现代根管治疗术联合米诺环素根管注入在牙周牙髓综合征患者中的应用价值分析  

Analysis of the practical value of modern root canal therapy combined with minocycline injection via root canal in patients with periodontal pulp syndrome

作　　者：许伟强 叶华海 XU Wei-qiang;YE Hua-hai(Baoan District Fuyong People’s Hospital,Shenzhen 518103,China)

机构地区：[1]深圳市宝安区福永人民医院,518103

出　　处：《中国实用医药》2020年第20期59-61,共3页China Practical Medicine

摘　　要：目的探讨现代根管治疗术联合米诺环素根管注入在牙周牙髓综合征患者中的临床效果。方法60例牙周牙髓综合征患者,按照随机数字表法分为对照组和观察组,各30例。对照组给予现代根管治疗术联合牙周袋内局部注射盐酸米诺环素,观察组给予现代根管治疗术联合米诺环素根管注入。比较两组临床疗效、牙周指数及不良反应发生情况。结果观察组患者治疗总有效率93.33%显著高于对照组的73.33%,差异具有统计学意义(P<0.05)。治疗后,两组菌斑指数(PLI)、牙龈指数(GI)、牙周袋探诊深度(PD)均小于治疗前,差异具有统计学意义(P<0.05);且观察组患者PLI、GI、PD分别为(0.64±0.20)、(0.63±0.19)、(2.49±0.38)mm,均明显小于对照组的(0.81±0.29)、(0.91±0.29)、(3.11±0.41)mm,差异均有统计学意义(P<0.05)。观察组患者不良反应发生率为6.7%(2/30),对照组为10.0%(3/30),比较差异无统计学意义(P>0.05)。结论现代根管治疗术联合米诺环素根管注入能显著提高牙周牙髓综合征患者的临床治疗效果,且不增加不良反应。Objective To discuss the clinical effect of modern root canal therapy combined with minocycline injection via root canal in patients with periodontal pulp syndrome.Methods A total of 60 patients with periodontal pulp syndrome were divided into control group and observation group by random numerical table,with 30 cases in each group.The control group received modern root canal therapy combined with local injection of minocycline hydrochloride,and the observation group received modern root canal therapy combined with minocycline injection via root canal.The clinical efficacy,periodontal index and occurrence of adverse reactions were compared between the two groups.Results The total effective rate 93.33%of the observation group was significantly higher than that of the control group 73.33%,and the difference was statistically significant(P<0.05).After treatment,the plaque index(PLI),gingival index(GI),probing depth(PD)of the two groups was less than those before treatment,and the difference was statisically significant(P<0.05).After treatment,PLI,GI and PD of the observation group were(0.64±0.20),(0.63±0.19)and(2.49±0.38)mm,which were obviously less than those of the control group(0.81±0.29),(0.91±0.29)and(3.11±0.41)mm,and the difference was statistically significant(P<0.05).The incidence of adverse reactions of the observation group was 6.7%(2/30),which was 10.0%(3/30)of the control group,and the difference was not statistically significant(P>0.05).Conclusion Modern root canal therapy combined with minocycline injection via root canal can significantly improve the clinical effect of patients with periodontal pulp syndrome without increasing adverse reactions.

关 键 词：米诺环素 根管治疗术 牙周牙髓综合征 现代根管治疗术 

分 类 号：R781.05[医药卫生—口腔医学] R781.3[医药卫生—临床医学] R781.4