复发性口腔溃疡的治疗方法

篇一：复发性口腔溃疡的治疗方法

复发性口腔溃疡的治疗方法

⑴取鲜苦瓜160克（干品80克），开水冲泡，代茶饮。1日1剂。一般连用3～5日可显效。

⑵.每日晚饭后用温开水漱净口腔，取一勺蜂蜜，原汁的最好，敷在溃疡表面，含1~2分钟，然后咽下，重复2~3次，连续治疗2~3天可痊愈。

⑶每天取核桃壳10只左右，用水煎汤口服，一日3次， 连续3天，就可治愈口腔溃疡。

⑷采八九个带花萼的小月季花，捣烂，加一小杯蜂蜜调成糊状，涂口疮患处，一般3~5次即愈。

⑸将维生素C药片1~2片压碎，涂于溃疡面上，闭口片刻，每日2次。 ⑺选用全脂奶粉，每日2~3次，每次一汤匙，加少许白糖，开水冲服。晚间休息前冲服效果更佳。一般2天溃疡症状即可消失。

⑻取六神丸1支(30粒)碾碎成粉，加入2毫升凉开水浸透成为稀糊液备用。用药时先清洁口腔，然后用干净的棉签蘸上六神丸液涂于溃疡表面，以餐前10~15分钟用药为佳，每日3次，睡前加用1次。一般用药5分钟即可达到止痛效果，进餐无疼痛，增进食欲。小溃疡1~2天可痊愈；多发性溃疡用药3天痊愈。

饮食禁忌：

1、平时要注意保护口腔卫生，多吃蔬菜、水果以补充多种维生素。少吃烧烤油炸和油腻食物，不吃辛辣及热性食品，如辣椒、生葱、生姜、大蒜、烟、酒、羊肉等。此外还应通过摄入牛奶、鸡蛋、小麦胚芽等食物来补充锌、铁等微量元素；

2、过度疲劳和精神紧张是诱发口腔溃疡的常见原因，因此尽量避免遇事着急，保持心情舒畅，乐观开朗，避免过度疲劳，保证充足的睡眠；生活起居要有规律，养成一定排便习惯，适当多饮水，防止便秘，若患有肠胃溃疡炎症疾病，应积极配合相关治疗；

希望给你带来一些帮助。

篇二：治疗复发性口腔溃疡的民间偏方

治疗复发性口腔溃疡的民间偏方

口腔溃疡一般是指复发性口腔溃疡，也叫复发性口疮，口腔粘膜局限性的溃疡损害周期性反复发作、疼痛明显，不治疗经过一段时间也可以自行愈合；多发生于唇、颊、舌部等处口腔粘膜，严重时咽喉部粘膜也可能发生溃疡；口腔溃疡多为圆形或椭圆形，单个多见，后期溃疡个数变多；溃疡表面覆盖灰黄色假膜，边界清楚，充血红肿，局部疼痛，遇酸、甜、咸、辣食物时疼痛加剧；严重时伴有头疼发热、淋巴肿大等全身症状；由于口腔溃疡周期性、反复发作、病情持续时间长，很多患者担心随着病程的延长，症状会逐渐加重，演变成口腔癌；使人寝食不安，饱受痛苦折磨，影响情绪和精神。

治疗口腔溃疡，有两个特效民间偏方，患者不妨一试：

一、发现口腔溃疡，取一餐巾纸剪一小片，涂上牙膏（什么牌牙膏都可），贴在溃疡处，晚贴晨取，一般一次性治好。此方对牙龈炎（老百姓叫牙疖子）也很有疗效。

二、口腔溃疡严重者，可取蒲公英10克（鲜的60克），绿豆30克，冰糖适量。将蒲公英洗净切碎，与绿豆水煎，煎好后加入冰糖化开，每日一剂，可饮汁，可喝粥，连用5剂治愈。也可与一方同时用。

篇三：复发性口腔溃疡的几种治疗方式

复发性口腔溃疡有哪几种?应该如何治疗?发生复发性口腔溃疡主要和身体整体素质有关系，例如有些患者平时身体免疫力较差，还可能会有缺乏维生素及微量元素的可能，还有部分患者是由于生活中压力过大、肠胃不适或女性经期反应而发病的。

