碘仿氢氧化钙口腔抑菌膏根管封药治疗在慢性根尖周炎患者中的应用  

Application of Iodine Imitation Calcium Hydroxide Oral Antibacterial Paste Root Canal Sealing Therapy in Patients with Chronic Periapical Inflammation

作　　者：张全忠 张丁文 肖成梅 ZHANG Quanzhong;ZHANG Dingwen;XIAO Chengmei(Liuzhi Special Zone People's Hospital,Liuzhi 553400,China;不详)

机构地区：[1]六枝特区人民医院,贵州六枝553400 [2]贵阳市口腔医院

出　　处：《中外医学研究》2024年第28期61-64,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探究碘仿氢氧化钙口腔抑菌膏根管封药治疗在慢性根尖周炎患者中的应用效果。方法:选取2021年6月—2022年6月六枝特区人民医院收治的86例慢性根尖周炎患者。根据随机数表法将其分为对照组和研究组,各43例。两组均进行根管治疗,对照组采用甲醛甲酚溶液根管封药治疗,研究组采用碘仿氢氧化钙口腔抑菌膏根管封药治疗。比较两组治疗前后疼痛程度、咀嚼功能、满意度、牙周指标。结果:治疗后,两组视觉模拟评分法(VAS)及咀嚼功能评分均降低,观察组VAS评分及咀嚼功能评分均低于对照组,差异有统计学意义(P<0.05)。研究组总满意度(95.35%)高于对照组(81.40%),差异有统计学意义(P<0.05)。治疗后,两组龈沟出血指数(SBI)、牙周探诊深度(PD)、菌斑指数(PLI)、牙龈指数(GI)均降低,观察组SBI、PD、PLI、GI均低于对照组,差异有统计学意义(P<0.05)。结论:碘仿氢氧化钙口腔抑菌膏根管封药治疗可改善慢性根尖周炎患者咀嚼功能及牙周指标,减轻疼痛程度,患者满意度较高。Objective:To explore the application of Iodine Imitation Calcium Hydroxide Oral Antibacterial Paste root canal sealing therapy in patients with chronic periapical inflammation.Method:A total of 86 patients with chronic periapical inflammation treated in Liuzhi Special Zone People's Hospital from June 2021 to June 2022 were selected.According to the method of random number table,they were divided into control group and study group,43 cases in each group.Root canal treatment was performed in both groups.The control group was treated with formalcresol solution root canal sealing drug therapy and the study group was treated with Iodine Imitation Calcium Hydroxide Oral Antibacterial Paste root canal sealing drug therapy.Pain degree,masticatory function,satisfaction,periodontal indexes before and after treatment were compared between the two groups.Result:After treatment,visual analogue scale(VAS)and masticatory function scores of both groups were decreased,and VAS and masticatory function scores of observation group were lower than those of control group,the differences were statistically significant(P<0.05).The total satisfaction of the study group(95.35%)was higher than that of the control group(81.40%),and the difference was statistically significant(P<0.05).After treatment,gingival sulcus bleeding index(SBI),periodontal probing depth(PD),plaque index(PLI)and gingival index(GI)were all decreased in both groups,and SBI,PD,PLI and GI in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Iodine Imitation Calcium Hydroxide Oral Antibacterial Paste root canal sealing drug therapy can improve chewing function and periodontal index,reduce pain degree,with high patient satisfaction.

关 键 词：慢性根尖周炎 氢氧化钙 碘仿 根管封药 牙周指标 咀嚼功能 

分 类 号：R781.341[医药卫生—口腔医学]