿增骨散治疗慢性牙周炎31例,并设对照组30例.其中固齿增骨散显效率8.87%,有效率62.09%,总有效率70.96%;对照组30例,显效率0%,有效率33.33%,总有效率33.33%.结果显示:固齿增骨散在降低菌斑指数和龈炎指数、减轻牙动度,提高咬合力及改善全身症状方面,明显优于对照组(P<0.05),治疗期间未发现其不良反应.

运用珍珠口疮冲剂治疗复发性口腔溃90例,治愈53例,显效15例,有效18例,总有效率95.6%.观察还表明该药较显著地延长口腔溃疡的发作期,安全性评价表明该药安全、无毒.该冲剂由珍珠、五倍子、苍术、甘草等药物组成,具有清热解毒,燥湿敛疮、生肌止痛的功效.