一次性充填根管在高原地区根管治疗中的应用研究  

Application of a one-time filling root canal in root canal therapy in plateau areas

作　　者：杨小如 琼达 王林雁 姜珊珊 张春雷 Xiaoru Yang;Da Qiong;Linyan Wang;Shanshan Jiang;Chunlei Zhang(Department of Stomatology,First Affiliated Hospital of Anhui University of Traditional Chinese Medicine,Hefei 230031,Anhui Province,China;Department of Stomatology,Shannan People's Hospital,Shannan 856000,Tibet Autonomous Region,China)

机构地区：[1]安徽中医药大学第一附属医院口腔科,合肥230031 [2]山南市人民医院口腔科,山南856000

出　　处：《中国基层医药》2022年第6期863-866,共4页Chinese Journal of Primary Medicine and Pharmacy

基　　金：西藏自治区自然科学基金项目(XZ2019ZR-ZY39(Z))。

摘　　要：目的研究一次性充填根管在高原地区根管治疗中的应用效果,评估其在高原地区口腔疾病临床应用中的可行性。方法选取山南市人民医院2018年8-12月就诊的行根管治疗的前牙及前磨牙患者68例(75颗牙),按就诊日期单双号分为对照组33例(36颗牙)、观察组35例(39颗牙),对照组行常规根管治疗,观察组行一次性根管充填法治疗。比较两组根管治疗效果。结果根管治疗后1周、2周、1个月,对照组成功率分别为88.9%、94.4%、100.0%,观察组分别为87.2%、94.9%、100.0%,两组差异均无统计学意义(均P>0.05)。结论在严格控制适应证的情况下,一次性根管充填法治疗可取得理想治疗效果,值得在高原地区临床推广。Objective To investigate the application effects of a one-time filling root canal in root canal therapy in plateau areas and evaluate its feasibility in oral clinic in plateau areas.Methods Sixty-eight patients who received root canal therapy for anterior teeth and premolars(75 teeth)from August to December 2018 in Shannan People's Hospital were included in this study.They were divided into control group(n=33;36 teeth)and observation group(n=35;39 teeth)according to odd and even numbers of admission date.Patients in the control group received conventional root canal therapy and those in the observation group underwent one-time root canal filling therapy.Efficacy was compared between the two groups.Results After 1 week,2 weeks and 1 month of treatment,the success rate in the control group was 88.9%,94.4%,100.0%,respectively,and it was 87.2%,94.9%and 100.0%,respectively in the observation group.There was no significant difference in success rate between the two groups at three time points studied(all P>0.05).Conclusion One-time filling root canal therapy can achieve ideal therapeutic effects under strict control of surgical indications.This method is worthy of clinical promotion especially in plateau areas.

关 键 词：根管疗法 根管充填 双尖牙 牙髓炎 根尖周炎 根管制备 根管冲洗剂 高原地区 

分 类 号：R781.05[医药卫生—口腔医学]