多次根管疗法和一次性根管治疗牙体牙髓病患者的临床效果  

To Compare the Clinical Effect of Multiple Root Canal Therapy and One-Time Root Canal Therapy in Patients with Endodontic Diseases

作　　者：郑沛华 ZHENG Pei-hua(Department of Stomatology,the First People’s Hospital of Ji’an City,Jiangxi Ji’an 343000)

机构地区：[1]吉安市第一人民医院口腔科,江西吉安343000

出　　处：《中国医疗器械信息》2024年第10期100-102,共3页China Medical Device Information

摘　　要：目的:探讨多次根管疗法与一次性根管治疗牙体牙髓病患者的临床效果。方法:选择2021年5月~11月吉安市第一人民医院收治的72例牙体牙髓病患者作为研究对象,按照随机数表法将其分为试验组(36例)和对照组(36例),试验组实施一次性根管治疗,对照组应用多次根管疗法,观察两组治疗前后临床效果情况。结果:试验组临床治疗总有效率高于对照组,P<0.05。治疗前,两组炎性因子水平、咬合力、VAS评分、牙龈指数、咀嚼功能评分比较,P>0.05;治疗2周后,试验组的炎性因子水平高于对照组,P<0.05;治疗2周后,试验组的咬合力、咀嚼效率高于对照组,牙龈指数、VAS评分低于对照组,P<0.05;试验组并发症发生率低于对照组,P<0.05。结论:在牙体牙髓病的治疗过程中一次根管疗法的效果优于多次性根管治疗,具有并发症少的优势。Objective:To investigate the clinical effect of multiple root canal therapy and one-time root canal therapy on patients with endodontic diseases.Methods:A total of 72 patients with endodontic diseases admitted to Ji’an First People’s Hospital from May to November 2021 were selected as the research objects.According to the random number table method,they were divided into the experimental group(36 cases)and the control group(36 cases).The experimental group was given one-time root canal therapy,and the control group was given multiple root canal therapy.Results:The total effective rate of the experimental group was higher than that of the control group,P<0.05.Before treatment,the levels of inflammatory factors,bite force,VAS score,gingival index,and masticatory function score were compared between the two groups(P>0.05).After 2 weeks of treatment,the levels of inflammatory factors in the experimental group were higher than those in the control group,P<0.05.After 2 weeks of treatment,the bite force and masticatory efficiency of the experimental group were higher than those of the control group,and the gingival index and VAS score were lower than those of the control group,P<0.05.The incidence of complications in the experimental group was lower than that in the control group,P<0.05.Conclusions:In the treatment of endodontic diseases,the effect of one-time root canal therapy is better than that of multiple root canal therapy,and it has the advantage of fewer complications.

关 键 词：牙体牙髓病 根管治疗 一次性根管治疗 多次根管疗法 

分 类 号：R781.3[医药卫生—口腔医学]