实用医院临床杂志
實用醫院臨床雜誌
실용의원림상잡지
PRACTICAL JOURNAL OF CLINICAL MEDICINE
2015年
1期
52-54
,共3页
一次法根管治疗%牙髓炎%术后急症%影响因素
一次法根管治療%牙髓炎%術後急癥%影響因素
일차법근관치료%아수염%술후급증%영향인소
Single-visit root canal therapy%Pulpitis%Endodontic inter appointment emergencies%Impact factors
目的：探讨一次法根管治疗牙髓炎的术后急症（ IAE）发生率以及影响因素。方法选取我院2011～2013年口腔科就诊的96例牙髓炎患者的120颗患牙，其中使用K锉一次法根管治疗23例（ C1组）， K锉多次法根管治疗25例（ C2组）；手用ProTaper一次法根管治疗23例（ E1组）；手用ProTaper多次法根管治疗25例（ E2组），四组根管填充法均为冷牙胶侧压填充。比较四组患者的IAE发生率及影响因素。结果 C1组与C2组II、III级疼痛分级、E1组和E2组II级疼痛分级组间比较差异均有统计学意义（ P＜0.05）；对照组（ C1、C2）与试验组（ E1、E2） IAE发生率组间比较差异有统计学意义（ P＜0.05）；C1和E1组间、C2和E2组间IAE发生率差异均有统计学意义（P＜0.05）；超填组IAE的发生率明显高于恰填组和欠填组（ P＜0.05）。影响术后IAE发生率的因素包括根管填充结果和根管填充次数。结论 ProTaper一次法根管治疗牙髓炎可减少术后IAE的发生率，值得临床推广应用。
目的：探討一次法根管治療牙髓炎的術後急癥（ IAE）髮生率以及影響因素。方法選取我院2011～2013年口腔科就診的96例牙髓炎患者的120顆患牙，其中使用K銼一次法根管治療23例（ C1組）， K銼多次法根管治療25例（ C2組）；手用ProTaper一次法根管治療23例（ E1組）；手用ProTaper多次法根管治療25例（ E2組），四組根管填充法均為冷牙膠側壓填充。比較四組患者的IAE髮生率及影響因素。結果 C1組與C2組II、III級疼痛分級、E1組和E2組II級疼痛分級組間比較差異均有統計學意義（ P＜0.05）；對照組（ C1、C2）與試驗組（ E1、E2） IAE髮生率組間比較差異有統計學意義（ P＜0.05）；C1和E1組間、C2和E2組間IAE髮生率差異均有統計學意義（P＜0.05）；超填組IAE的髮生率明顯高于恰填組和欠填組（ P＜0.05）。影響術後IAE髮生率的因素包括根管填充結果和根管填充次數。結論 ProTaper一次法根管治療牙髓炎可減少術後IAE的髮生率，值得臨床推廣應用。
목적：탐토일차법근관치료아수염적술후급증（ IAE）발생솔이급영향인소。방법선취아원2011～2013년구강과취진적96례아수염환자적120과환아，기중사용K촤일차법근관치료23례（ C1조）， K촤다차법근관치료25례（ C2조）；수용ProTaper일차법근관치료23례（ E1조）；수용ProTaper다차법근관치료25례（ E2조），사조근관전충법균위랭아효측압전충。비교사조환자적IAE발생솔급영향인소。결과 C1조여C2조II、III급동통분급、E1조화E2조II급동통분급조간비교차이균유통계학의의（ P＜0.05）；대조조（ C1、C2）여시험조（ E1、E2） IAE발생솔조간비교차이유통계학의의（ P＜0.05）；C1화E1조간、C2화E2조간IAE발생솔차이균유통계학의의（P＜0.05）；초전조IAE적발생솔명현고우흡전조화흠전조（ P＜0.05）。영향술후IAE발생솔적인소포괄근관전충결과화근관전충차수。결론 ProTaper일차법근관치료아수염가감소술후IAE적발생솔，치득림상추엄응용。
Objective To investigate the incidence and impact factors of the endodontic interappointment emergencies( IAE) in single-visit root canal therapy.Methods One hundred and twenty teeth of 96 pulpitis patients who need root canal treatment from 2011 to 2013 in our hospital were divided into four groups.One group(n =23)was treated with K-file single-visit root canal therapy (group C1).One group(n =25)was treated with K-file multiple method(group C2).The third group(n =23)was treated with hand ProTaper single-visit root canal therapy ( group E1 ) and the fourth group ( n =25 ) was treated with hand ProTaper multiple method (group E2).The root canal filling method in all four groups was cold lateral condensation of gutta percha.The incidence of IAE and its impact factors were compared among the four groups.Results There were significant differences in II and III grade pain classification between the group C1 and C2 and II grade pain classification between the groups E1 and E2(P<0.05),respectively.The incidences of IAE between the groups C1/C2 and E1/E2 as well as between the groups C1 and E1 or between the groups C2 and E2 were significant-ly different( all P <0.05) .The IAE incidence in patients with root canal overfilling was significantly higher than that in patients with root canal under-filling or just-filling(P<0.05).The impact factors of IAE included root canal filling results and times of filling.Con-clusion The hand ProTaper single-visit root canal therapy for pulpitis can decrease the incidence of IAE.It is worth of clinical applica-tion.
