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Objective To observe the short-term clinical effect of compound phellodendron gargle combined with the total glucosides of paeony (TGP) in the treatment of erosive oral lichen planus (OLP). Methods 62 patients were divided into observation group and control group through a designed parallel randomized controlled study. All the patients used the total glucosides of paeony capsule , the patients in the observation group also used the compound phellodendron gargle. The pain condition, the healing condition of face, and the treatment effective in both group were evaluated through physical signs and VAS scores evaluations by SPSS 22.0, which could further evaluate the short-term clinical efficacy of compound phellodendron. Results After 30 days, the scores of VAS and physical signs of each group are much better than before. And the scores of VAS and treatment effective of observation group were significantly better than those of the other control groups (P<0.05). Conclusion The application of phellodendron gargle with total glucosides of paeony capsule could improve the treatment effect of OLP patients and reduce the oral pain , which could be used widely in clinical practice.
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Aims:Theaim of this study is to prepare herbal gargle preformulations making use of essential oil of aerial parts of Thymus capitatusgrowing wild in Northern Cyprus and comparing antimicrobial efficacy between these formulationswith pure essential oil.Place and Duration of Study: Department of Pharmaceutical Technology, Faculty of Pharmacy, Near East University, Nicosia, TRNC and Department of Pharmaceutical Microbiology, Faculty of Pharmacy, Ankara University, Ankara, Turkey, between January 2017 and June 2017.Methodology: Preformulations with three different concentrations of Thymus capitatusessential oil were prepared by using simple preparation method.Preformulation studies were done in lab with less than 500ml. There is not specific process parameters. Manufacturing process and process parameters will be clarified with further studies.These compositions and the essential oil were tested in-vitrofor antimicrobial activity studies by using broth microdilution method. Staphylococcus aureusATCC 43300, Staphylococcus aureusATCC 25923, Staphylococcus epidermidisATCC 12228, Bacillus subtilisATCC 6633, Escherichia coliATCC 25922, Enterococcus faecalisATCC 29212, KlebsiellapneumoniaeRSKK 574, Salmonella paratyphiC, Pseudomonas aeruginosaATCC 9027, Pseudomonas aeruginosaATCC 27853 as bacteria and Candida albicansATCC 10231, Candida parapsilosisATCC 22019 as yeasts were used for antimicrobial activity tests. Results: All trialswere found to be more effective than EO, and a significant effect was observed when compared to the values of standard antimicrobial agents.Conclusion:TheThymus capitatusgrowing in Northern Cyprus could be used as a herbal raw material, essential oil source in developing herbal gargle preformulationsto reduce fungal and bacterialinfections in mouth
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Objective@#To evaluate the efficacy of Yinlian gargle combined with Sodium bicarbonate on treatment of adult with oral fungal infections of acute myeloid leukemia chemotherapy Induced myelosuppression.@*Methods@#Totally 120 patients with acute myeloid leukemia for chemotherapy Induced myelosuppression complicated with oral fungal infections were randomly divided into the western medicine group, the traditional Chinese medicine (TCM) group, the integrated TCM and western medicine group and the control group, with 30 patients in each group. The integrated TCM and western medicine group was treated by Yinlian gargle and sodium bicarbonate solution alternately, the TCM group was treated by Yinlian gargle, the western medicine group was treated by Yinlian gargle and sodium bicarbonate solution, and the control group was treated by basic treatment and normal saline 4 times a day for 5 days. Before and after treatment, the Oral pH, white spot area, the safety were observed. And to calculate the total efficiency of each group.@*Results@#The oral pH (6.98 ± 0.13 vs. 6.57 ± 0.14, 6.61 ± 0.11, 6.23 ± 0.09, F=273.930 )in the integrated TCM and western medicine group were significantly higher than those among other groups (P<0.05). The white spot area (2.21 ± 1.93 mm2 vs. 6.32 ± 2.35 mm2, 5.99 ± 2.64 mm2, 7.83 ± 2.56 mm2, F=29.842) in the integrated TCM and western medicine group were significantly lower than those among other groups (P<0.05). The effective rate in TCM and western medicine group was 96.7% (29/30), TCM group 60.0% (18/30), western medicine group 63.3% (19/30), and the control group 31.0% (9/29), which showed significantly difference among four groups (χ2=27.425, P<0.01).@*Conclusions@#The Yinlian gargle combined with sodium bicarbonate on treatment of adult acute myeloid leukemia chemotherapy induced myelosuppression with oral fungal infections was effective.
