|
|
Effect of Minocycline Hydrochloride Ointment combined with Tinidazole on oxidative stress response and level of inflammatory factors in gingival crevicular fluid in patients with chronic periodontitis#br# |
YAN Zhigang |
Department of Stomatology, Staff Hospital of Luoyang North Enterprise Group Co., LTD, Henan Province, Luoyang 100101, China |
|
|
Abstract Objective To investigate the effect of Minocycline Hydrochloride Ointment combined with Tinidazole on the oxidative stress response and level of inflammatory factors in gingival crevicular fluid in patients with chronic periodontitis. Methods A total of 120 patients with chronic periodontitis admitted to Staff Hospital of Luoyang North Enterprise Group Co., LTD from May 2017 to May 2020 were selected and divided into treatment group and control group by random number table method, with 60 patients in each group. The control group was given Tinidazole Tablets, and the treatment group was given Minocycline Hydrochloride Ointment on this basis. Both groups were treated for two months. The efficacy, and the periodontal index, oxidative stress index, gingival crevicular fluid inflammatory factor level before and after treatment and the incidence of adverse reactions during treatment were compared between the two groups. Results The total effective rate in treatment group was higher than that in control group, and the difference was statistically significant (P < 0.05). After treatment, periodontal pocket depth, plaque index, gingival index, serum malondialdehyde, gingival crevicular fluid monocyte chemotactic protein-1, matrix metalloproteinase-8, and interleukin-6 levels were all lower than those before treatment, while serum glutathione peroxidase and superoxide dismutase were all higher than those before treatment, and periodontal pocket depth, dental plaque index, gingival index, serum malondialdehyde, gingiva crevicular fluid monocyte chemotactic protein 1, matrix metalloproteinases-8, and interleukin-6 levels in the treatment group were lower than those in the control group, serum glutathione peroxidase and superoxide dismutase were higher than those in the control group, the differences were statistically significant (P < 0.05). There was no significant difference in the total incidence of adverse reactions between the two groups (P > 0.05). Conclusion Minocycline Hydrochloride Ointment combined with Tinidazole can reduce inflammation and oxidative stress response in patients with chronic periodontitis, improve periodontal index, improve curative effect, and have good safety.
|
|
|
|
|
[1] Teixeira F,Marin-LL,Gomes EP,et al. Relationship between periodontitis and subclinical risk indicators for chronic non-communicable diseases [J]. Brazilian Oral Res,2020,34(12):13-15.
[2] 罗业姣,龚仁国,陈齐,等.口炎清颗粒对慢性牙周炎患者牙周症状及炎性细胞因子水平的影响[J].现代生物医学进展,2020,20(13):2537-2540.
[3] 裴家福.双花清胃汤配合替硝唑治疗对慢性牙周炎患者牙周状态及龈沟液中EA-S、EA-P水平的影响[J].四川中医,2020,38(2):174-178.
[4] 濮莉莉,陈丹华,薛晶.布洛芬联合盐酸米诺环素对重度慢性牙周炎基础治疗效果及炎性因子的影响[J].中国医药导报,2020,17(12):124-127.
[5] 曹采方.牙周病学[M].2版.北京:人民卫生出版社,2003:165-175.
[6] 中华医学会.临床疾病诊疗指南[M].北京:人民卫生出版社,2007:36-37.
[7] 李建珍,蒋林香,张美龄.益生菌联合牙周基础治疗对慢性牙周炎患者口腔致病菌的影响[J].中国微生态学杂志,2021,33(3):297-300.
[8] 赵雁焕,杨春霞,曹伟.知柏地黄丸联合基础治疗对慢性牙周炎患者血清及龈沟液相关炎性因子的影响[J].长春中医药大学学报,2017,33(3):466-468.
[9] Blinova EV,Semeleva EV,Shilova AM,et al. Experimental study of the effectiveness of local anesthetic activity of a new dimethylphenylacetamide-containing pharmaceutical composition in chronic periodontitis [J]. Stomatologiia (Mosk),2020,99(2):11-16.
[10] 闵皓博,张楠,邓蓉,等.牙周基础治疗对糖尿病合并慢性牙周炎患者临床疗效和对血清生化指标的影响[J].贵州医药,2021,45(2):263-264.
[11] 颜孟雄,黄婧,杨再波.慢性牙周炎龈沟液IL-10、IL-23、MCP-1与牙周指数的相关性分析[J].分子诊断与治疗杂志,2021,13(2):255-258.
[12] 周丽芝,韩炎,郭谊.2型糖尿病合并慢性牙周炎患者糖化血红蛋白水平变化与抗菌治疗预后的相关性分析[J].新疆医科大学学报,2021,44(2):215-219.
[13] 张江琳,王晓飞,安忆军,等.牙周内窥镜联合龈下喷砂技术治疗慢性牙周炎的疗效[J].宁夏医科大学学报,2021, 43(1):86-89.
[14] 姚伟莉,袁静,耿彪,等.慢性牙周炎患者唾液中miR-1246的表达及其临床意义[J].现代检验医学杂志,2021, 36(1):65-67.
[15] 杨红梅.米诺环素联合甲硝唑口腔粘贴片治疗慢性牙周炎的临床效果与安全性[J].中国现代药物应用,2020, 14(14):188-189.
[16] 张大风,黄盛斌,张友婷,等.盐酸米诺环素软膏联合替硝唑治疗慢性牙周炎的临床疗效及安全性研究[J].中国临床药理学杂志,2015,31(8):590-591.
[17] 郭莉,林彤,冯颖.盐酸米诺环素联合甲硝唑或替硝唑治疗慢性牙周炎的疗效及安全性比较[J].药物评价研究,2017,40(9):1294-1296.
[18] 王雯.替硝唑片联合盐酸米诺环素软膏治疗慢性牙周炎的临床价值分析[J].中国现代药物应用,2018,12(21):81-82.
[19] 姜梅,徐俊仙,翁庭静.血清脂联素、超敏C-反应蛋白、白细胞介素6、肿瘤坏死因子-α联合检测在慢性牙周炎患者早期诊断中的应用价值[J].中国卫生检验杂志,2020,30(18):2248-2251.
[20] 龚攀,曾玉,邝燕好,等.龈沟液中Shh蛋白、MMP-8与老年慢性牙周炎患者炎症程度的相关性[J].中国老年学杂志,2020,40(16):3478-3481.
[21] 王春风,李咏,金玲,等.吸烟对慢性牙周炎患者牙周指数及龈沟液MCP-1、IL-8表达的影响[J].实用口腔医学杂志,2018,34(6):794-797.
[22] 蒋文雯,王卓,包旭英.替硝唑与甲硝唑口腔黏贴片联合盐酸米诺环素软膏局部注射治疗慢性牙周炎临床对照研究[J].临床军医杂志,2018,46(7):831-832.
[23] 张瑜,谢倩倩,汤凯淇,等.米诺环素辅助治疗对老年慢性牙周炎患者血清、龈沟液骨代谢及相关炎症因子的影响[J].中国老年学杂志,2020,40(10):2131-2134.
[24] 蒲洁华,王诗维,吴宗玉.盐酸米诺环素软膏联合替硝唑治疗慢性牙周炎(CP)的临床疗效及安全性探讨[J].贵州医药,2020,44(12):1921-1922.
[25] 乌玉红,吴邵鸿,解学军,等.康复新液联合米诺环素治疗牙周炎临床评价[J].中国药业,2020,29(20):70-72. |
|
|
|