目的 研究石辛含片治疗胃火牙痛(智牙冠周炎)的临床疗效。方法 采用随机对照试验,将符合胃火牙痛(智牙冠周炎)的初诊患者80例,随机分成试验组和对照组,每组40例。就诊当日先行常规局部冠周冲洗,试验组含服石辛含片0.6g×2,4次/天,对照组采用碘甘油上药。治疗10min后,使用视觉模拟评分(VAS)标尺法记录2组患者的镇痛效果,治疗后第3、7天应用疼痛计分法记录患者的炎性控制情况,并对2种治疗方法的效果进行综合评价。结果 治疗10min后,试验组37.5%的患者疼痛基本消失,而对照组不明显,治疗后第3、7天,试验组分别有90.0%和92.5%的患者疼痛消失,对照组分别有57.5%和87.5%的患者疼痛消失。综合治疗后3d,试验组和对照组的显效率分别为60.0%和42.5%,差异有统计学意义(P〈0.05),治疗后7d,试验组和对照组的总有效率分别为95.0%和90.0%,差异有统计学意义(P〈0.05)。.结论 石辛含片对治疗胃火牙痛(智牙冠周炎)有明显的消炎镇痛疗效。
Objective To evaluate the clinical effect of shixin bablet on treatment o5 gastropytic toothache. Methods 80 patients with gastropytic toothache were randomly divided into two groups and each group consisted of 40 cases. The experimental group was treated with shixin bablet, the control group was treated with iodine glycerol. 10 min after treatment, visual annlog scales (VAS) was used to record the severity of pain. 3 clays and 7days later, pain and inflammation degree were evaluated. Results 10 min after treatment, 37.5 % of patients in the experimental group had no pain. 3 days and 7days after the treatment, 90.0 %, 92.5 % of patients in the experimental group had no pain, and 57.5%, 87.5% of patients in the control group had no pain. 3 days after treatment,60.0% patients in the experimental group and 42.5% patients in the control group manifested good effects under the comprehensive clinical treatment standard;7 days after treatment, 95.0% patients in the experimental group and 90.0 % patients in the control group manifested good effects. The experimental group had better effects than the control group(P〈0.05). Conclusion Shixin bablet could reduce inflammation and pain of gastropytic toothache.