碘仿氢氧化钙糊剂在慢性根尖周炎中的应用及对根管消毒效果及封药后疼痛反应情况的影响  

Application of Iodoform Calcium Hydroxide Paste in Patients with Chronic Apical Periodontitis and its Effect on Root Canal Disinfection and Pain Reaction After Sealing

作　　者：周青 ZHOU Qing(Department of Stomatology,Fengcheng People's Hospital,Fengcheng 331100,Jiangxi,China)

机构地区：[1]丰城市人民医院口腔科,江西丰城331100

出　　处：《医学信息》2022年第21期122-124,共3页Journal of Medical Information

摘　　要：目的 探究碘仿氢氧化钙糊剂在慢性根尖周炎患者中的应用及对根管消毒效果及封药后疼痛反应情况的影响。方法 选取2019年5月-2021年5月我院收治的70例慢性根尖周炎患者,根据随机数字表法分为对照组和观察组,每组35例。对照组给予甲醛甲酚治疗,观察组给予碘仿氢氧化钙糊剂治疗,比较两组临床疗效、牙周指标、血清炎症因子水平、根管治疗约诊间痛(EIP)发生率以及并发症发生情况。结果 观察组临床治疗总有效率为94.29%,高于对照组的77.14%,差异有统计学意义(P<0.05);观察组治疗后牙龈指数(GI)、出血指数(BI)、牙周探诊程度(PD)、菌斑指数(PLI)均低于对照组,差异有统计学意义(P<0.05);两组治疗后炎症因子水平低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组EIP发生率为17.14%,不良反应发生率为11.43%,均低于对照组的42.86%和31.43%,差异有统计学意义(P<0.05)。结论 碘仿氢氧化钙糊剂在慢性根尖周炎患者中的临床治疗效果较好,可减轻患者的疼痛感,降低不良反应发生几率。Objective To explore the application of iodoform calcium hydroxide paste in patients with chronic periapical periodontitis and its effect on root canal disinfection and pain response after sealing.Methods Seventy patients with chronic periapical periodontitis admitted to our hospital from May 2019 to May 2021 were selected and divided into control group and observation group according to the random number table method, with 35cases in each group.The control group was treated with formaldehyde cresol, and the observation group was treated with iodoform calcium hydroxide paste.The clinical efficacy, periodontal index, serum inflammatory factor level, endodontic interappointment pain(EIP) and complications were compared between the two groups.Results The total effective rate of clinical treatment in the observation group was 94.29%, which was higher than77.14% in the control group, and the difference was statistically significant(P<0.05). After treatment, the gingival index(GI), bleeding index(BI),periodontal probing degree(PD) and plaque index(PLI) in the observation group were lower than those in the control group, and the differences were statistically significant(P<0.05). The levels of inflammatory factors in the two groups after treatment were lower than those before treatment, and the observation group was lower than the control group, the differences were statistically significant( P <0.05). The incidence of EIP in the observation group was 17.14%, and the incidence of adverse reactions was 11.43%, which were lower than 42.86% and 31.43% in the control group, and the differences were statistically significant(P <0.05).Conclusion Iodoform calcium hydroxide paste has a good clinical effect in patients with chronic periapical periodontitis, which can reduce the pain of patients and reduce the incidence of adverse reactions.

关 键 词：慢性根尖周炎 碘仿氢氧化钙糊剂 根管消毒 疼痛反应 

分 类 号：R781.341[医药卫生—口腔医学]