复方氢氧化钙糊剂在Ⅱ型糖尿病人根管治疗术中的临床观察  

Comment on the Effects of Using Polypharmaceutical Calcium Hydroxide Cataplasm on Root Canal Therapy of Diabetes Mellitus Ⅱ Patients

作　　者：唐云环[1] 

机构地区：[1]南华大学第二附属医院口腔科,湖南衡阳421001

出　　处：《南华大学学报（医学版）》2010年第5期641-644,共4页Journal of Nanhua University(Medical Edition)

摘　　要：目的观察复方氢氧化钙糊剂在Ⅱ型糖尿病人根管治疗中的临床疗效。方法选择Ⅱ型糖尿病人并患有窦型慢性根尖周炎的单根管患牙178个,随机分为3个组即复方氢氧化钙组、氢氧化钙组及对照组。复方氢氧化钙组采用复方氢氧化钙糊剂行根管内封药及根管充填,氢氧化钙组采用氢氧化钙糊剂做同样治疗,对照组则用甲醛甲酚作为根管消毒剂、用根管充填糊剂行根管充填。对3组近期的临床效果进行观察和比较。结果复方氢氧化钙组,根管封药3次以下行根管充填率为75.0%,根管治疗期间急症发生率为11.7%,总有效率为90.0%;氢氧化钙组上述分别为70.0%,20.0%,85.0%;而对照组则分别为48.3%,39.7%,69.0%。经SPSS13.0软件处理,与对照组比较,两个实验组差异均有显著性。结论用复方氢氧化钙糊剂和氢氧化钙糊剂治疗糖尿病人慢性根尖周炎,能明显降低根管治疗期间急症(IAE)发生和减少复诊次数、增加近期疗效。Objective To observe the clinical effects of using polypharmaceutical calcium hydroxide cataplasm to treat diabetes mellitus Ⅱ patients by root canal therapy.Methods 178 teeth were chosen from the diabetes mellitus Ⅱ patients with sinus chronical periapical periodontitis,and divided into three groups randomly.The group of Polypharmaceutical Calcium Hydroxide Cataplasm adopts the method of using polypharmaceutical calcium hydroxide cataplasm as medication and filling root canal.The group of Calcium Hydroxide Cataplasm use calcium hydroxide cataplasm to do the same treatment.The control group uses formolcresol as root canal disinfectant,and root canal cataplasm for filling.The author compares the clinical effects of the three groups. Results The group of Polypharmaceutical Calcium Hydroxide Cataplasm： using root canal medication less than three times and the rate of root canal filling is 75.0%,the endodontic interappintment emergency rate is 11.7%,and the total effective rate is 90.0%.The above mentioned rate of the group of calcium hydroxide cataplasm is 70.0%,20.0% and 85.00%;but the rate of the control group is 48.3%,39.7% and 69.0%.Using the SPSS13.0 software to deal with the data,the author finds out there are obvious difference between the two groups.Conclusion Using polypharmaceutical calcium hydroxide cataplasm and calcium hydroxide cataplasm to treat the chronical periapical periodontitis of diabetes mellitus Ⅱ patients can effectively reduce the occurrence of IAE and times of referrals,thus enhance the effects.

关 键 词：奥硝唑 氢氧化钙 碘仿 根管治疗 Ⅱ型糖尿病 有窦型慢性根尖周炎 

分 类 号：R781.34[医药卫生—口腔医学]