急性牙髓炎一次性与多次性根管治疗的临床比较  

Clinical comparison of One-time and multiple root canal in treatment of Acute Pulpitis

作　　者：张兴辉[1] 陈巨汉[1] 蓝芬芳 莫伦桂 

机构地区：[1]广东省东莞市桥头医院口腔科,广东东莞523523

出　　处：《吉林医学》2014年第32期7155-7156,共2页Jilin Medical Journal

摘　　要：目的:探讨急性牙髓炎一次性与多次性根管治疗的临床效果。方法:选择接受诊疗的100例急性牙髓炎患者,随机分为两组,每组50例。一次性根管组(为观察组),应用碧兰麻行浸润麻醉处理,常规开髓、拔髓,清洁髓室,拔除根髓;多次性根管组(为对照组),行常规局部麻醉术,常规开髓、减压,清除病变部分,用CP球予以暂封。对比观察两组的疗效。结果:术后7 d,观察组总有效率为96.0%,与对照组(92.0%)比较,差异无统计学意义(P>0.05);术后6个月,观察组总有效率为96.0%,高于对照组的86.0%,差异有统计学意义(P<0.05)。结论:一次性根管治疗急性牙髓炎疗效确切,避免二次感染,利于患者病情的恢复,提升患者生活质量,值得临床推广。Objective To analyze and discuss the clinical effects of one-time and multiple root canal in treatment of Acute pulpitis.Methods 100 cases of acute pulpitis were selected and randomly divided into the two groups,with 50 cases of each group,One-time root canal therapy group（the observation group） was treated with anesthesia with primacaine,conventional open pulp,pull cord,cleaning teeth room,unplug the root pulp;multiple root canal therapy group（the control group） was treated with conventional topical anesthesia,conventional open pulp,vacuum,remove diseased,closed with CP ball temporarily,the curative effect were compared in two groups.Results After 7 days,the total effective rate of the observation group 96.00% compared with the control group 92.00% had no significant difference（P〉0.05）;After six months,the total effective rate of the observation group 96.00% was higher than that of the control group 86.00%,the differences were statistically significant（P〈0.05）. Conclusion One-time root canal in treatment of Acute pulpitis has a define effect,to avoid secondary infection and promote the condition recovery of patients,improve the quality of life of patients,and has a worth of promotion.

关 键 词：急性牙髓炎 一次性根管 多次性根管 

分 类 号：R781.31[医药卫生—口腔医学]