多形性红斑是黏膜皮肤的一种自限性、急性炎症性疾病.黏膜和皮肤可同时发病或先后发病,也可单发于皮肤或黏膜.按照多形性红斑严重程度,临床上分为轻型多形性红斑、重型多形性红斑、史-约综合征[1].轻型多形性红斑的口腔黏膜损害会影响说话、进食、吞咽等,就诊率较高;重型多形性红斑和史-约综合征因病情严重,均应及时转入皮肤科病房住院治疗.针对门诊就医的多形性红斑患者,如何运用护理手段快速有效地解除患者痛苦成为我们探索的重点之一.

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.

军事训练伤是军事训练直接导致参训人员组织器官功能障碍或病理改变,简称"军训伤"[1] .运动性免疫抑制、过度训练综合征以及运动性肌肉损伤等训练相关病症是困扰战士军事体能训练的顽疾,也是运动医学界长期关注的热点问题.军事训练伤直接影响部队官兵身体健康,消弱部队战斗力,对提高训练质量有较大的障碍作用,成为军事训练中军事医学的突出问题.

Objective To discuss the curative effect of integrated therapy of Chinese and Western medicine in the treatment of periodontal disease induced by faulty prosthesis.Methods The patients was given periodontal non-surgical treatment and surgical crown lengthening accompanied by gargle with Chinese medicinals without removing faulty prosthesis.The changes of dental plaque index,bleeding index,tooth mobility and probing depth were compared before and after the treatment.Results The plaque index was(2.50±0.51) before the treatment and(1.52±0.57) four weeks after the treatment.The bleeding index was(3.44±0.95) before the treatment and(3.25± 0.84) four weeks after the treatment.The probing depth was(3.89±2.01) mm before the treatment and(1.35±0.47) mm four weeks after the treatment(P <0.05).Among 32 teeth,4 had grade Ⅰ mobility and had no changes after the treatment,and 2 had grade Ⅰ mobility due to more desclerotization.Conclusion The treatment of periodontal disease with periodontal non-surgical treatment and surgical crown lengthening accompanied by gargle with Chinese medicinals without removing faulty prosthesis has desirable curative effect.

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.

干燥综合征又称舍格伦综合征(Sjogren Syndrome,SS),是以外分泌腺高度淋巴细胞浸润为特征的自身免疫性疾病,该病主要累及泪腺及涎腺等外分泌腺体,临床主要表现为口腔干燥、唾液量少、进食时需水伴下;眼部干燥、少泪或无泪;涎腺肿大;尚可合并鼻、咽、呼吸道、食管、阴道黏膜以及皮肤等干燥,同时可累及肾、肺、甲状腺和肝等多个器官系统,严重影响患者的劳动能力和生活质量.

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.

<正>中医口腔学作为中医专业一门临床课程,是一门汇通中西医口腔知识,同时充分展现中医特色,突出体现中医整体观念和辨证论治思想的学科。1中医口腔学的发展中医口腔学是中医学的一个组成部分,其历史

由中华口腔医学会批准,口腔中西医结合学组主办、温州医学院口腔医院承办的全国第四届口腔中西医结合学术会议于2004年5月28～30日在浙江省温州市召开.

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.

口腔科学是一门专业性很强的学科,口腔专业的学生除了学习大体解剖、生理、病理、诊断学基础及理化基础课程外,还要系统学习属于自己专业的课程,其专业特点尤为突出."中医口腔学"在我们北京中医药大学作为必修课已开设20余年,其课程设置基本为:课堂讲授20学时,临床见习18学时.

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.

口腔科学是一门以现代医学诊治手段为主的学科.由于中医药院校的学生接受的多是经验式的知识传授,故而临床动手能力较差.对于承担口腔教学任务的教师来讲,不仅要帮助学生扭转思维方式,提高临床操作能力,还要教育学生在治疗过程中注重以病人为本,为病人提供满意的服务.

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.