一次性根管治疗术在牙髓病中的临床应用研究  

Clinical Application of One-visit Root Canal Therapy in Endodontic Diseases

作　　者：吴韫慧 郭磊[1] 熊战胜 

机构地区：[1]郑州市第七人民医院口腔科,河南郑州450000

出　　处：《中外医疗》2015年第25期123-125,共3页China & Foreign Medical Treatment

摘　　要：目的探讨一次性根管治疗术在的牙髓病治疗中的临床疗效。方法对在郑州市第七人民医院2013年1月—2014年12月接受牙体牙髓病治疗的患者的患牙380颗进行根管治疗,在患者知情同意的前提下采用随机数字表法,对患牙随机分组,观察组190颗,采用一次性根管治疗术;对照组190颗,采用多次根管治疗术,观察对比两组患者临床有效率。结果近期疗效显示观察组的总有效率为96.32%(183颗),对照组的总有效率为85.26%(162颗),差异有统计学意义(χ2=13.878,P<0.05);远期疗效显示观察组的有效率为94.21%(179颗),对照组的有效率为80.53%(153颗),差异有统计学意义(χ2=16.119,P<0.05);因此,一次性根管治疗术的治疗效果要明显高于多次根管治疗术。结论一次性根管治疗术是一种较为可靠的根管治疗手段,值得临床上推广应用。Objective To explore the clinical effect of one-visit root canal therapy in endodontic diseases. Methods From January2013 to December 2014, 302 patients(380 teeth) with dental pulp disease root canal therapy in the Seventh People’s Hospital of Zhengzhou. Obtaining the patient’s informed consent, we divided all the teeth into observation group and control group. The 190 teeth in the observation group were treated with one-visit root canal therapy, while other 190 in the control group received multiple-visit root canal therapy. The efficacy was observed and compared between the two groups. Results Study on the short-term efficacy showed that the total effective rate was 96.32% in observation group and 85.26% in control group with significant differ-ences(χ2=13.878, P<0.05); while study on the long term efficacy showed that the total effective rate was 94.21% in the observation group and 80.53% in the control group with significant differences(χ2=16.119, P<0.05). So the curative effect of observation group was better than that of the control group. Conclusion Single-visit root canal therapy is a dependable treatment method which is worthy to be applied widely.

关 键 词：一次性根管治疗 多次根管治疗 临床疗效 

分 类 号：R781.3[医药卫生—口腔医学]