CAJ | 학술논문

目的：对一次性根管充填治疗慢性牙髓炎伴疼痛的临床疗效进行分析和探讨。方法本研究回顾性分析了我院125例慢性牙髓炎伴疼痛患者的临床资料，将患者随机分为实验组和对照组。实验组患者实施一次性根管填充治疗，对照组患者实施分次根管填充治疗，观察两组患者疼痛消失的时间并对患者的实际临床疗效做出统计分析和1年后的观察效果分析。结果两组患者术后疼痛消失时间和用药天数研究结果：实验组疼痛消失的平均时间为（2.7±0.5）d，对照组疼痛消失的平均时间为（2.6±0.4）d，两者之间比较差异不具有统计学意义（P＞0.05）；实验组手术后用药的平均时间为（3.6±0.3）d，对照组手术后用药的平均时间为（3.6±0.2）d，两者之间比较差异不具有统计学意义（P＞0.05）。实验组和对照组患者术后1年综合疗效研究实验组成功率为96.8%；对照组成功率为95.2%，两者之间的对比差异不具有统计学意义（P＞0.05）。结论一次性根管充填治疗慢性牙髓炎伴疼痛值得在临床上推广应用。
목적：대일차성근관충전치료만성아수염반동통적림상료효진행분석화탐토。방법본연구회고성분석료아원125례만성아수염반동통환자적림상자료，장환자수궤분위실험조화대조조。실험조환자실시일차성근관전충치료，대조조환자실시분차근관전충치료，관찰량조환자동통소실적시간병대환자적실제림상료효주출통계분석화1년후적관찰효과분석。결과량조환자술후동통소실시간화용약천수연구결과：실험조동통소실적평균시간위（2.7±0.5）d，대조조동통소실적평균시간위（2.6±0.4）d，량자지간비교차이불구유통계학의의（P＞0.05）；실험조수술후용약적평균시간위（3.6±0.3）d，대조조수술후용약적평균시간위（3.6±0.2）d，량자지간비교차이불구유통계학의의（P＞0.05）。실험조화대조조환자술후1년종합료효연구실험조성공솔위96.8%；대조조성공솔위95.2%，량자지간적대비차이불구유통계학의의（P＞0.05）。결론일차성근관충전치료만성아수염반동통치득재림상상추엄응용。
Objective To evaluate clinical efficacy of single root canal filling in treatment of chronic pulpitis with pain.Methods 125 patients with chronic pulpitis and severe pain were randomly divided into two groups. The study group was taken with single root canal treatment, the control group was taken with sub-time root canal treatment .The average pain time, the number of days, and the effect of one year after treatment for the two groups are compared. ResultsThe average time for pain medication and the number of days for the study group after treatment are respectively (2.7± 0.5)days,( 3.6 ± 0.3 )days. While the control group are (2.6±0.4)days,(3.6±0.2)days. The differences are not statistically significant (P>0.05). Evaluation comprehensively after one year, the success rates of the power components is 96.8% while the control group is 95.2%, the difference is not statistically significant (P>0.05).ConclusionThe single root canal filling in treatment of chronic pulpitis with severe pain of teeth is worthy to be popularized.