中医临床研究
中醫臨床研究
중의림상연구
CLINICAL JOURNAL OF CHINESE MEDICINE
2014年
33期
79-81
,共3页
牙周牙髓联合病变%根管治疗%牙周治疗
牙週牙髓聯閤病變%根管治療%牙週治療
아주아수연합병변%근관치료%아주치료
Periodontal pulp joint lesions%Root canal treatment%Periodontal treatment
目的：探究牙周牙髓联合病变的根管治疗中应用不同消毒药物对其临床治疗效果的影响。方法：随机抽取本院2011年～2013年收治牙周牙髓联合病变患牙68颗，根据冲洗消毒药物的不同将其分为 A 组与 B 组，每组各有患牙34颗。A 组患者应用替硝唑溶液超声荡洗，盐酸米诺环素消毒；B 组患者应用次氯酸钠溶液超声荡洗，氢氧化钙消毒。除此两组均接受常规根管治疗和牙周系统治疗。记录两组患牙基线，对比治疗后4周、8周的菌斑指数（PLI）、临床附着水平（CAL）和患牙治疗总有效率。结果：两组患者在接受治疗后相对于基线，其 PLI 与 CAL 均有显著改善，差异有统计学意义（P＜0.05），两组患者4周与8周改善程度对比无统计学意义（P＞0.05），A 组患者改善程度显著优于 B 组，差异有统计学意义（P＜0.05）；A 组患者临床治疗总有效率为88.2%，显著优于 B 组临床治疗总有效率73.5%，差异有统计学意义（P＜0.05）。结论：相对于传统的消毒药物，替硝唑根管冲洗和盐酸米诺环素根管消毒在短期疗效方面更有优越性，值得临床推广。
目的：探究牙週牙髓聯閤病變的根管治療中應用不同消毒藥物對其臨床治療效果的影響。方法：隨機抽取本院2011年～2013年收治牙週牙髓聯閤病變患牙68顆，根據遲洗消毒藥物的不同將其分為 A 組與 B 組，每組各有患牙34顆。A 組患者應用替硝唑溶液超聲盪洗，鹽痠米諾環素消毒；B 組患者應用次氯痠鈉溶液超聲盪洗，氫氧化鈣消毒。除此兩組均接受常規根管治療和牙週繫統治療。記錄兩組患牙基線，對比治療後4週、8週的菌斑指數（PLI）、臨床附著水平（CAL）和患牙治療總有效率。結果：兩組患者在接受治療後相對于基線，其 PLI 與 CAL 均有顯著改善，差異有統計學意義（P＜0.05），兩組患者4週與8週改善程度對比無統計學意義（P＞0.05），A 組患者改善程度顯著優于 B 組，差異有統計學意義（P＜0.05）；A 組患者臨床治療總有效率為88.2%，顯著優于 B 組臨床治療總有效率73.5%，差異有統計學意義（P＜0.05）。結論：相對于傳統的消毒藥物，替硝唑根管遲洗和鹽痠米諾環素根管消毒在短期療效方麵更有優越性，值得臨床推廣。
목적：탐구아주아수연합병변적근관치료중응용불동소독약물대기림상치료효과적영향。방법：수궤추취본원2011년～2013년수치아주아수연합병변환아68과，근거충세소독약물적불동장기분위 A 조여 B 조，매조각유환아34과。A 조환자응용체초서용액초성탕세，염산미낙배소소독；B 조환자응용차록산납용액초성탕세，경양화개소독。제차량조균접수상규근관치료화아주계통치료。기록량조환아기선，대비치료후4주、8주적균반지수（PLI）、림상부착수평（CAL）화환아치료총유효솔。결과：량조환자재접수치료후상대우기선，기 PLI 여 CAL 균유현저개선，차이유통계학의의（P＜0.05），량조환자4주여8주개선정도대비무통계학의의（P＞0.05），A 조환자개선정도현저우우 B 조，차이유통계학의의（P＜0.05）；A 조환자림상치료총유효솔위88.2%，현저우우 B 조림상치료총유효솔73.5%，차이유통계학의의（P＜0.05）。결론：상대우전통적소독약물，체초서근관충세화염산미낙배소근관소독재단기료효방면경유우월성，치득림상추엄。
Objective:To explore the clinical therapeutic effect on periodontal-endodontic combined lesions by different washing disinfection medicines in root canal therapy. Methods: 68 teeth with periodontal-endodontic combined lesions in our hospital from 2011 to 2013 were randomly selected and divided into group A and group B according to the different washing disinfection drugs, 34 teeth in each group. Patients in group A were washed by azole nitrate ultrasonic and disinfection of minocycline hydrochloride; patients in group B were washed by sodium hypochlorite solution ultrasonic and disinfection of calcium hydroxide. Except that, patients in the two groups were taken conventional root canal systematical treatment. The teeth baseline of the two groups were recorded, plaque index (PLI), the clinical attachment level (CAL) and the total effective rate of teeth after 4 weeks, 8 weeks of treatment were compared. Results:Patients of two groups after treatment compared with the baseline, the PLI and CAL had improved significantly, the difference was statistically significant (P<0.05), the improvement of Group 2 after 4 weeks and 8 weeks had no statistical significance (P>0.05). Patients in group A improved significantly better than patients in group B with significant statistical difference (P<0.05); the total effective rate of Group A was 88.2%, significantly better than that of group B 73.5% with significant statistical difference (P<0.05). Conclusion: Compared with Traditional disinfection drugs, indications for washing and minocycline hydrochloride root canal disinfection have more advantages in the short term which is worthy of clinical promotion.
