水激光法与微创伢典法治疗对乳牙龋齿患儿临床疗效及金属蛋白酶、乳酸脱氢酶的影响  

Clinical Efficacy of Water Laser Method and Minimally Invasive Classical Method in Children with Dental Caries and Analysis of Metalloproteinase and Lactate Dehydrogenase

作　　者：肖鹤 陈妍 郭晓慧 Xiao He;Chen Yan;Guo Xiaohui(Department of Stomatology,Henan Shenhuo Group General Hospital,Shangqiu,Henan,476600,China)

机构地区：[1]河南神火集团总医院口腔科,河南商丘476600

出　　处：《黑龙江医学》2024年第13期1573-1575,共3页Heilongjiang Medical Journal

摘　　要：目的:比较水激光法与微创伢典法治疗对乳牙龋齿患儿临床疗效及金属蛋白酶、乳酸脱氢酶的影响。方法:选取2019年3月—2022年5月河南神火集团总医院治疗的90例患儿作为研究对象,按照随机数表法分为水激光组、微创伢典组及传统去腐组,每组各30例。分别采用水激光法、微创伢典法治疗及传统去腐方法治疗患儿乳牙龋齿。比较3组患者疼痛情况、操作时间、临床疗效、金属蛋白酶及乳酸脱氢酶水平。结果:水激光组、微创伢典组及传统去腐组患儿术中疼痛例数比较,差异有统计学意义(χ^(2)=20.170,P<0.001);水激光组、微创伢典组及传统去腐组患儿去龋时间比较,差异有统计学意义(t=15.885,P<0.001);水激光组、微创伢典组及传统去腐组患儿临床疗效比较,差异有统计学意义(χ^(2)=7.910,P=0.019);水激光组、微创伢典组及传统去腐组患儿金属蛋白酶-2、乳酸脱氢酶、金属蛋白酶-9水平比较,差异有统计学意义(χ^(2)=5.467、12.486、3.262,P<0.05)。结论:水激光法与微创伢典法治疗患儿乳牙龋齿均有良好的疗效,但水激光法具有较少的疼痛感及操作时间短等优点,可以减少患儿的不适感及疼痛感,更有利于被患儿接受。Objective:To compare the clinical effect of water laser method and the effect of LDH in children with dental caries.Methods:90 children treated in the hospital from March 2019 to May 2022 were randomly selected and divided into water laser group,minimally invasive group group and conventional decurage group,with 30 cases in each group.Water laser method,minimally invasive classical treatment method and traditional decay method were used to treat dental caries in children respectively.Pain,operation duration,clinical efficacy and metalloproteinase and lactate dehydrogenase levels were compared in the three groups.Results:The number of intraoperative pain cases was different in water laser group,minimally invasive children group and traditional graft removal group(χ^(2)=20.170,P<0.001).Caries removal time in the water laser group and the minimally invasive prescription group were significantly lower than those in the traditional graft removal group(t=15.885,P<0.001).The clinical efficacy of water laser group and minimally invasive prescription group was better than that of traditional decaying group(χ^(2)=7.910,P=0.019).Metalloprotease-2 and metalloproteinase-9,metalloprotease-2 and metalloprotease-9 were statistically different in water laser group,minimally invasive prescription group and traditional graft removal group(χ^(2)=5.467,12.486,3.262;P<0.05).Conclusion:Water laser method and minimally invasive method for the treatment of dental caries in children have good effect,but water laser method has the advantages of less pain and short operation time,which can reduce the discomfort and pain of children.And it is more conducive to being accepted by children.

关 键 词：水激光法 微创伢典法 乳牙龋齿 临床疗效 金属蛋白酶 乳酸脱氢酶 

分 类 号：R788.1[医药卫生—口腔医学]