一次性根管治疗术与常规根管治疗术治疗根尖周炎的效果对比  

Comparison of treatment effects of one-time root canal therapy and conventional root canal therapy on periapical periodontitis

作　　者：赵如玲[1] 朗江蓉 马婷婷[1] 邓丽[1] Zhao Ruling;Lang Jiangrong;Ma Tingting;Deng Li(Department of Stomatology,Heji Hospital,Changzhi Medical College,Changzhi 046000,China)

机构地区：[1]山西省长治医学院附属和济医院口腔科,046000

出　　处：《中国实用医刊》2020年第7期72-75,共4页Chinese Journal of Practical Medicine

摘　　要：目的比较一次性根管治疗术与常规根管治疗术对根尖周炎的治疗效果。方法将长治医学院附属和济医院2016年6月至2019年5月收治的300例根尖周炎患者(共300颗患牙)按随机数字表法分为研究组与对照组,每组150例。研究组予以一次性根管治疗术,对照组行常规根管治疗术,记录并分析两组临床疗效、治疗后疼痛发生情况、治疗费用及就诊次数等指标。结果研究组治疗成功率(92.67%,139/150)高于对照组(74.67%,112/150),P<0.05。研究组就诊次数、治疗费用均少于对照组(P均<0.05)。研究组治疗后疼痛发生率(14.00%,21/150)低于对照组(38.00%,57/150);研究组发生疼痛患者的视觉模拟评分[(3.23±0.81)分]低于对照组[(4.91±0.79)分],P<0.05。治疗前,两组生存质量测定量表(WHOQOL-100)评分比较差异未见统计学意义(P>0.05);治疗后,两组WHOQOL-100评分均较治疗前提高,且研究组改善效果更优,组间、组内数据比较差异均有统计学意义(P均<0.05)。研究组治疗期间治疗依从性优良率(95.33%,143/150)优于对照组(62.67%,94/150),P<0.05。结论针对根尖周炎患者实施一次性根管治疗术,其有效性、安全性均较优。Objective To investigate the therapeutic effects of one-time root canal therapy and conventional root canal therapy on periapical periodontitis.Methods A total of 300 patients with periapical periodontitis(300 teeth)admitted to Heji Hospital,Changzhi Medical College from June 2016 to May 2019 were randomly divided into study group and control group by random number table method,with 150 cases in each group.The study group received one-time root canal therapy,and the control group received routine root canal treatment.The clinical efficacy,post-treatment pain,treatment cost and number of visits were recorded and analyzed.Results The success rate of the study group(92.67%,139/150)was higher than that of the control group(74.67%,112/150),P<0.05.The number of visits and the cost of treatment in the study group were less than those in the control group(P<0.05).The incidence of pain after treatment in the study group(14.00%,21/150)was lower than that of the control group(38.00%,57/150),P<0.05.The visual analogue scale score of the study group was 3.23±0.81,lower than the 4.91±0.79 in the control group(P<0.05).Before treatment,there was no significant difference in World Health Organization Quality of Life assessment(WHOQOL-100)score between the two groups(P>0.05);after the treatment,the WHOQOL-100 scores of both groups were increased,and the improvement in the study group was remarkable(P<0.05).During the treatment period,the excellent rate of patient’s compliance to medical treatment of the study group(95.33%,143/150)was better than that of the control group(62.67%,94/150),P<0.05.Conclusions One-time root canal therapy for patients with periapical periodontitis has good curative effects and safety.

关 键 词：根尖周炎 一次性根管治疗术 常规根管治疗术 

分 类 号：R78[医药卫生—口腔医学]