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[Nd:YAG激光联合白芍总苷治疗糜烂型口腔扁平苔藓的临床疗效]

[Clinical effect of Nd:YAG laser combined with total glucosides of paeony for the treatment of erosive oral lichen planus].

作者信息

Hu Ai-Ping, Liu Zong-Xiang

机构信息

Department of Oral Mucosal Diseases, Xuzhou Stomatological Hospital. Xuzhou 221002, Jiangsu Province, China. E-mail:

出版信息

Shanghai Kou Qiang Yi Xue. 2016 Aug;25(4):481-483.

Abstract

PURPOSE

To investigate the clinical effect of Nd:YAG laser combined with total glucosides of paeony (TGP) taken orally for the treatment of erosive oral lichen planus (OLP).

METHODS

Sixty patients who were diagnosed as erosive OLP with clinical symptoms were divided into experimental group (n=28) and control group (n=32) using a random number table. All patients received TGP while the patients in the experimental group were given Nd:YAG laser irradiation. The clinical effects were evaluated 3 months after treatment. The data were analyzed using SPSS 17.0 software package.

RESULTS

Three months later, the average VAS score and sign score had improved significantly to (1.36±1.39) and (2.32±1.56) in the experimental group. The same tendency was observed in the control group and at the time point no significant difference was observed between the experimental group and the control group. The effectiveness of the experimental group was significantly higher than the control group (82.1% vs 53.1%).

CONCLUSIONS

Nd: YAG laser combined with TGP can improve the efficacy of erosive OLP. The regime is safe and effective, which is worth of wide clinical application.

摘要

目的

探讨Nd:YAG激光联合口服白芍总苷(TGP)治疗糜烂型口腔扁平苔藓(OLP)的临床疗效。

方法

将60例有临床症状的糜烂型OLP患者采用随机数字表法分为试验组(n = 28)和对照组(n = 32)。所有患者均口服TGP,试验组患者给予Nd:YAG激光照射。治疗3个月后评估临床疗效。采用SPSS 17.0软件包对数据进行分析。

结果

3个月后,试验组平均视觉模拟评分(VAS)及体征评分显著改善,分别为(1.36±1.39)和(2.32±1.56)。对照组也呈现相同趋势,且该时间点试验组与对照组之间未观察到显著差异。试验组有效率显著高于对照组(82.1% 对53.1%)。

结论

Nd:YAG激光联合TGP可提高糜烂型OLP的疗效。该治疗方案安全有效,值得临床广泛应用。

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