临床和实验医学杂志
臨床和實驗醫學雜誌
림상화실험의학잡지
Journal of Clinical and Experimental Medicine
2015年
18期
1546-1548
,共3页
急性牙髓炎%根尖周炎%热牙胶充填%侧压充填
急性牙髓炎%根尖週炎%熱牙膠充填%側壓充填
급성아수염%근첨주염%열아효충전%측압충전
Acute pulpitis%Periapical%Gutta percha filling%Lateral condensation
目的：比较热牙胶充填和侧压充填治疗急性牙髓炎和根尖周炎的临床效果。方法选取2011年7月至2013年6月收治的急性牙髓炎和根尖周炎患者200例，将其随机分成观察组和对照组，每组为100例。观察组使用热牙胶充填方法治疗急性牙髓炎和根尖周炎，对照组使用侧压充填方法治疗。观察两组的治疗效果、治疗前后的龈沟出血指数（SBI）、牙周袋深度（PD）、牙龈指数（GI）值、充填时间、牙周疼痛情况。结果治疗后90 d，观察组的总有效率（95.0%）明显优于对照组的总有效率（82.0%）；两组患者的 SBI、PD、GI 值均下降明显，但是观察组下降幅度大于对照组；同时观察组的根管充填时间比对照组的明显缩短，牙周疼痛例数少于对照组，差异有统计学意义（ P ﹤0.05）。结论热牙胶充填治疗急性牙髓炎和根尖周炎能够缩短疗程，缓解牙周疼痛，降低患者的牙龈等指数，效果比侧压充填方法的更加显著，值得临床推广。
目的：比較熱牙膠充填和側壓充填治療急性牙髓炎和根尖週炎的臨床效果。方法選取2011年7月至2013年6月收治的急性牙髓炎和根尖週炎患者200例，將其隨機分成觀察組和對照組，每組為100例。觀察組使用熱牙膠充填方法治療急性牙髓炎和根尖週炎，對照組使用側壓充填方法治療。觀察兩組的治療效果、治療前後的齦溝齣血指數（SBI）、牙週袋深度（PD）、牙齦指數（GI）值、充填時間、牙週疼痛情況。結果治療後90 d，觀察組的總有效率（95.0%）明顯優于對照組的總有效率（82.0%）；兩組患者的 SBI、PD、GI 值均下降明顯，但是觀察組下降幅度大于對照組；同時觀察組的根管充填時間比對照組的明顯縮短，牙週疼痛例數少于對照組，差異有統計學意義（ P ﹤0.05）。結論熱牙膠充填治療急性牙髓炎和根尖週炎能夠縮短療程，緩解牙週疼痛，降低患者的牙齦等指數，效果比側壓充填方法的更加顯著，值得臨床推廣。
목적：비교열아효충전화측압충전치료급성아수염화근첨주염적림상효과。방법선취2011년7월지2013년6월수치적급성아수염화근첨주염환자200례，장기수궤분성관찰조화대조조，매조위100례。관찰조사용열아효충전방법치료급성아수염화근첨주염，대조조사용측압충전방법치료。관찰량조적치료효과、치료전후적간구출혈지수（SBI）、아주대심도（PD）、아간지수（GI）치、충전시간、아주동통정황。결과치료후90 d，관찰조적총유효솔（95.0%）명현우우대조조적총유효솔（82.0%）；량조환자적 SBI、PD、GI 치균하강명현，단시관찰조하강폭도대우대조조；동시관찰조적근관충전시간비대조조적명현축단，아주동통례수소우대조조，차이유통계학의의（ P ﹤0.05）。결론열아효충전치료급성아수염화근첨주염능구축단료정，완해아주동통，강저환자적아간등지수，효과비측압충전방법적경가현저，치득림상추엄。
Objectine To compare the clinical efficacy of gutta - percha filling and gutta - percha lateral condensation in treatment of pa-tients with acute pulpitis and apical periodontitis. Methods A total of 200 patients with acute pulpitis or apical periodontitis in this hospital dur-ing July 2011 to June 2013 were randomly divided into observation group and control group. Patients in observation group(100 cases)were treated with hot gutta - percha filling method,while patients in control group(100 cases)were treated with lateral condensation method. The clinical effi-cacy had been observed in both 2 groups. Results After treatment,the total efficacy of patients in observation group(95. 0% )was significantly better than that of patients in control group(82% ). The values of SBI,PD and GI in these two groups were significantly decreased,but their am-plitude of decrease in observation group was higher,while the root canal filling time in patients of observation group was significantly shorter than that of control group,the number of cases with periodontal pain in observation group was more less than that of control group( P ﹤ 0. 05). Con-clusion In the treatment of patients with acute pulpitis and apical periodontitis,hot gutta - percha filling method can shorten the therapeutic course and relieve periodontal pain and reduce gingival index,hence it is worthy to be clinically promoted.
