补肾活血方联合阿仑膦酸钠促进骨质疏松患者种植体骨结合临床研究
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R782.12

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国家自然科学基金青年科学基金项目(81904223)


Clinical Study on Bushen Huoxue Prescription Combined with Alendronate Sodium in Promoting Osseointegration of Dental Implants in Patients with Osteoporosis
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    摘要:

    目的:观察补肾活血方联合阿仑膦酸钠促进骨质疏松(OP) 患者种植体骨结合的临床效果。方法:选取63 例诊断为OP 合并牙体缺失的患者,以随机数字表法分为试验组和对照组。2 组患者均予种植术后常规治疗,并服用阿仑膦酸钠片,试验组加予补肾活血方治疗,均治疗3 个月。比较2 组种植体植入即刻、植入后1 个月和植入后3 个月的骨密度值与种植体稳定性(ISQ 值),观察患者有无发生口腔种植并发症及3 个月内的用药安全性。结果:研究对象总共植入65 枚士卓曼种植体,种植体存活率100%。2 组植入1 个月和植入3 个月的骨密度值均高于前一个时间点(P<0.05),提示2 组骨密度均有上升趋势。植入1 个月和植入3 个月,试验组的骨密度值均高于对照组,差异均有统计学意义(P<0.05)。2 组植入1 个月和植入3 个月的ISQ 值相较前一个时间点,差异均有统计学意义(P<0.05)。植入1 个月,对照组的种植体稳定性下降,而试验组的种植体稳定性上升,2 组ISQ 值比较,差异有统计学意义(P<0.05)。在植入即刻和植入3 个月,2 组ISQ 值比较,差异均无统计学意义(P>0.05)。对照组有1 例患者出现不良反应。结论:补肾活血方联合阿仑膦酸钠可增加OP 患者的骨密度,同时促进种植体的骨结合,增强早期种植体的稳定性,可作为临床口腔种植手术后的辅助治疗。

    Abstract:

    Abstract:Objective:To observe the clinical effect of Bushen Huoxue prescription combined with alendronate sodium in promoting osseointegration of dental implants in patients with osteoporosis(OP). Methods: A total of 63 cases of patients diagnosed as OP complicated with dental loss were divided into the experiment group and the control group according to the random number table method. After implantation, both groups were given routine treatment and alendronate sodium tablets,and the experiment group was additionally treated with Bushen Huoxue prescription. Both groups were treated for three months. Immediately after implantation, and one month and three months after implantation, the changes of bone mineral density and the monitoring of implant stability quotient(ISQ) were compared between the two groups. The occurrence of complications in dental implant and the medication safety within three months were observed. Results : A total of 65 Straumann implants were implanted into the study subjects, with 100% implant survival rate. One month and three months after implantation,the bone mineral density in the two groups was higher than that at the previous time point(P< 0.05),which showed an upward trend in bone mineral density. One month and three months after implantation,the bone mineral density values in the experiment group were higher than those in the control group,differences being significant(P< 0.05). One month and three months after implantation,the differences of ISQ values in the two groups were both significant when compared with those at the previous time point(P<0.05). One month after implantation,the ISQ in the control group was decreased,and the ISQ in the experimental group was increased,the difference being significant(P<0.05). There was no significant difference being found in the comparison of ISQ values between the two groups immediately after implantation and three months after implantation(P>0.05). One patient in the control group had adverse reactions. Conclusion: Bushen Huoxue prescription combined with alendronate sodium can improve bone mineral density of OP patients,and at the same time promote osseointegration of dental implants and increase the implant stability at the early stage,which can be used as an adjuvant treatment after clinical dental implantation.

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王乔齐,孙岩,张煊,潘晓豪,项周益,徐涛涛.补肾活血方联合阿仑膦酸钠促进骨质疏松患者种植体骨结合临床研究[J].新中医,2022,54(2):90-94

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  • 在线发布日期: 2022-01-22
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