M3机用镍钛锉在老年患者一次性根管治疗中的应用及护理效果评价  

Application of M3 nickel-titanium files in one-time root canal therapy for the elderly patients and nursing effect evaluation

作　　者：栾晓宇 李玉玲 张卫红[1] 王倩 LUAN Xiaoyu;LI Yuling;ZHANG Weihong;WANG Qian(Department of Stomatology,Beijing Hospital,National Geriatrics Center,Beijing Institute of Geriatrics National Health Commission,Key laboratory of National Health Commission,Institute of Geriatrics Chinese Academy of Medical Sciences,Beijing,100730)

机构地区：[1]北京医院,国家老年医学中心,国家卫生健康委北京老年医学研究所,国家卫生健康委北京老年医学重点实验室,中国医学科学院老年医学研究院口腔科,北京100730

出　　处：《中西医结合护理》2022年第11期17-20,共4页Chinese Journal of Integrative Nursing

摘　　要：目的评价M3机用镍钛锉在老年患者一次性根管治疗应用中的优势及护理效果。方法选取临床诊断为慢性牙髓炎且需要进行一次性根管治疗的老年患者160例(患牙包括前磨牙及磨牙),随机分为两组,各80例。研究组使用M3机用镍钛锉(M3-Path通道锉、M3 PRO镍钛锉)疏通、预备根管,对照组采用传统手用根管器械(C型锉、K型锉)。对比两组的治疗时间和术后疼痛评分,评价护理效果。结果研究组患牙根管预备时间短于对照组,差异有统计学意义(P<0.05);研究组患者术后平均疼痛分值低于对照组,差异有统计学意义(P<0.05)。结论M3机用镍钛锉的使用与高质量的护理配合可缩短根管预备时间,降低术后疼痛反应,对缩短护理人员椅旁配合时间、提高临床工作效率和患者满意度具有积极意义。Objective To evaluate the application and nursing effects of M3 machine nickeltitanium file in one-time root canal therapy for the elderly patients.Methods Totally 160 elderly patients with chronic pulpitis who needed root canal therapy were treated with one-time root canal therapy.They were randomly divided into two groups with 80 cases in each group,including pre⁃molars and molars.In the experimental group,the root canals were prepared with M3 nickel-tita⁃nium rotary instruments(M3-Path file and M3 Pro file).In the control group,the root canals were dredged and prepared with traditional hand root canal instruments(C-file and K-file).The treatment time and postoperative pain between the two groups were compared.This paper also ex⁃pounded the factors concerned by nurses about nursing before,during and after treatment.Re⁃sults A shorter time of premolar and molar root canal preparation was observed in the experimen⁃tal group than that in the control group(P<0.05).The outcome of postoperative pain assessment of the experimental group was significantly lower than that of the control group(P<0.05).Con⁃clusion The use of nickel titanium file for M3 machine combined with high-quality nursing can significantly shorten the root canal preparation time and reduce postoperative pain response,show⁃ing a positive value of shortening the time required for nurses'chair cooperation,improving clini⁃cal work efficiency and making patients get more satisfactory medical services.

关 键 词：老年患者 M3机用镍钛锉 一次性根管治疗 口腔护理 

分 类 号：R473.78[医药卫生—护理学]