不同冲洗方法对不同血糖范围糖尿病患者的根尖周炎术后疼痛影响  

Effect of different irrigation methods on postoperative pain of periapical inflammation in diabetic patients with different blood glucose ranges

作　　者：谢玉庆 汪磊[1,2,3] XIE Yuqing;WANG Lei(HefeiClinical College of Stomatology,Anhui Medical University,Hefei,Anhui 230001,China;The Fifth Clinical Medical College of Anhui Medical University,Hefei,Anhui 230001,China;General Department of Hefei Stomatological Hospital,Hefei,Anhui 230001,China)

机构地区：[1]安徽医科大学合肥口腔临床学院,安徽合肥230001 [2]安徽医科大学第五临床医学院,安徽合肥230001 [3]合肥市口腔医院综合科,安徽合肥230001

出　　处：《医药前沿》2023年第6期21-25,共5页Journal of Frontiers of Medicine

摘　　要：目的:使用不同冲洗方法对不同血糖范围的糖尿病患者进行根管治疗,观察分析其术后疼痛程度,以了解血糖范围和冲洗方法对术后疼痛的影响,进而指导临床工作。方法:选取2020年9月—2022年9月于合肥市口腔医院就诊的血糖正常患者、Ⅱ型糖尿病血糖控制理想患者、Ⅱ型糖尿病血糖控制良好者和Ⅱ型糖尿病血糖控制不良者共160例慢性根尖周炎患者。按血糖及血糖控制情况分为4组,每组40人。其中血糖正常(研究组与对照组各20例);血糖控制理想(研究组与对照组各20例);血糖控制良好(研究组与对照组各20例);血糖控制不良(研究组与对照组各20例)。研究组患者均采用超声荡洗结合根管预备,对照组患者均采用注射器冲洗结合根管预备。使用100mm的视觉模拟评分表(VAS)记录其根管预备术后6、24、48、72h的术后疼痛。复诊时两组均采用热牙胶+垂直加压法充填根管以完成治疗。结果:在术后6、24、48h时,血糖范围对患者术后疼痛有显著影响(P<0.05),血糖控制越差,术后疼痛程度越高。术后72h,各血糖范围患者疼痛比较,差异无统计学意义(P>0.05)。在术后不同时间点,不同冲洗方法对不同血糖范围患者的术后疼痛均无显著影响(P>0.05)。结论:血糖范围是术后疼痛的重要影响因素,血糖越高其根管治疗术后疼痛程度越大。超声荡洗和注射器冲洗在术后疼痛中无显著差异。因此在临床上应提醒糖尿病患者控制血糖,以减少根管治疗术后疼痛程度。Objective Different irrigation methods were used to perform root canal treatment on diabetic patients with different blood glucose ranges,and the degree of postoperative pain was observed and analyzed,to understand the influence of blood glucose ranges and irrigation methods on postoperative pain,so as to guide clinical work.Methods A total of 160 patients with chronic periapical periodontitis were selected from September 2020 to September 2022 in Hefei Stomatological Hospital,including patients with normal blood sugar,patients with ideal blood sugar control in type II diabetes,patients with good blood sugar control in type II diabetes,and patients with poor blood sugar control in type II diabetes.Divided into 4 groups based on blood sugar and blood sugar control,with 40 patients in each group.Among them,blood sugar was normal(20 cases in the study group and 20 cases in the control group);Ideal blood sugar control(20 cases in the study group and 20 cases in the control group);Good blood sugar control(20 cases in the study group and 20 cases in the control group);Poor blood sugar control(20 cases in the study group and 20 cases in the control group).The research group used ultrasound washing combined with root canal preparation for each type of patient,while the control group used syringe washing combined with root canal preparation for each type of patient.Record postoperative pain at 6,24,48,and 72 hours after root canal preparation using a 100 mm visual analogue scale(VAS).During the follow-up visit,both groups were treated with hot gum and vertical compression to fill the root canal.Results The range of blood glucose at 6 h,24 h and 48 h after surgery had a significant impact on postoperative pain(P<0.05),and the worse the blood glucose control,the higher the degree of postoperative pain.There was no significant difference in pain in all blood glucose ranges 72 h after surgery.At different time points after surgery,different irrigation methods had no significant effect on postoperative pain in patients with di

关 键 词：糖尿病 超声荡洗 术后疼痛 

分 类 号：R587.1[医药卫生—内分泌]