碧兰糊剂和碘仿糊剂根管充填后疼痛的比较  

Comparison of pain of Cortisomol and iodoform paste for root canal filling

作　　者：杨映阳 金小高[2] 

机构地区：[1]四川省南充市中心医院口腔科,四川南充637000 [2]华中科技大学同济医学院附属同济医院麻醉科,湖北武汉430030

出　　处：《中国医药导报》2013年第28期47-49,共3页China Medical Herald

基　　金：教育部"高等学校博士学科点专项科研基金"联合资助项目(编号200804871033)

摘　　要：目的 研究碧兰糊剂根管充填和碘仿糊剂根管充填治疗后疼痛的发生率及持续时间.方法 选取2011年5月～2013年5月行牙科根管预备后实施根管充填的240例患者（320例患牙）,分为碧兰糊剂组115例（160例患牙）和碘仿糊剂组125例（160例患牙）.碧兰糊剂组使用牙胶尖以及碧兰糊剂充填,碘仿糊剂组使用牙胶尖以及碘仿糊剂充填,对比术后两组患者的疼痛发生率以及疼痛持续时间.结果 碘仿糊剂组有10颗患牙重度疼痛,24颗患牙中度疼痛,17颗患牙轻度疼痛,总疼痛发生率为31.90％;碧兰糊剂组没有患者出现重度疼痛,有4颗患牙中度疼痛,12颗患牙轻度疼痛,总疼痛发生率为10.00％,两组总疼痛发生率比较差异有统计学意义（P＜0.05）.碘仿糊剂组6颗患牙疼痛2d以内,23颗患牙疼痛维持3～4 d,18颗患牙疼痛维持5～6 d,4颗患牙疼痛维持7d甚至更久;碧兰糊剂组11颗患牙疼痛2d以内,此外5颗患牙疼痛持续3～4 d,两组不同疼痛时间例数比较差异有统计学意义（P＜ 0.05）.结论 碧兰糊剂加牙胶尖充填的方式疼痛发生率明显较低,且疼痛时间短于碘仿糊剂充填,值得推广应用.Objective To study the occurrence rate and duration time of pain of Cortisomol and iodoform paste for root canal filling.Methods 240 cases （320 teeth） with root canal filling after the dental root canal preparation from May 2011 to May 2013 were selected and divided into Cortisomol group with 115 cases （160 teeth） and iodoform paste group with 125 cases （160 teeth）.Gutta-percha combined with Cortisomol were used in Cortisomol group,gutta-percha combined with iodoform paste were used in iodoform paste group.The occurrence rate and duration time of pain after the operation were compared.Results 10 teeth with severe pain,24 teeth with moderate pain,17 teeth with mild pain were found in iodoform paste group,the total pain incidence was 31.90％; no patients with severe pain was found in Cortisomol group,4 teeth with moderate pain,12 teeth with mild pain were found in Cortisomol group,the total incidence of pain was 10.00％; the differences of pain incidence was statistically significant （P ＜ 0.05）.6 teeth pain within 2 days,the 23 teeth pain last 3-4 days,the 18 teeth pain last 5-6 days,the 4 teeth pain for 7 days or longer were found iodoform paste group; 11 teeth pain within 2 days,in addition to 5 teeth pain lasts 3-4 days,no tooth pain lasts longer were found in Cortisomol group,the differences of pain time was statistically significant （P ＜ 0.05）.Conclusion The pain incidence of Cortisomol combined with gutta percha in filling mode was significantly low,the pain last time is shorter than the gutta percha,it is worthy of popularization and application.

关 键 词：碧兰糊剂 碘仿糊剂 根管充填 牙胶尖 

分 类 号：R781.3[医药卫生—口腔医学]