上海雅悦口腔是中国高端齿科服务行业领先品牌，致力于为广大市民提供一流的国际性齿科服务，并在中国建立一个提供高品质服务的口腔医疗连锁机构，为精英牙医们提供一个宽广的发展平台。上海雅悦齿科不断努力，良好的术后维护能防止不必要的伤害，雅悦口腔一直坚持欧式口腔会所式术后管理，做到每一步流程化，用一个团队去负责顾客的术后保障。

复发性口腔溃疡如果持续发生发烧及感染的情况，患者还需要警惕可能是免疫系统疾病造成的，如果不及时治疗的话，后果非常严重，例如患者会出现关节疼痛，面部长有红斑等，需要尽快到医院免疫可接受检查，确定病因，相间的复发性口腔溃疡主要分为以下三种。

轻度复发性口腔溃疡：这种情况下一般是可以通过日常护理而起到自愈效果的，一般建议患者平时多补充水分，预防上火，多吃点水果蔬菜，然后用淡盐水清理伤口部位，不要吃辛辣刺激食物。

重度复发性口腔溃疡：这种情况多数会持续超过一个月，疼痛会

越来越严重，甚至面积也会扩大，即便是痊愈后可能也会留下痕迹，此时就应该通过局部用药进行治疗了，有些患者还需要通过烧灼方法才能够治愈。

疱疹复发性口腔溃疡：此时口腔溃疡的数量会比较多，患者可能出现的并发症、不适反应也会更加明显，需要预防病毒感染，可以在医生指导下吃点抗病毒类的药物，患者应该注意增强身体的免疫力。

者出现口腔溃疡的症状后一定要注意饮食的健康，可以吃水果，但是荔枝、菠萝、桂圆、芒果水果还是等到病情痊愈后再吃比较好，另外，不要吃过多油炸类食物和烟熏类的食物，否则将会导致病情恶化。T6

篇四：复发性口腔溃疡的治疗方法

Current Concepts in the Treatment of Recurrent Aphthous Stomatitis

A. Altenburg, MD; C. C. Zouboulis, MD

Departments of Dermatology, Venereology, Allergology and Immunology, Dessau Medical Center, Dessau, Germany

Idiopathic aphthae are the most frequently occurring inflammatory lesions of the oral mucous membrane. Nosologically, the condition is clearly defined, but the sores are often difficult to differentiate from heterogeneously similar aphthoid ulcerations and mucosal erosions. Episodic aphthous attacks are characterized by painful lesions that range from the size of a pinhead up to several centimeters. Fibrin covered ulcerations with a hyperemic halo are typically visible on the oral mucous membrane, but they rarely appear in the genital region. Spontaneous healing is possible after many years.

Common simple aphthae, with 3-6 attacks per year, heal rapidly, are not very painful, and are restricted to the oral mucosa. They can be differentiated from complex aphthae (less than 5% of aphthosis cases), which are recurrent, present with few to unusual multiple lesions, are extremely painful, heal slowly, and can also occur in the genital region.1 Complex aphthosis requires the accurate diagnosis of a possible causal or associated condition, such as anemia, cyclic neutropenia, folic acid or iron deficiency, ulcus vulvae acutum, aphthous-like ulcerations in HIV positive patients, gastrointestinal diseases, such as Crohn’s disease and ulcerative colitis, and Adamantiades-Beh?et Disease (ABD). In ABD, which represents a

malignant form of aphthosis, there is an increase in both the frequency of occurrence and severity of lesions. The diagnosis of ABD is based on several clinical criteria sets, of which the International Study Group Criteria2 are the most frequently used and the New International Criteria are the most recent.3

Dietary and General Measures Certain foods should be avoided as they appear to trigger the eruption of new aphthae and prolong the course of the lesions (e.g., foods that are hard, acidic, salty, or spicy, as well as nuts, chocolate, citrus fruits, and alcoholic or carbonated beverages). In addition, because surfactants and detergents can cause irritation, dental care products containing sodium lauryl sulphate should be avoided.4

Local Anesthetics Pain relief can be attained using topical lidocaine 2% gel or spray, polidocanol adhesive dental paste, or benzocaine lozenges. Available combination preparations include a pump spray with tetracaine and polidocanol, and a mouth rinse solution that uses benzocaine and cetylpyridinium chloride as the active ingredients. As well, anesthetic-containing solutions, e.g., a viscous lidocaine 2% solution, can be applied carefully on the lesions.

