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目的探讨夜间牙龈出血的临床特点、病因及治疗效果,降低该病的发病率,提高治愈率。方法对4年来对387例夜间急性牙龈出血患者的临床病例进行分析归纳。结果夜间急性牙龈出血患者中牙龈炎、牙周病自发原因出血占29.9%,洁治术、拔牙后、牙龈外伤、乳牙滞留等非自发性出血占38.1%,牙龈出血治愈率占95.0%。全身性疾病如高血压、糖尿病、慢性肾衰透析后、肝病、贫血等导致牙龈出血占21.2%,治愈率占84.0%。结论夜间突发牙龈出血病因多样,牙龈炎、牙周炎及洁治术、拔牙后是牙龈出血的主要原因,急性牙龈出血的治疗,主要是采用局部压迫止血,配合外科缝合及止血药物,而全身性疾病患者在局部止血同时应该注重对因治疗。为了防止牙龈再次出血,对于牙周疾病患者应行洁治术,以达到根治目的。
Objective To investigate the clinical features, causes and therapeutic effects of gingival bleeding at night, to reduce the incidence of the disease and improve the cure rate. Methods The clinical cases of 387 patients with acute gingival bleeding at night were analyzed and analyzed in 4 years. Results In the patients with acute gingival bleeding at night, spontaneous bleeding caused by gingivitis and periodontal disease accounted for 29.9%. Non-spontaneous bleeding such as gingival trauma and deciduous teeth was 38.1% and 95.0% after gingival hemorrhage. Systemic diseases such as hypertension, diabetes, chronic renal failure after dialysis, liver disease, anemia, bleeding gums accounted for 21.2%, the cure rate was 84.0%. Conclusions There are many causes of gingival bleeding at night, such as gingivitis, periodontitis and neoplasm. After tooth extraction, bleeding of gums is the main reason. The treatment of acute gingival bleeding is mainly by local oppression to stop bleeding, and to cooperate with surgical suture and hemostatic drugs. Patients with systemic diseases in local hemostasis should also pay attention to treatment. In order to prevent bleeding gums again, for patients with periodontal disease should be Jiezhi surgery, in order to achieve radical purposes.