摘要
目的 观察早期开髓减压引流术在急性牙髓炎治疗中的应用效果.方法 选取2012年1月至2014年9月在我院口腔科就诊的160例急性牙髓炎患者,数字抽签随机分为对照组和观察组,每组各80例.对照组采用保髓疗法,观察组采用开髓减压引流疗法.比较两组患者的治疗效果,治疗7d后患牙叩痛情况,治疗总次数和并发症的发生情况.结果 对照组患者治疗有效率为61.3％（49/80例）,观察组为86.3％（69/80例）,差异有统计学意义（P＜0.05）;治疗7d后,对照组患者镇痛有效率为46.3％（37/80例）,观察组为73.8％（59/80例）,差异有统计学意义（P＜0.05）;对照组患者治疗（7.7±1.4）次,观察组（6.1±1.2）次（P＞0.05）;对照组和观察组分别有6例、4例患者出现急性根尖周炎（P＞0.05）.结论 早期开髓减压引流术治疗急性牙髓炎临床疗效和镇痛效果好,可在临床推广.
Objective To investigate the clinical effects of open decompression drainage on acute pulpitis.Methods Totally 180 acute pulpitis patients hospitalized during January 2012 to September 2014 in our department were selected and randomly divided into control group and observation group （n=80 each）.The control group was treated with pulp inactivating agent and the observation group was given open decompression drainage.The clinical effects,analgesia efficiencies at 7d after treatment,treatment course and the complications were compared between the 2 groups.Results There was significant difference in the effective rate between control and observation groups after treatment [61.3% （49/80 cases） vs.86.3% （69/80 cases）,P〈0.05].The analgesia efficiencies at 7d after treatment was 46.3% （37/80 cases） in control group and 73.8% （59/80 cases）in observation group （P〈0.05）.There was no significant difference in treatment course between two groups [（7.7±1.4） times vvs.（6.1± 1.2） times,P〉0.05]].6 patients developed periapical periodontitis in control group,and only 4 cases in the observation group （P〉0.05）.Conclusions Early open decompression drainage has good clinical effects and analgesia efficiencies in treatment of acute pulpitis,which is worthy of clinical application.
出处
《中华老年医学杂志》
CAS
CSCD
北大核心
2015年第4期424-425,共2页
Chinese Journal of Geriatrics