Antiseptic and Anti-inflammatory Therapies Mouth washes with ingredients known to mildly inhibit inflammation can be used, e.g.,

chamomile extract solution (Kamillosan?, MEDA Pharma). Research has shown that the use of chlorhexidine (CHX) mouth rinses on RAS may be particularly helpful.5 Other dosing forms of CHX include dental gels or throat sprays. Triclosan is a broad spectrum antibacterial agent that also exhibits antiseptic, anti-inflammatory, and analgesic effects. Available formulations include toothpastes and mouthrinses. A randomized, double-blind study that explored the topical application of diclofenac 3% in hyaluronan 2.5% reported a significant reduction in pain.6 For adjuvant therapy, dexpanthenol, which acts as an humectant, emollient, and

moisturizer, can be used in different application forms and is available without prescription. Local Cauterization Applications of hydrogen peroxide 0.5% solution, silver nitrate 1%-2% solution, or a silver nitrate caustic stick represent several older therapeutic methods that can reduce the duration of solitary aphthae. Cauterizing chemical treatments must be administered by a dentist or physician to avoid burning healthy tissues.

Tetracycline Localized therapy with tetracycline can effectively reduce the duration and pain of oral aphthae.7 To avoid difficulties related to the chemical stability of tetracycline when it is formulated in an aqueous solution, a prescription for compounding and preparation, as shown in Table 1, has been proposed.8 Due to acidic pH values, patients may experience a brief burning sensation, but contact sensitization has not been reported in the context of intra-oral topical tetracycline applications. Marked improvement has been described with the use of a dental paste containing chlortetracycline 3%.9

Sucralfate Topical sucralfate is effective in treating RAS ulcerations when administered at 5mL, 4

times/day. Sucralfate exerts a soothing effect on lesions by adhering to mucous membrane tissues and forming a protective barrier on the affected site. This drug is commonly used to treat peptic ulcers.

Tetracycline Mouth Wash 5%

Composition:

? Propylene glycol 0.6gm

? Tetracycline hydrochloride 5.0gm

? Methyl-4-hydroxybenzoate 0.1gm

(转 载于:wWw.SmHaIDA.cOM 海达 范文 网:复发性口腔溃疡的治疗方法)

? Sodium citrate 6.5gm ? Sorbitol solution 70% (noncrystalizable) 65.5gm ? Traganth 0.5gm

? Purified water to 118.2gm

Preparation:

? Dissolve 4-methyl hydroxybenzoate in propylene glycol.

? Dissolve sodium citrate in purified water.

? Mix dry traganth and tetracycline hydrochloride. Mix with an equal part of sorbitol

solution and form a gel with the rest of the sorbitol solution.

? Add the sodium citrate solution in portions and stir.

? Add the propylene glycol together with the dissolved methyl-4-hydroxybenzoate

and stir.

Expiration: after 6 months

Instructions for Use:

Shake before each use. Apply 5mL of the suspension solution for 5 minutes in the mouth cavity up to 5 times daily. For intensive therapy, the same dose should be held for 10-15 minutes in the mouth.

Box 1: Preparation and use of chemically stable tetracycline suspension. Adapted from the New German Pharmacopoeia for compounded medication: Rezepturhinweise: Tetracyclinhydrochlorid in zahn?rztlichen Anwendungen und Mundspülungen.8

Topical Steroids

Topical steroids, such as triamcinolone acetonide and prednisolone (2 times/day), are

formulated as oral pastes, and are commonly used in the management of RAS. Additionally, therapeutic benefit can be derived from a mouthwash containing betamethasone. Of concern is the fact that the long-term use of steroids may predispose patients to developing local candidiasis. Combination therapy with a topical anesthetic during the day and a steroid paste at night is widely accepted as the optimal treatment regimen. An intralesional injection of triamcinolone (0.1-0.5mL per lesion) can be considered for painful single aphthae. For the treatment of genital aphthous ulcers, a combination of fluorinated steroids and antiseptics that are formulated in a cream base can be effective (e.g., dexamethasone 0.1% +

chlorhexidine 1% or flumetasone 0.02% + clioquinol 3%).

