摘要
目的比较乳牙慢性根尖周炎一次性与二次性根管治疗的临床疗效。方法选取医院2021年12月至2022年12月收治的乳牙慢性根尖周炎患儿120例,随机分为观察组和对照组,各60例。对照组患儿应用二次性根管治疗,观察组患儿应用一次性根管治疗。两组患儿均随访18个月。结果观察组治疗总有效率为96.67%,显著高于对照组的86.67%(P<0.05)。观察组术后1 h、3 h疼痛评分均显著低于对照组(P<0.05)。观察组的并发症发生率为3.33%,显著低于对照组的15.00%(P<0.05)。观察组治疗依从率为95.00%,显著高于对照组的80.00%(P<0.05)。观察组护理满意度为100.00%,显著高于对照组的90.00%(P<0.05)。观察组术后18个月治疗成功率为91.67%,显著高于对照组的73.33%(P<0.05)。结论一次性根管治疗乳牙慢性根尖周炎效果显著,可提高患儿治疗依从性,改善预后。
Objective To compare the clinical efficacy between one-time and secondary root canal treatment on chronic apical periodontitis of deciduous teeth.Methods A total of 120 children with chronic apical periodontitis of deciduous teeth admitted to the hospital from December 2021 to December 2022 were randomly divided into the observation group and the control group,with 60 cases in each group.The patients in the control group received secondary root canal treatment,while the patients in the observation group received one-time root canal treatment.Both groups were followed up for 18 months.Results The total effective rate of the observation group was 96.67%,which was significantly higher than 86.67% in the control group(P<0.05).The postoperative pain scores in 1 h,3 h in the observation group were significantly lower than those in the control group(P<0.05).The incidence of complications in the observation group was 3.33%,which was significantly lower than 15.00% in the control group(P<0.05).The treatment compliance rate of the observation group was 95.00%,which was significantly higher than 80.00% in the control group(P<0.05).The nursing satisfaction rate in the observation group was 100.00%,which was significantly higher than 90.00 in the control group(P<0.05).The success rate of treatment at 18 months in the observation group after surgery was 91.67%,which was significantly higher than 73.33% in the control group(P<0.05).Conclusion The one-time root canal treatment has a significant effect on chronic apical periodontitis in deciduous teeth,which can improve the compliance with treatment and improve prognosis effect.
作者
范晓海
FAN Xiaohai(The Seventh Medical Center of the General Hospital of the People's Liberation Army of China,Beijing,China 100700)
出处
《中国药业》
CAS
2024年第S01期102-104,共3页
China Pharmaceuticals
关键词
一次性根管治疗
二次性根管治疗
急性牙髓炎
临床疗效
依从性
root canal treatment
secondary root canal treatment
acute pulpitis
clinical efficacy
compliance
