一次性根管治疗术在牙体牙髓病患者中的应用效果  

Effect of Disposable Root Canal Therapy in Patients With Dental Pulp Disease

作　　者：林舒 高萍[1] 游冬冬 LIN Shu;GAO Ping;YOU Dongdong(Department of Stomatology,Fuzhou First Hospital,Fuzhou Fujian 350001,China)

机构地区：[1]福州市第一医院口腔科,福建福州350001

出　　处：《中国卫生标准管理》2023年第12期89-93,共5页China Health Standard Management

摘　　要：目的探讨牙体牙髓病患者接受一次性根管治疗术治疗后的恢复情况。方法选取福州市第一医院2020年4月—2022年8月收治的84例牙体牙髓病患者作为研究对象,应用随机数字表法分为试验组(一次性根管治疗术)和对照组(多次根管治疗),各42例。观察两组患者的治疗恢复情况。结果试验组患者治疗后的咀嚼效率[(85.40±5.03)%>(82.59±5.17)%,t=2.525,P<0.05]、咬合力([94.12±5.53)Ibs>(90.13±4.19)Ibs,t=3.727,P<0.05]高于对照组,牙龈指数[(0.31±0.09)<(0.39±0.11),t=3.648,P<0.05]低于对照组。试验组患者在治疗后的疼痛评分(visual analogue scale,VAS)[(1.94±0.46)分<(2.75±0.55)分,t=7.321,P<0.05]低于对照组。试验组患者在治疗后的匹茨堡睡眠质量指数量表(Pittsburgh sleep quality index,PSQI)评分[(7.75±1.02)分<(9.43±1.15)分,t=7.083,P<0.05]低于对照组。试验组患者的并发症发生率(4.76%<21.43%,χ^(2)=5.126,P<0.05)低于对照组。试验组患者对于治疗效果的满意度高于对照组(97.62%>80.95%,χ^(2)=4.480,P<0.05)。试验组患者在治疗后的C-反应蛋白(C-reactive protein,CRP)水平[(0.24±0.07)ng/L<(0.33±0.12)ng/L,t=4.198,P<0.05]、肿瘤坏死因子(tumor necrosis factor,TNF)-α水平[(42.08±7.32)ng/L<(56.14±6.05)ng/L,t=9.595,P<0.05]低于对照组。结论牙体牙髓病的临床治疗期间,一次性根管治疗术是良好的治疗方法,在改善牙齿咀嚼功能、缓解疼痛症状等方面有着显著的优势。经一次性根管治疗术治疗后,可以减少并发症对于患者日常生活的困扰,获得令患者满意的治疗效果。Objective To investigate the recovery of patients with endodontic diseases after receiving one-time root canal therapy.Methods A total of 84 patients with dental and endodontic diseases admitted to Fuzhou First Hospital from April 2020 to August 2022 were selected as research subjects,and were divided into an experimental group(one-time root canal therapy)and a control group(multiple root canal therapy),with 42 patients each.The treatment recovery of the two groups was observed.Results The masticatory efficiency[(85.40±5.03)%>(82.59±5.17)%,t=2.525,P<0.05],bite force[(94.12±5.53)Ibs>(90.13±4.19)Ibs,t=3.727,P<0.05]in the experimental group after treatment were higher than those in the control group,and the gingival index[(0.31±0.09)<(0.39±0.11),t=3.648,P<0.05]were lower than those in the control group.The pain visual analogue scale(VAS)of patients in the experimental group after treatment[(1.94±0.46)points<(2.75±0.55)points,t=7.321,P<0.05]was lower than that in the control group.The Pittsburgh sleep quality index(PSQI)score of patients in the experimental group[(7.75±1.02)points<(9.43±1.15)points,t=7.083,P<0.05]after treatment was lower than that in the control group.The incidence of complications in the experimental group was(4.76%<21.43%,χ^(2)=5.126,P<0.05)was lower than that in the control group.Patients in the experimental group were satisfied with the treatment effect(97.62%>80.95%,χ^(2)=4.480,P<0.05)was higher than that in the control group.The C-reactive protein(CRP)levels of patients in the experimental group after treatment[(0.24±0.07)ng/L<(0.33±0.12)ng/L,t=4.198,P<0.05],tumor necrosis factor(TNF)-αlevel[(42.08±7.32)ng/L<(56.14±6.05)ng/L,t=9.595,P<0.05]was lower in the control group.Conclusion During the clinical treatment of endodontic diseases,one-time root canal therapy is a good treatment method,which has significant advantages in improving the chewing function of teeth and alleviating pain symptoms.After one-time root canal therapy,it can reduce the complications that affect patients'

关 键 词：一次性根管治疗术 牙体牙髓病 咀嚼功能 视觉模拟评分 并发症 满意度 

分 类 号：R781[医药卫生—口腔医学]