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Objective To investigate the clinical efficacy of cetylpyridinium chloride gargle in the treatment of oral candidiasis.Methods Collected 45 cases of oral candidiasis patients admitted in our hospital from April 2015 to April 2017.Among them, 24 patients were treated with cetylpyridinium chloride gargle and treated as observation group.Rinse treatment in 21 cases, set as the control group.The oral pain score, mucosal atrophy score and mucosal erythema score were compared between the two groups.The HAMA anxiety scale and HAMD depression scale were used to evaluate the psychological stress.The HAMA score, HAMD score, blood glucose and blood glucose were compared between the two groups.Insulin levels were compared between the two groups of patients after oral mucosal examination positive rate and the incidence of adverse reactions.Results After treatment, the oral pain score, mucosal atrophy score and mucosal erythema score were significantly lower in the observation group than in the control group, the difference was statistically significant(P<0.05).The HAMA score, HAMD score and blood glucose level were significantly lower in the observation group than in the control group, the insulin level was higher than the control group, the difference was statistically significant(P<0.05).The positive rate was 20.83%(5/24)in the observation group and 52.38%(11/21)in the control group.The positive rate of oral mucosal examination in the observation group was significantly lower than that in the control group, the difference was statistically significant(P<0.05).There were no obvious adverse reactions during the treatment group.In the control group, only one case of oral mucosal congestion was found, but it was tolerable and disappeared after treatment.There was no significant difference in the incidence of adverse reactions between the two groups.Conclusion The use of cetylpyridinium chloride gargle in the treatment of oral candidiasis can relieve oral pain, mucosal atrophy, erythema symptoms and stress state, effective control of oral infection, and no significant adverse reactions、high safety.
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Objective:To compare the clinical effects of gargle fluid containing scutellaria baicalensis with chlorhexidine in the treatment of chronic gingivitis and to observe TNF-α expression in gingival crevicular fluid(GCF) before and after treatment.Methods:90 cases of chronic gingivitis were divided into 3 groups (n =10) based on random number table and treated by scaling and mouth wash with normal saline(group A),chlorhexidine(group B) and scutellaria baicalensis(group C) respectively.PI and GI were measured,TNF-α level in GCF was examined after initial therapy,1 week,2 week and 1 month after treatment.Results:Comprehensive analysis of the whole treatment process showed that there was difference of PI among 3 groups(F =3.506,P =0.034).PI in group B was lower than that in group A and C (P ＜ 0.05;A vs C,P ＞ 0.05);there was difference of GI among the 3 groups (F =6.359,P =0.003).GI in group A was higher than that in group B and C(P ＜0.05;B vs C,P ＞0.05),there was difference of TNF-α concentration in GCF among the 3 groups(F =3.780,P =0.027);TNF-α in group A was higher than that in group B and C(P ＜0.05,B vs C,P ＞0.05).Conclusion:Radix scutellariae and chlorhexidine gargle fluid are equally effective in the treatment of chronic gigivitis.
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Objective To investigate the effects of different gargling methods of sodium bicarbonate on oral pH values in children with malignant tumors undergoing chemotherapy, and to provide references for preventing oral fungal infection. Methods Totally 36 children with malignant tumors were recruited as research objects. Gargling methods were designed based on different sodium bicarbonate concentration, rinsing time, rinsing volume, and rinsing bites. Oral pH value was tested by pH indicator strips before and after rinsing. Results Sodium bicarbon-ate solution concentration, rinsing volume, ringing time and rinsing bites all influenced the changes of oral pH val-ue after rinsing. Regardless of methods, oral pH value was restored to the level of pre-rinse after 90 minutes. There were no significant differences in degree of comfort and compliance among different methods. Conclusion For children with malignant tumors undergoing chemotherapy, 5% 15ml sodium bicarbonate gargle is recommended to be rinsed for 30 seconds with 3 mouthfuls, and the interval is recommended to be no more than 90 minutes.
