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作 者:杨鸯[1] YANG Yang(Department of Stomatology,Hunan Children's Hospital,Changsha 410007,China)
出 处:《中国中西医结合儿科学》2018年第6期520-523,共4页Chinese Pediatrics of Integrated Traditional and Western Medicine
摘 要:目的探究伢典微创凝胶治疗小儿龋齿的临床效果、并发症及对咀嚼功能评价影响。方法选取2017年1月至12月湖南省儿童医院口腔科收治的龋齿患儿128例为研究对象,随机分为观察组和对照组各64例。对照组应用常规的牙钻磨牙法予以治疗,观察组采取伢碘微创凝胶法予以治疗,对比两组患儿的疼痛程度、临床治疗效果、生活质量、并发症及咀嚼功能。结果观察组疼痛度低于对照组,差异有统计学意义(P<0.05)。经过治疗观察组患儿总有效率为95.31%(61/64),显著高于对照组67.19%(43/64),差异有统计学意义(P<0.05)。治疗护理后,观察组生活质量(社会、认知、角色、躯体4项)功能评分显著优于对照组,差异有统计学意义(P<0.05)。通过治疗后6个月的随访和复查结果表明,观察组并发症发生率为4.69%(3/64),显著低于对照组18.75%(12/64),差异有统计学意义(P<0.05)。经过治疗,两组患儿咀嚼功能均有所改善,观察组患儿的改善状况显著优于对照组,差异有统计学意义(P<0.05)。结论伢碘微创凝胶治疗小儿龋齿的疗效显著,其创伤小、疼痛度低,并发症发生率低,提高患儿的生活质量,咀嚼功能有所改善。Objective To explore the clinical effects and complications of Ya-iodine minimally invasive gel in the treatment of dental caries in children and make evaluation of the masticatory function.Methods Totally 128children with dental caries admitted to Department of Stomatology,Hunan Children's Hospital,from January to December 2017 were selected as the research subjects,and they were randomly divided into observation group and control group with 64 cases in each group.The control group was treated with the conventional dental drill molar method,while the observation group was treated with the method of Ya-iodine minimally invasive gel.The pain degree,clinical effect,quality of life,complications and masticatory function of the two groups were compared.Results The pain degree in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).After treatment,the total effective rate of the observation group was 95.31%(61/64),which was significantly higher than that of the control group(67.19%,43/64),the difference being statistically significant(P<0.05).After treatment and nursing,the function score of the quality of life(society,cognition,role,body)of the observation group was significantly better than that of the control group,with statistical significance(P<0.05).After 6 months of follow-up and re-examination,the incidence of complications in the observation group was 4.69%(3/64),significantly lower than that in the control group(18.75%,12/64),the difference being statistically significant(P<0.05).After treatment,the masticatory function of the two groups was improved,and the improvement of the observation group was significantly better than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The treatment for children with dental caries with Ya-iodine minimally invasive gel is effective,with little trauma,less pain and low complication rate,which can improve the quality of life and improve the masticatory function of
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