富血小板血浆联合Bio-Oss骨粉和海奥生物膜在糖尿病患者口腔种植骨再生中的应用效果

Application of platelet-rich plasma, Bio-Oss bone powder combined with Haiao biofilm in bone regeneration of oral implant in patients with diabetes mellitus

  • 摘要: 目的 探讨富血小板血浆联合Bio-Oss骨粉和海奥生物膜在糖尿病患者口腔种植骨再生中的应用效果。 方法 选取80例糖尿病口腔种植骨再生患者作为研究对象,应用随机数字表法分为对照组与联合组,各40例。对照组患者采用Bio-Oss骨粉和海奥生物膜进行治疗,联合组患者采用富血小板血浆联合Bio-Oss骨粉和海奥生物膜进行治疗。比较2组患者治疗后的临床疗效、骨缺损再生情况及并发症发生情况。 结果 联合组患者的总有效率为97.50%, 高于对照组的77.50%, 差异有统计学意义(P<0.05); 治疗后,联合组患者的出血指数(0.36±0.08)、探诊深度(3.29±0.33)mm、附着丧失(3.00±0.30)mm、植骨高度(2.69±0.27)mm、成骨厚度(2.57±0.26)mm均优于对照组,差异有统计学意义(P<0.05); 联合组患者的并发症发生率为5.00%, 低于对照组的27.50%, 差异有统计学意义(P<0.05)。 结论 应用富血小板血浆联合Bio-Oss骨粉和海奥生物膜应用在糖尿病患者口腔种植骨再生中疗效显著,可明显改善患者的骨缺损再生情况,并降低并发症发生率。

     

    Abstract: Objective To explore the application of platelet-rich plasma combined with Bio-Oss bone powder and Haiao biofilm in oral implant regeneration in diabetic patients. Methods A total of 80 diabetic patients with implant bone regeneration in our hospital were selected as study subjects, and were divided into control group and combined group by random number table method, with 40 cases in each group. The patients in the control group were treated with Bio-Oss bone powder and Haiao biofilm, and those in the combined group were treated with platelet-rich plasma combined with Bio-Oss bone powder and Haiao biofilm. The clinical efficacy, bone defect regeneration and complications of the two groups were compared and analyzed. Results The total effective rate of the combined group was 97.50%, which was significantly higher than 77.50% of the control group(P<0.05). The bleeding index, the depth of exploration, the loss of attachment, the height of bone graft and the thickness of osteogenesis were(0.36±0.08),(3.29±0.33)mm,(3.00±0.30)mm,(2.69±0.27)mm,(2.57±0.26)mm, respectively, in the combined group, which were significantly higher than those in the control group(P<0.05). The incidence of complications in the combined group was significantly lower than that in the control group(5.00% vs. 27.50%, P<0.05). Conclusion The application of platelet-rich plasma combined with Bio-Oss bone powder and Haiao biofilm in the treatment of dental implant bone regeneration in diabetic patients has a significant effect, which can significantly improve the bone defect regeneration, and reduce the incidence of complications.

     

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