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Objective To explore the effect of the gargled astragalus water decoction as the adjuvant therapy on serum CD14, TNF-αand IL-8 levels in patients with acute suppurative pulpitis.Methods 42 patients who were diagnosed with acute suppurative pulpitis in our hospital were collected. All patients were randomly divided into experimental group and control group, 21 cases in each group.Patients in the control group received conventional therapy, while patients in the experimental group were given the additional adjuvant therapy that gargled with astragalus water decoction.After the treatment, the serum levels of CD14,TNF-αand IL-8 were detected in all patients.Results After treatment, the serum levels of CD14, TNF-αand IL-8 in the experimental group were statistically lower than control group ( P<0.05 ) .Conclusion The gargled with astragalus water decoction as the adjuvant therapy could significantly reduce the serum CD14,TNF-αand IL-8 levels in patients with acute suppurative pulpitis,and it could obviously relieve inflammation.
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Objective:To observe the clinical efficacy of Chinese medical gargle on gingivitis of the patients wearing fixed appliance. Methods:60 gingivitis patients with fixed orthodontic treatment were randomly divided into chlorhexidine gargle group( CG group) and Chinese medical gargle group(CMG group)(n=30). Gingival index(GI) and sulcus bleeding index(SBI) in all patients were tested, then the patients were treated by scaling and curettage, and guided to use gargling with corresponding gargle 3 times a day for 14 d. GI and SBI were tested after 7 and 14 days respectively. Data were analysed. Results:After 7 d treatment, GI and SBI were decreased( P<0. 05) and there was no obvious difference between the 2 groups(P<0. 05). After 14 d treatment GI and SBI in CMG group de-creased more than those in CG group(P<0. 05). Conclusion:Chinese medical gargle is effective in the treatment of gingivitis of the patients during fixed orthodontic treatment.
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Objective To explore the efficacy of Xipayigingiva consolidation gargle for root canal flushing. Methods 543 teeth in 543 patients with acute or chronic pulpitis or apical periodontitis who needed root canal treatmentwere divided into three groups by completely randomized design. The three groups wereXipayigingiva consolidation gargle group, hydrogen peroxide group, and sodium hypochlorite group. Conventional pulp chamber incision, pulpectomy and root canals preparation were used for the affected teeth. Three different rinsing solutions were applied to flush root canal. One week later , signs and symptoms were observed , and success rate was assessed in patients by comparing among the three groups. Results Regardless of duration of disease course and patients′ oral health situation, the success rate did not differ significantly among the three groups (P > 0.05). Conclusions Xipayi gingiva consolidation gargle has the same effect as sodium hypochlorite and hydrogen peroxide. It can be used as an alternative for flushing root canal.
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OBJECTIVE:To observe the efficacy and safety of ornidazole combined with Jinzhi jieyin gargle in the treatment of acute wisdom tooth pericoronitis. METHODS:110 patients with acute wisdom tooth pericoronitis were randomly divided into control group and observation group. Control group was given one Ornidazole tablet,ground into fine powder in sterile bottle. Checking oral cavity carefully before treatment,Hydrogen peroxide solution (3%) and 0.9% Sodium chloride injection were in sterile syringe to repeatedly and alternatively flushing peripheral tissue to clean the food residuals,bacteria and pus in gingival pock-et,until spilled solution was clear and no purulent. Sterile cotton swabs were used to blot up and separate it from the wet. After sep-arating gingival valve by probe,ornidazole fine powder was put into gingival pocket and pressed into deep area by tampons,and kept tampons,once a day + 2 Amoxicillin capsules,3 times a day. Observation group was additionally given 10 ml Jinzhi jieyin gargle in mouth for 3 min after the spilled solution was clear and no purulent,for 2 times,then ornidazole fine powder was put in-to blind pouch. 10 ml was taken in mouth for 3 min after three meals per day. The treatment course for both groups was 4 d. Clini-cal efficacy,main symptom and total scores of main symptoms,secondary symptom and total scores of secondary symptoms be-fore and after treatment,and incidence of adverse reactions in 2 groups were observed. RESULTS:The total effective rate in obser-vation group was significantly higher than control group,the difference was statistically significant (P0.05). CONCLUSIONS:Ornidazole combined with Jinzhi jieyin gargle has better efficacy than only ornidazole in the treatment of acute wisdom tooth pericoronitis,it can significantly reduce the main symptom scores and secondary symptom scores,with similar safety.
