维他派克斯糊剂联合干髓糊剂在乳牙牙髓炎中的应用效果评价  

Study on effect of vitapex combined with parafirmaldehyoli composita paste in pulpitis in deciduous teeth

作　　者：曾亚军 何其佳 周杰 Zeng Ya-jun;He Qi-jia;Zhou Jie(Stomatology Center,Suining Central Hospital,Suining 629000,China)

机构地区：[1]遂宁市中心医院口腔医学中心,遂宁629000

出　　处：《中国药物应用与监测》2024年第4期454-457,共4页Chinese Journal of Drug Application and Monitoring

摘　　要：目的 评价维他派克斯(vitapex)糊剂与联合干髓糊剂在乳牙牙髓炎患儿中的效果。方法 选取2021年10月至2023年10月于遂宁市中心医院口腔医学中心收治的121例乳牙牙髓炎患儿,使用随机数字表法分为两组,对照组58例在常规准备后采用vitapex糊剂治疗,研究组63例在对照组基础上联合干髓糊剂治疗。比较两组治疗效果、治疗后牙周相关指标和疼痛程度。结果 研究组(95.24%)的治疗总有效率(82.76%)高于对照组,差异有统计学意义(χ^(2)=4.904,P<0.05);治疗后3个月,两组患儿的龈沟出血指数(SBI)、牙龈指数(GI)、牙周袋深度(PD)、菌斑指数(PLI)均较治疗前下降,研究组SBI、GI、PD、PLI[分别为(1.38±0.47)分、(1.14±0.46)分、(4.18±0.47) mm和(1.26±0.16)分]均低于对照组[分别为(2.12±0.51)分、(1.73±0.43)分、(5.62±0.51) mm和(1.87±0.17)分],差异有统计学意义(t=8.306、7.272、16.164、20.333,均P<0.05);治疗后1、2周,研究组视觉模拟量表(VAS)评分[分别为(2.31±0.54)分、(0.78±0.27)分]均低于对照组[分别为(3.28±0.61)分、(1.23±0.35)分],差异有统计学意义(t=9.277、7.954,均P<0.05)。治疗前、治疗后1周、治疗后2周组间VAS评分比较,差异有统计学意义(P<0.001)。结论 vitapex联合干髓糊剂治疗乳牙牙髓炎的效果更好,镇痛效果更佳,有助于促进牙周组织快速恢复。Objective To compare the Efficacy of Vitapex paste alone or in combination with parafirmaldehyoli composita paste for primary teeth pulpitis.Methods One hundred and twenty-one children with primary teeth pulpitis in Suining Central Hospital Stomatology Center between October 2021 and October 2023 were selected,and divided random number table method.Control group received Vitapex paste as root canal filling material after routine preparation,while study group was given Vitapex paste plus parafirmaldehyoli composita paste.Then the treatment efficacy,periodontal indexes and pain degree were compared.Results Study group reported a higher clinical efficacy rate(95.24%)than control group(82.76%),χ^(2)=4.904,P<0.05.A reduction in sulcus bleeding index(SBI),gingival index(GI),probing depth(PD)and plaque index(PLI)was observed in both groups at 3 months after treatment,and the indicators in study group((1.38±0.47)points,(1.14±0.46)points,(4.18±0.47)mm and(1.26±0.16),respectively)improved better than those of control group((2.12±0.51)points,(1.73±0.43)points,(5.62±0.51)mm,and(1.87±0.17)points,respectively),the differences were statistically significant(t=8.306,7.272,16.164,20.333,all P<0.05).After treatment,study group scored lower on Visual Analogue Scale(VAS)at 1st week and 2nd weeks((2.31±0.540)and(0.78±0.27)points,respectively)compared to control group((3.28±0.61)and(1.23±0.35)points,respectively),t=9.277,7.954,both P<0.05.There was a statistically significant difference in VAS scores between the three comparisons of pre-treatment,1 week and 2 weeks post-treatment(P<0.001).Conclusion Application of Vitapex paste plus parafirmaldehyoli composita paste in the treatment of primary teeth pulpitis showed better efficacy and analgesic effect,improved the recovery of periodontal tissues,which is worth promoting in the clinic.

关 键 词：牙髓炎 乳牙 根管治疗 维他派克斯糊剂 干髓糊剂 镇痛效果 

分 类 号：R781.31[医药卫生—口腔医学]