不同根管的不同治疗方法中诊间急症发生率的回顾性分析  

The retrospective analysis of the incidence of emergency diagnosis in different treatment methods of different root canals

作　　者：陈俊杰 

机构地区：[1]河南省郸城县人民医院口腔科,477150

出　　处：《医学新知》2018年第A01期797-798,共2页New Medicine

摘　　要：目的 回顾性分析显微镜下和传统方法治疗不同根管中诊间急症发生率情况,探讨最佳治疗方案.方法 选取行根管治疗的牙髓坏死患者200例,其中非感染根管60例,感染性根管60例和再治疗根管80例.依据治疗方法的不同分为显微镜治疗组100例和传统治疗组100例,其中60例非感染根管治疗中,30例实施一次根管充填治疗,其余30例则实施多次根管充填治疗,记录所有患者的临床效果、诊间急症法发生率和根充后疼痛的发生率.结果 显微镜治疗组的治疗总有效率(97.0%)高于传统治疗组(89.0%),诊间急症及根充后疼痛发生率(35.0%、41.0%)低于传统治疗组(49.0%、62.0%),上述差异有统计学意义(x2=4.92、4.02、8.83,P<0.05);60例非感染根管治疗中,观察组的诊间急症及根充后疼痛发生率(20.0%、30.0%)均明显低于对照组(56.7%、63.3%),差异有统计学意义(x2=8.53、6.70,P≤0.01).结论 感染性根管、非感染根管及再治疗根管采用显微镜下根管治疗,可提高治疗效果,降低诊间急症法和根充后疼痛发生率,而非感染根管采用一次根管填充法,能够进一步降低诊间急症的发生率.Objective to investigate the incidence of emergency diagnosis in different root canals and to discuss the best treatment plan.Methods 200 patients with pulp necrosis were treated by root canal,60 of which were non-infected root canal,60 cases of infectious root canal and 80 cases of root canal were treated.Divided into microscope according to treatment the treatment group 100 cases and traditional treatment group(100 cases,60 cases of infected root canal treatment,30 cases of the implementation of a root canal therapy,filling the rest of the 30 cases of the implementation of root canal filling treatment for many times,record all the clinical effect of patients with following,clinic and emergency incidence and the incidence of pain.Microscope results the total effective rate of treatment group(97.0%)than the traditional treatment group(89.0%),following the clinic and emergency and the incidence of pain(35.0%,41.0%)is lower than the traditional treatment group(49.0%,62.0%),the difference was statistically significant(=4.92,4.02,4.92,P<0.05);In 60 cases of infected root canal treatment,observation group following the diagnosis of acute and incidence of pain(20.0%,30.0%)were significantly lower than the control group(56.7%,63.3%),the difference was statistically significant(=8.53,6.70,P 0.01)or less.Conclusion infectious root canal,the infected root canal and root canal treatment again USES microscopic root canal therapy,can improve the treatment effect,reduce the clinic and emergency following method and the incidence of pain,rather than the infected root canal by a root canal filling method,can further reduce the incidence of clinic and emergency.

关 键 词：感染性根管 非感染根管 再治疗根管 显微镜治疗 诊间急症 

分 类 号：R969.4[医药卫生—药理学]