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Objective To observe the treatment effect of cetylpyridinium chloride gargle on the oral candidi-asis infection.Methods According to the selection of different drugs,88 cases with candidiasis infection were divided into the cetylpyridinium chloride gargle treatment group and the compound chlorhexidine gargle control (control group),44 cases in each group.The oral pain improvement,oral mucosal atrophy,swollen gums bleeding,microscopy positive rate,colony number and patients with oral erythema score,clinical efficacy and adverse reactions were observed and compared in the two groups.Results The total effective rate of the treatment group was 95.5%,which was significantly higher than 77.3% in the control group(χ2 =8.063,P =0.019),and the difference was statistically significant.After treatment,mucosal atrophy and erythema scores of the treatment group were significantly better than control group,and there were statistically significant differences (t =6.142,P =0.033;t =6.554,P =0.044).After treatment,the number of colonies and microscopic examination positive rate of the treatment group were better than those of the control group,and with statistical significance (χ2 =11.596,P =0.019;χ2 =6.994,P =0.031 ). Conclusion Cetylpyridinium chloride gargle in the treatment of oral candidiasis infection disease not only has signifi-cant effect and can effectively reduce the pain of patients with oral,reduce the incidence of adverse reaction,it is safe and reliable,it is worth popularization and application in oral candidiasis.
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OBJECTIVE:To establish a method for simultaneous determination of the content of catalpol,harpagide and hapa-goside in AIDS oral gargle. METHODS:Dual-wavelength UPLC was performed on the column of Eclipse Plus C18 with mobile phase of acetonitrile-0.05% phosphoric acid (gradient elution) at the flow rate of 0.2 ml/min. Wavelength was switching,it was set at 210 nm to determine the contents of catalpol and harpagide in the first 8 min and then changed to 280 nm to determine the con-tent of hapagosi- de in 8-15 min. The column temperature was 30 ℃,and injection volume was 2 μl. RESULTS:The linear range was 0.018 5-0.129 2 μg (r=0.999 6) for catalpol,0.014 0-0.098 3 μg (r=0.999 7) for harpagide and 0.015 7-0.110 0 μg(r=0.999 7)for hapagoside;RSDs of precision,stability and reproducibility tests were no more than 0.77%;average recoveries were respectively 99.44%(RSD=0.75%,n=6),99.90%(RSD=0.82%,n=6) and 100.20%(RSD=0.73%,n=6). CONCLUSIONS:The method is simple can reproducible,and can be used for effectively quality control.
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90 extracted single rooted human teeth were inoculated with E.faecalis.The cannals of the teeth were irrigated with MTAD, 5.25% NaClO,compound chlorhexidine gargle,tinidazole mouthwash,distilled H2 O(infection control)and autoclave followed by distilled H2 O(autoclaving control),respectively(n =1 5).Then E.faecalis infection of the samples were examined.The results showed that MTAD had significantly greater antibacterial effects than 5.25% NaClO,tinidazole mouthwashes,compound chlorhexidine gargle and tinidazole mouthwash(P <0.05).There was no significant difference between each 2 of the other 3 irrigants.
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BACKGROUND: Postoperative sore throat (POST) is a relatively common complication after endotracheal intubation, and various methods has been proposed to prevent it. In the present study, we assessed the effectiveness of ketamine gargling for reducing POST. METHODS: This study was conducted in a prospective, randomized, placebo-controlled, and single-blinded manner. The study populations consisted of 40 patients between 20 and 60 years old who were classified as American Society of Anesthesiologists physical status I-II and were scheduled for elective laparoscopic cholecystectomy. Patients in group K received ketamine (1 ml, 50 mg) in normal saline (29 ml), and they gargled with the given solution for 30 s before induction. Patients in group C received normal saline (30 ml) and gargled it for 30 s before induction. All patients were interviewed 1, 6, and 24 h after the operation. The visual analog scale (VAS) score of POST was checked. RESULTS: The VAS scores of POST were significantly lower in group K than in group C at 1 and 6 h after the operation. However, there were no significant differences in VAS scores at 24 h after the operation. CONCLUSIONS: Preoperative ketamine gargling temporarily reduced POST in patients that underwent laparoscopic cholecystectomy.
