摘要
目的探讨根管治疗术与氢氧化钙糊剂联合治疗牙髓炎与根尖炎的疗效。方法选取2019年3月-2021年3月淮安市妇幼保健院就诊的58例牙髓炎、根尖炎患者,以治疗方法不同分为两组,各29例。常规组予以氧化锌碘仿丁香油粘固粉填充,研究组予以氢氧化钙糊剂填充,分析两组的治疗效果、牙龈指数、牙龈出血指数、疼痛程度和不良反应情况。结果研究组总有效率93.10%高于常规组的72.41%,差异有统计学意义(χ^(2)=4.350,P<0.05)。治疗前,两组牙龈指数、牙龈出血指数相比差异无统计学意义(P>0.05);治疗后,研究组牙龈指数评分(1.2±0.6)分、牙龈出血指数评分(1.3±0.5)分较常规组更低,差异有统计学意义(t=2.489、4.567,P<0.05)。治疗前,两组VAS评分对比差异无统计学意义(P>0.05);治疗7、14、21 d后,研究组VAS评分分别为(5.34±1.01)分、(3.21±0.19)分、(1.14±0.24)分,均较对照组更低,差异有统计学意义(t=2.337、48.377、11.410,P<0.05)。研究组不良反应发生率为3.44%,较对照组的27.59%明显更低,差异有统计学意义(χ2=4.735,P<0.05)。结论联合以根管治疗术与氢氧化钙糊剂对牙髓炎、根尖炎患者展开治疗,可有效改善患者牙周症状,效果明显且安全。
Objective To investigate the efficacy of root canal therapy combined with calcium hydroxide paste in the treatment of pulpitis and apical inflammation.Methods A total of 58 patients with pulpitis and apical inflammation who came to Huai'an Maternal and Child Health Hospital from March 2019 to March 2021 were selected and divided into two groups according to different treatment methods,with 29 patients in each group.The conventional group was filled with zinc oxide iodoform clove oil adhesive powder,and the research group was filled with calcium hydroxide paste.The treatment effect,gingival index,gingival bleeding index,pain degree and adverse reactions of the two groups were analyzed.Results The total effective rate of the study group was 93.10%higher than that of the routine group,72.41%,and the difference was statistically significant(χ^(2)=4.350,P<0.05).Before treatment,there was no sta⁃tistically significant difference in gingival index and gingival bleeding index between the two groups(P>0.05).After treatment,the gingival index score(1.2±0.6)points and the gingival bleeding index score(1.3±0.5)points in the study group were lower than those in the routine group,and the difference was statistically significant(t=2.489,4.567,P<0.05).Before treatment,there was no statistically significant difference in VAS scores between the two groups(P>0.05).After 7 d,14 d,and 21 d of treatment,the VAS scores of the study group were(5.34±1.01)points,(3.21±0.19)points,and(1.14±0.24)points,respectively.were lower than those in the control group,and the differ⁃ence was statistically significant(t=2.337,48.377,11.410,P<0.05).The incidence of adverse reactions in the study group was 3.44%,which was significantly lower than that in the control group(27.59%),and the difference was statis⁃tically significant(χ^(2)=4.735,P<0.05).Conclusion Combining root canal therapy and calcium hydroxide paste in the treatment of patients with pulpitis and periapical inflammation can effectively improve the periodontal symptoms of patients,the effect is obvious and safe.
作者
卓其保
ZHUO Qibao(Department of Stomatology,Huai'an Maternal and Child Health Hospital,Huai'an,Jiangsu Province,223002 China)
出处
《系统医学》
2022年第12期191-194,共4页
Systems Medicine
关键词
氢氧化钙糊剂
根管治疗术
牙髓炎
根尖炎
疗效
Calcium hydroxide paste
Root canal therapy
Pulpitis
Apical inflammation
Curative effect
