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題 名 | 中藥對口腔病原菌及牙周病治療效果之評估 |
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作 者 | 陳三餘; | 書刊名 | 中醫藥年報 |
卷 期 | 15:1 1997.05[民86.05] |
頁 次 | 頁266-298 |
分類號 | 413.53 |
關鍵詞 | 中藥; 口腔病原菌; 牙周病; Chinese berbs; Oral pathogens; Periodontitis; |
語 文 | 中文(Chinese) |
中文摘要 | 牙周病是成人最常見的口腔疾患之一。臨床多藉洗牙等方法去除牙菌斑殘留為主 要治療手段,除此亦常併用抗生素化學療法以控制發炎反應。本實驗之目的為評估中藥方劑 應用於此類口腔疾患之臨床效果。以實驗的方法測試市販之三種中藥複方及其十一種單劑對 十五種常見口腔病原菌的功效。實驗的分析測試包括 (1) 中藥的抑 (殺 ) 菌效果、(2) 中 藥是否為突變劑和 (3) 中藥對田鼠以棉線所引發右側下顎前齒牙周病的療效。 實驗室測試 的結果顯示,僅廉齒素及齒痛寧具優異效果。 此二者於 1: 16 的稀釋濃度下可抑制大部分 口腔病原菌的生長,如放射桿菌、大腸桿菌、綠膿桿菌、全黃色葡萄球菌、鏈球菌等; 且於 任何溶解濃度下未見突變作用。動物活體實驗中; 絲線纏繞於田鼠下顎前齒可引發牙周組織 發炎的現象,此肉眼症狀大約於棉線解除第三天會恢復。而其所有的切片發現牙周組織有中 等程度的慢性發炎細胞浸潤,同時齒槽骨緣有骨破壞伴隨骨再生現象。除使用中藥複方之實 驗組較容易見到再生上皮外,整體而言中藥使用群並無顯著的差別動物實驗的結果雖然無法 完全肯定其療效,但微生物學的測試明確顯示,中藥複方如康齒素及齒痛寧等確實具有抑制 細菌生長之能力且無突變性。針對民間普遍應用性考量,進一步的研究以確立此類中藥方劑 療效是有其臨床的必要性。 |
英文摘要 | Periodontal disease is one of the most common oral disease, especially involved adult. Plaque control by scaling etc is the object of therapy, byt frequently combined with chemical therapy for diminishing the inflammation. The aim of this study was to evaluate the clinical effect of Chinese herbs. Three medicine available in the market and eleven components of these medicinewere tested for their actions against fifteen pathogens of oral disease. The actions included (1) bacterail growth inhibition, (2) bacterial mutation, (3) effectiveness of the material on the silk ligature-induced periodontitis in the hamsters on the right lower anterior tooth. In vitro, the reslut present only "Conth sou" and "Thton nin" showing excellent effect. About dilute concentration at 1:16 ratio, these two kinds of Chinese medicines can effectivily inhibit bacterial growth against most of pathogens of oral disease, such as Actinobacillus actinomycetamcomitans, Camphylobacteria vectus, Centipeda periodontii, E. coli, Prevotella intermedia, Porphyremons gingivalis, Pseudomonas aureuginosa, Prophyromonas eddodontalis, Selenomonas spp., Staphylococcus aureus, Streptococcus mutans. And there was any mutation could be found. In vive, ligatures induced periodontal inflammation in the harmsters, and those sings would recover at hte third day from ligature be removed. All sections revealed a moderate inflammatory cell infiltration, combined with numerous resorption lacunae which containing multinucleated giant cells and activation osteoblast. Though there was any significant differerces between the animal experiment, the Chinese herbs-used groups present regeneral epithelium easily. These results indicated the Chinese herbs, especially the "Conth sou" and "Thton nin" could effectivly inhibit bacterial growth without any mutation. For the clinical therapy, it might require further studies. |
本系統中英文摘要資訊取自各篇刊載內容。