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Humans , Cholecystectomy, Laparoscopic , Intubation, Intratracheal , Ketamine , Pharyngitis , Prospective Studies , Visual Analog ScaleABSTRACT
Objective To evaluate the effect of chlorhexidine gargle on respiratory tract infection (RTI)in patients following general anesthesia.Methods From January 2012 to June 2013,94 patients who received general anesthe-sia for removal of vertebral disc were randomly divided into two groups,with 47 cases in each group,control group gargled with normal saline,observation group accepted 2% chlorhexidine gargle.The occurrence of RTI and detec-tion of pharynx pathogens of two groups were compared.Results The incidence of RTI in observation group and control group was 8.51%(n=4)and 23.40%(n=11)respectively(χ2 = 12.95,P <0.05).4 patients in observation group were detected 4 isolates of pathogens,11 patients in control group were detected 26 isolates of pathogens,the detection rate of pharynx pathogens of observation group was lower than control group (χ2 =3.89,P <0.05).The main isolated pathogens were Pseudomonas aeruginosa ,Staphylococcus aureus ,Klebsiella pneumoniae and Esche-richia coli .Conclusion Chlorhexidine gargling can effectively reduce RTI following general anesthesia,it is worthy of clinical application.
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Objective To evaluate the clinical efficacy of Yinhe gargle on infected root canals. Methods Forty-seven cases of root canal infection ( involving 48 affected teeth) were randomly divided into two groups. The experimental group (22 cases involving 22 affected teeth) was given intracanal medicament with Yinhe gargle, and the control group ( 25 cases involving 26 affected teeth) was given root canal disinfection with camphor phenol. After intracanal medicament for one week, therapeutic effect and safety were evaluated in the two groups. Results ( 1) During root canal disinfection, none of the subjects had adverse reaction such as hypersensitiveness or cauterization of soft tissue. Canal obturation was available after the first intracanal medicament for the infected root canals. (2) After intracanal medicament for one week, the effective rate in the experimental group was 95.45%, and was 100.00%in the control group, the difference being in significant (P>0.05). Conclusion Yinhe gargle has similar disinfection effect to camphor phenol on infected root canals, and it can be used as disinfection medicament for root canals.
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Objective To study the effects of self-made Chinese sherbal gargle on AIDS related oral lesion.Methods 353 hospitalized AIDS patients from June 2007 to December 2009 were divided randomly into the experimental group(179 patients)and the control group(174 patients).ALL the patients were treated with systemic anti-viral therapy while the experimental group was mouthwashed by self-made herbal gargle and the control group with normal saline solution.The incidence of new oral lesion and the changes of the originM lesion were observed.Results The incidence of new oral lesion in the experimental group was obviously lower than that of the control group.The cure rate and effective rate of original oral lesion were much higher than the control group.Conclusions Self-made herbal gargle shows good effect in preventing and treating the AIDS related oral lesion.
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OBJECTIVE:To prepare Koujunmie gargle,establish a quality control method and to observe the therapeutic effect.METHODS:Konjunmie gargle was prepared with method of dissolution;the contents of aciclovir,tinidazole and ciprofloxacin in the gargle were determined with HPLC and the stability test was performed.RESULTS:The method was simple,rapid and accurate.The assay of three ingredients in Koujunmie gargle could be simultaneously performed.The gargle was stable.The total effective rate was99.0%after10-day treatment(P
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[Objective] To establish a method for the determination of geniposide in Jinzhi Jieyin Gargle by RP- HPLC. [ Methods ] SupelcosilTM LC - 18 (150 mm ?4.6 mm, 5?m) was used as the analytical column, methanol - water -phosphoric acid (25∶75∶0.12 ) as mobile phase and the detection wave - length at 240 run. [Results] Within the range of 0.175-1.84?g, geniposide showed a good linearity ( r = 0.9999 ). The average recovery was 99.93%(n=5, RSD = 1.16%). [Conclusion] This method can be used for the quality control of Jinzhi Jieyin Gargle.
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Objective: To evaluate the therapeutic efficacy of compound tea polyphenols gargle in gingivitis treatment in children. Methods: A study of therapeutic efficacy was carried out in 240 patients(6～16 years) with gingivitis at random. Compound tea polyphenols gargle was appiled to 120 patients of the experimental group, chlorhexidine acetate solution to 60 patients in control group I, and tea polyphenols solution to 60 patients in the control group Ⅱ. The agents were used as mouthwashes for 6 days and 3 times daily. Results: The effective rate(%) in the experimental group, control group Ⅰ and control group Ⅱ were 98.33, 95.00 and 73.33 respectively. Compound tea polyphenols gargle was as effective as chlorhexidine against bacteria. Conclusion: Compound tea polyphenols gargle is effective in the treatment of children's gingivitis.