应用现代根管治疗术治疗飞行人员牙髓炎的临床疗效评价  

Clinical effect evaluation of modern root canal therapy for pulpitis in flying personnel

作　　者：丁立 惠光艳 吴广升 王亚飞 李凌 Ding Li;Hui Guangyan;Wu Guangsheng;Wang Yafei;Li Ling(Department of Stomatology,Qingdao Special Servicemen Recuperation Center of PLA Navy,Qingdao 266071,China)

机构地区：[1]海军青岛特勤疗养中心口腔科,266071

出　　处：《中华航空航天医学杂志》2022年第1期29-34,共6页Chinese Journal of Aerospace Medicine

摘　　要：目的观察现代根管治疗术应用于飞行人员牙髓炎治疗中的临床疗效。方法2018年3月至2020年4月参加疗养的飞行人员中患有牙髓炎的229名患者,依就诊顺序交替分成两组,研究组115例采用现代根管治疗术,对照组114例采用传统根管治疗术。分别在治疗前、治疗结束2周后进行临床症状(牙龈红肿、疼痛、咀嚼不适)积分调查、视觉模拟评分法(visual analogue scale/score,VAS)疼痛评分及咀嚼能力评分调查;在治疗前、治疗结束1个月后进行生活质量(quality of life,QOL)评分调查。治疗结束2周后进行总有效率测评,统计不良反应(局部肿胀、根管阻塞、咬合痛)发生率;观察两组治疗结束6个月后的复发率,对比两组治疗结果。结果研究组治疗总有效率为93.04%,高于对照组的84.21%,两组差异有统计学意义(χ^(2)=4.438,P=0.035)。治疗前两组临床症状积分、QOL评分、VAS疼痛评分、炎症指标咀嚼能力评分差异无统计学意义(P值均>0.05);治疗后研究组临床症状积分、VAS评分、白介素-6(interleukin-6,IL-6)、白介素-8(interleukin-8,IL-8)指标低于对照组,咀嚼能力评分、QOL评分高出对照组,两组差异有统计学意义(t=8.229~46.504,P值均=0.001)。研究组不良反应发生率7.83%、复发率5.22%,低于对照组的17.54%、13.16%(χ^(2)=4.881、4.334,P=0.027、0.037)。结论现代根管治疗术应用于牙髓炎疗效更好,疗程短,消除炎症彻底而且快速减轻疼痛,术后不良反应发生率低,复发率低,可提升飞行人员患牙的治愈率和使用寿命,降低高空飞行时的不利因素。Objective To observe the clinical effect of modern root canal therapy on pulpitis in flying personnel.Methods A total of 229 patients who were diagnosed as pulpitis from March of 2018 to April of 2020 were divided into 2 groups alternately according to the order of treatment.One hundred and fifteen patients in the study group that received modern root canal therapy and 114 patients in the control group that received the conventional root canal therapy.The clinical symptoms(red and swollen gums,pain and chewing discomfort)score,visual analogue scale(VAS)and masticatory ability score were respectively investigated before treatment and 2 weeks after treatment.The quality of life(QOL)score was investigated before treatment and 1 month after treatment.The total effective rate was evaluated 2 weeks after treatment and the incidences of adverse reactions(local swelling,root canal obstruction and occlusive pain)were analyzed.The recurrence rates by 6-month treatment and the treatment results were compared between 2 groups.Results The total effective rate of the study group was 93.04%,which was higher than that of the control group(84.21%),and the difference between the 2 groups was statistically significant(χ^(2)=4.438,P=0.035).There were no differences on clinical symptoms score,QOL score,VAS,inflammatory index and masticatory ability score between 2 groups before treatment(all P>0.05).The clinical symptoms score,VAS,the levels of interleukin-6(IL-6)and interleukin-8(IL-8)in the study group after treatment were lower than those of the control group,but the masticatory ability score and QOL score were higher than those of the control group after treatment.The differences between the 2 groups were statistically significant(t=8.229-46.504,all P=0.001).The incidence of adverse reactions and recurrence rate in the study group was 7.83%and 5.22%respectively,which was lower than that of the control group(17.54%and 13.16%,respectively,χ^(2)=4.881,4.334,P=0.027,0.037).Conclusions The modern root canal therapy has better clinic

关 键 词：牙髓炎 根管疗法 治疗结果 飞行人员 

分 类 号：R856.78[医药卫生—航空、航天与航海医学]