一次性根管治疗术治疗急性牙髓炎的疗效探究  

Therapeutic Effect of One-time Root Canal Therapy on Aacute Pulpitis

作　　者：杨镇泽 YANG Zhen-ze(Department of Dental and Dental Pulp, Xinjiang Urumqi Stomatology Hosptial, Urumqi, Xinjiang, 830001 China)

机构地区：[1]新疆乌鲁木齐市口腔医院牙体牙髓二科

出　　处：《中外医疗》2019年第17期107-109,共3页China & Foreign Medical Treatment

摘　　要：目的分析一次性根管治疗术治疗急性牙髓炎的临床效果。方法方便选取2015年11月—2016年11月在该院接受治疗的急性牙髓炎患者共46例作为该次研究的对象,依据治疗方式的差别分为一次性治疗组和多次治疗组,一次性治疗组实施一次性根管治疗术对患者进行治疗,多次治疗组实施常规多次根管治疗术进行治疗,比较两组患者治疗后的疼痛情况、近期疗效以及两年后的远期疗效。结果一次性治疗组患者的术后7d疼痛发生率为8.70%,与多次治疗组的4.35%相比无明显差异,差异无统计学意义(χ^2=0.3566,P>0.05);一次性治疗组的近期治疗总有效率为95.65%,明显高于多次治疗组的78.26%,组间差异有统计学意义(χ^2=3.6667,P<0.05);一次性治疗组的远期治疗总有效率为100.00%,明显高于多次治疗组的82.61%,组间差异有统计学意义(χ^2=4.3810,P<0.05)。结论采用一次性根管治疗术对急性牙髓炎患者进行治疗的近期以及远期疗效较为理想,更易被患者认可与接受,可在临床治疗过程中进行推广。Objective To analyze the clinical effect of one-time root canal therapy in the treatment of acute pulpitis. Methods A total of 46 patients with acute pulpitis who were treated in our hospital from November 2015 to November 2016 were convenient selected as the subjects of this study. They were divided into one-time treatment group and multiple treatment group according to the difference of treatment methods. One-time treatment group was treated with one-time root canal treatment, and multiple treatment group were treated with routine multiple root canal treatment. The pain and short-term effects of the two groups were compared as well as the long-term efficacy after two years. Results The incidence of pain at the 7th day after surgery was 8.70%, which was not significantly different from 4.35% in the multiple treatment group. The difference was not statistically significant (χ^2=0.356 6, P>0.05);The total effective rate of recent treatment in the treatment group was 95.65%, which was significantly higher than that in the multiple treatment group (78.26%). There were significant differences between the groups. The difference was statistically significant (χ^2=3.666 7, P<0.05). The total effective rate of long-term treatment was 100.00%, which was significantly higher than 82.61% of the multiple treatment groups. There were significant differences between the groups, and the difference was statistically significant (χ^2=4.381 0, P<0.05). Conclusion The short-term and long-term effects of one-time root canal therapy for patients with acute pulpitis are ideal, more easily recognized and accepted by patients, and can be promoted in the course of clinical treatment.

关 键 词：一次性根管治疗术 急性牙髓炎 近期疗效 远期疗效 

分 类 号：R781[医药卫生—口腔医学]