摘要
目的:探讨超声根管冲洗术治疗根尖周炎对患者局部炎症及临床效果。方法:选择2012年6月至2015年6月本院收治的根尖周炎患者100例,按照随机数字法分为两组,各50例,观察组采用超声根管冲洗术,对照组使用手持K型锉治疗,比较两组干预前后、根管菌落数、干预前后根管内内毒素水平及患者疼痛程度,统计两组填充质量及临床效果。结果:干预后两组根管菌落数均显著少于干预前(P<0.05),且干预后观察组根管菌落数少于干预后对照组(P<0.05),干预后两组根管内内毒素水平及疼痛程度评分均低于干预前(P<0.05),且干预后观察组根管内内毒素水平及疼痛程度评分低于干预后对照组(P<0.05),治疗后观察组适充率显著高于对照组(P<0.05),观察组临床愈合率显著高于对照组(P<0.05),未愈合率显著低于对照组(P<0.05)。结论:超声根管冲洗术能有效的减少根尖周炎患者根管菌落数及内毒素水平,缓解患者疼痛,提高临床治疗效果。
Objective ： To investigate the ultrasonic root canal irrigation in the treatment of patients with locally periapical inflammation and clinical results. Methods： 100 cases of apical periodontitis patients admit- ted to hospital from June 2012 to June 2015, according to randomized, divided into two groups, 50 cases in the observation group used ultrasonic root canal irrigation operation, the control group using a handheld K file type before and after treatment were compared intervention, root canal colonies, before and after the interven- tion inner root canal endotoxin levels and the degree of pain the patient, filling two statistical quality and clini- cal effectiveness. Results： After the intervention groups root canal colonies were significantly less than before the intervention （P〈0.05） , and the intervention group was observed after root canal colonies after the inter- vention than in the control group （ P〈0.05 ） , two groups within the root canal after intervention endotoxin lev- els and pain scores were lower than before the intervention （ P〈0.05 ）, and endotoxin levels after the interven- tion group was observed within the root canal and post-intervention pain severity score lower than the control group （ P〈0.05 ） , after treatment in the observation group appropriate charge rate was significantly higher （ P〈 0.05 ） , clinical healing rate of the observation group was significantly higher （ P〈0.05 ） , non-healing rate was significantly lower than the control group （ P 〈 0.05 ）. Conclusion： Ultrasonic root canal irrigation technique can effectively reduce the apical root canal colonies and endotoxin levels in patients with peripheral inflammation, relieve pain in patients, improve clinical outcomes.
出处
《河北医学》
CAS
2017年第1期6-9,共4页
Hebei Medicine
基金
国家自然基金
(编号:81460133)
关键词
超声根管冲洗术
根尖周炎
炎症反应
Ultrasonic root canal irrigation technique
Apical
Inflammation
