地塞米松及甲硝唑混合糊剂防治根管治疗期间急症临床研究  

The Clinical Effects of Dexamethasone and Metronidazole in Prevention and Treatment of Acute Cases during Root Canal Therapy

作　　者：赵丽[1] 赵晓军[1] 梁晓龙[1] 赵暖 张玉杰[1] 胡永权[1] 

机构地区：[1]石家庄市第二医院口腔科,石家庄050051

出　　处：《临床误诊误治》2010年第5期412-414,共3页Clinical Misdiagnosis & Mistherapy

基　　金：石家庄市科学技术研究与发展指导计划课题(081461283)

摘　　要：目的观察地塞米松联合甲硝唑糊剂防治根管治疗期间急症(endodon-tic interappointment pain,EIP)的临床效果。方法选择200例牙髓炎和根尖周炎,随机分成观察组和对照组,根管预备后,分别予地塞米松联合甲硝唑糊剂和甲醛甲酚(formcresol,FC)糊剂根管内封药。观察封药7 d后EIP的发生情况,进行疗效评价。结果观察组EIP发生率11%,对照组EIP发生率32%,两组比较差异有统计学意义(P<0.05)。结论地塞米松联合甲硝唑糊剂能有效防治EIP的发生。Objective To observe the clinical effects of Dexamethasone and Metronidazole in prevention and treatment of acute cases during root canal therapy.Methods Two hundred patients with chronic pulpitis or chronic apical disease were randomly divided into two groups;the experimental group was given Dexamethasone and Metronidazole in the canal and the control group was given the ordinary formocresol（FC） in the canal.Intracanal medicament with cataplasm was done.EIP development was observed 7 d after intracanal medicament and curative effects of Dexamethasone and metronidazole were evaluated.Results The differences of the emergency outbreak rate between the experimental group（11%） and the control group（32%） were of statistical significance（P0.05）.Conclusion Root canal therapy with Dexamethasone and metronidazole is effective in preventing and treating EIP.

关 键 词：根管治疗 地塞米松 甲硝唑 根管治疗期间急症 

分 类 号：R781.05[医药卫生—口腔医学]