摘要
目的比较适量和超量根管填充在牙体牙髓患者无疼治疗中的应用效果。方法选取医院2015年10月至2016年10月收治的60例牙体牙髓病患者为研究对象,采取随机数表法将其分为观察组(n=30)与对照组(n=30)。观察组进行适量根管填充,对照组进行超量根管填充,完成全部手术操作后,对两组患者均行常规口腔护理,避免出现术后感染。记录两组患者治疗前和治疗后15 d,1、3个月的视觉模拟评分法(VAS)评分;观察两组患者治疗后3个月的临床疗效及治疗期间并发症发生情况。结果治疗后15 d,1、3个月,两组的VAS评分均显著低于治疗前,差异具有统计学意义(P<0.05);治疗后15 d,1、3个月,观察组的VAS评分均显著低于同一时间的对照组,差异具有统计学意义(P<0.05);观察组的治疗总有效率为96.67%,显著高于对照组的70.00%,差异具有统计学意义(P<0.05);观察组牙龈肿胀、牙龈出血、牙釉质受损、蜂窝组织炎、咬合不适等并发症的总发生率为10.00%,显著低于对照组的36.67%,差异有统计学意义(P<0.05)。结论根管治疗牙体牙髓病临床疗效满意,适量填充相对于超量填充临床疗效显著,减轻患者疼痛的效果理想,并发症发生率低,值得临床推广应用。
Objective To compare the effect of proper and excess root canal filling in painless treatment of patients withdental pulp disease. Methods A total of 60 patients with dental pulp disease admitted in the hospital from October 2015 toOctober 2016 were selected as the study objects and divided into observation group （n=30） and control group （n=30） byrandom number table method. The observation group was treated with proper root canal filling, and the control group wastreated with excess root canal filling. After completing all surgical operations, routine oral nursing was performed on bothgroups to avoid postoperative infection. The visual analogue scale （VAS） scores of the two groups before treatment and 15 d,1and 3 months after treatment were recorded, the clinical efficacy 3 months of treatment and the occurrence of complicationsduring treatment of the two groups were observed. Results At 15 d, 1 and 3 months after treatment, the VAS scores of the twogroups were significantly lower than those before treatment, and the differences were statistically significant （P〈0.05）. TheVAS scores of the observation group at 15 d, 1 and 3 months after treatment were significantly lower than those in the controlgroup at the same time, the differences were statistically significant （P〈0.05）. The total effective rate of treatment in theobservation group was 96.67%, which was significantly higher than 70.00% of the control group, and the difference wasstatistically significant （P〈0.05）. The total incidence of complications such as swelling of the gums, bleeding of the gums,impaired enamel, cellulitis, occlusion discomfort in the observation group was 10.00%, which was significantly lower than36.67% in the control group, the difference was statistically significant （P〈0.05）. Conclusion The clinical efficacy of rootcanal treatment for dental pulp disease is satisfactory. The clinical effect of proper root canal filling is more significant thanthat of excess root canal filling. It has a ideal effect on reducing the pain of patients, and the incidence of complications islow, It is worthy of clinical promotion and application.
作者
赵洋
牛卫兵
ZHAO Yang;NIU Wei-bing(Stomatology Department,the People＇s Hospital of Liquan County,Xianyang 713200;Shaanxi Huashan ConstructionMachinery Staff Hospital,Xi＇an 710061,China)
出处
《临床医学研究与实践》
2018年第33期113-115,共3页
Clinical Research and Practice
关键词
根管填充
牙体牙髓病
无疼治疗
root canal filling
dental pulp disease
painless treatment