New Findings

Application of 5-aminosalicylic acid 5% cream (applying a small amount to cover the aphthae 3 times/day), or a toothpaste containing amyloglucosidase and glucose oxidase can reduce pain and lessen the duration of oral aphthae.10 A topical prostaglandin E2 gel prevented the appearance of new aphthae in a short-term study involving a small number of patients.11 According to the experience of several patients, raw egg white may partially soften oral pain in RAS. Interestingly, the number of aphthae and frequency of recurrence are reduced during phases of smoking compared with phases of abstinence; experimental data confirmed the anti-inflammatory effect of nicotine and biochanin A on keratinocytes.12,13 Also, a small study showed the remission of aphthosis during therapy with chewable nicotine tablets.14

Colchicine Colchicine has been shown to reduce the number and duration of lesions in up to 63% of patients with RAS.15 Treatment over 6 weeks, followed by long-term (years) therapy (1-2mg/day) is recommended. However, relapse following treatment discontinuation is common. Physicians must ensure that appropriate contraceptive methods are practiced by patients before initiating treatment. From our experience, combination therapy with

colchicine and pentoxifylline, benzathine penicillin, immunosuppressants, or interferon-alpha (IFN-á) is possible.

Pentoxifylline In uncontrolled studies, pentoxifylline (300mg, 1-3 times/day) was shown to be effective against orogenital aphthae. The response rates in children ranged between 36% and 63%.16 Corticosteroids Systemic corticosteroids are used as rescue treatment in patients with acute exacerbation and in those who inadequately responded to therapy with colchicine and pentoxifylline. Oral prednisolone, or its equivalent, at 10-30mg/day for up to 1 month can be administered

during an outbreak. From our experience, intravenous (IV) pulse therapy at 100mg/day for 3 days results in quick improvement for severe cases of RAS without the side-effects that are associated with long-term prednisolone use. Patient surveillance during therapy is advisable. Dapsone Dapsone (100mg/day) can be used for oral and genital aphthae, however, rapid relapses can occur after discontinuation of treatment. Intermittent administration of ascorbic acid and the reduction of smoking are useful in averting hematologic side-effects.17

Thalidomide Under standard (100-300mg/day) or low (50mg/day) dosing levels of thalidomide, a

dose-dependent effect against orogenital ulcerations emerges within 7-10 weeks following treatment. Due to teratogenicity and other potentially severe side-effects, therapy should be reserved for exceptional cases, such as in patients with persistent peripheral neuropathy. Antimetabolites (Azathioprine and Methotrexate)

篇五：复发性口腔溃疡的中医治疗方法

复发性口腔溃疡的中医治疗方法

关键词：复发性；口腔溃疡；中医

复发性口腔溃疡，是一种以周期性复发性为特点的口腔黏膜自限性溃疡性损害，临床上极为常见。复发性口腔溃疡的病因复杂。一般认为复发性口腔溃疡与免疫因素(细胞免疫、体液免疫和自身免疫)、环境因素、变态反应、遗传因素、体内铜锌比例失调、内分泌功能紊乱、缺铁、微循环障碍、植物神经功能紊乱、系统性疾病等多种因素有关。病情常因烦燥、失眠、疲劳等加剧或反复发作。因其病程长、反复发作，对患者身心健康危害较大。

文献报道，目前西医药还没有一种理想的根治方法。复发性口腔

溃疡属中医学“口疮”、“口疳”、“口糜”等范、畴。中医认为“脾开窍于口，其华在唇”、“心开窍于舌”，故口疮的发生与心脾关系极为密切。由于心脾蕴热、外感六淫、内伤七情、饮食不节、劳倦内伤，积热上熏于口舌而生疮。《素。问·气厥论》云：“膀胱移热于小肠，鬲肠不便，上为口糜。”《素问·至真要大论》云：“少阳之复，大热将至，火气内发，上为口糜。”《圣济总录》云：“口舌生疮者，心脾经蕴?a href="http://www.zw2.cn/zhuanti/guanyurenzuowen/" target="_blank" class="keylink">人乱病！薄?/p>

综上所述，中医治疗方法结合了中药和西药的特点，能够达到标本治疗的目的，其治疗效果远优于单纯西药治疗组。

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