中国基层医药
中國基層醫藥
중국기층의약
Chinese Journal of Primary Medicine and Pharmacy
2015年
19期
2973-2975,2976
,共4页
根管治疗术%牙髓炎
根管治療術%牙髓炎
근관치료술%아수염
Root canal therapy%Pulpitis
目的：观察并比较一次性根管治疗术与常规根管治疗术在急性牙髓炎治疗中的近远期效果。方法选择急性牙髓炎患者共450例，患牙450颗，按随机原则分为一次性组与常规组，每组各225例，患牙各225颗。一次性组给予一次性根管治疗术，常规组给予常规根管治疗术，于治疗后1周比较两组的近期效果，治疗后1年比较两组的远期治疗效果。结果治疗后1周，一次性组治疗显效213例（94．67％），常规组显效139例（61．78％），组间显效率差异有统计学意义（χ2＝21．970，P ＜0．05）。一次性组中治疗有效总例数为214例（99．56％），常规组中治疗有效总例数为225例（100．00％），组间差异无统计学意义（χ2＝0．018， P ＞0．05）。治疗后1年，一次性组治疗成功211例（93．78％），治疗总有效223例（99．11％）；常规组治疗成功217例（96．44％），治疗总有效224例（99．56％），两组间远期治疗成功率和总有效率差异均无统计学意义（χ2＝0．085、0．006，均 P ＞0．05）。结论在严格把握适应证和禁忌证的前提下采用一次性根管治疗术治疗急性牙髓炎效果确切，能快速缓解患者痛苦，减少复诊次数，降低治疗操作难度，提高患者依从性，远期治疗效果与常规根管治疗术相当，且近期效果更佳，值得临床推广。
目的：觀察併比較一次性根管治療術與常規根管治療術在急性牙髓炎治療中的近遠期效果。方法選擇急性牙髓炎患者共450例，患牙450顆，按隨機原則分為一次性組與常規組，每組各225例，患牙各225顆。一次性組給予一次性根管治療術，常規組給予常規根管治療術，于治療後1週比較兩組的近期效果，治療後1年比較兩組的遠期治療效果。結果治療後1週，一次性組治療顯效213例（94．67％），常規組顯效139例（61．78％），組間顯效率差異有統計學意義（χ2＝21．970，P ＜0．05）。一次性組中治療有效總例數為214例（99．56％），常規組中治療有效總例數為225例（100．00％），組間差異無統計學意義（χ2＝0．018， P ＞0．05）。治療後1年，一次性組治療成功211例（93．78％），治療總有效223例（99．11％）；常規組治療成功217例（96．44％），治療總有效224例（99．56％），兩組間遠期治療成功率和總有效率差異均無統計學意義（χ2＝0．085、0．006，均 P ＞0．05）。結論在嚴格把握適應證和禁忌證的前提下採用一次性根管治療術治療急性牙髓炎效果確切，能快速緩解患者痛苦，減少複診次數，降低治療操作難度，提高患者依從性，遠期治療效果與常規根管治療術相噹，且近期效果更佳，值得臨床推廣。
목적：관찰병비교일차성근관치료술여상규근관치료술재급성아수염치료중적근원기효과。방법선택급성아수염환자공450례，환아450과，안수궤원칙분위일차성조여상규조，매조각225례，환아각225과。일차성조급여일차성근관치료술，상규조급여상규근관치료술，우치료후1주비교량조적근기효과，치료후1년비교량조적원기치료효과。결과치료후1주，일차성조치료현효213례（94．67％），상규조현효139례（61．78％），조간현효솔차이유통계학의의（χ2＝21．970，P ＜0．05）。일차성조중치료유효총례수위214례（99．56％），상규조중치료유효총례수위225례（100．00％），조간차이무통계학의의（χ2＝0．018， P ＞0．05）。치료후1년，일차성조치료성공211례（93．78％），치료총유효223례（99．11％）；상규조치료성공217례（96．44％），치료총유효224례（99．56％），량조간원기치료성공솔화총유효솔차이균무통계학의의（χ2＝0．085、0．006，균 P ＞0．05）。결론재엄격파악괄응증화금기증적전제하채용일차성근관치료술치료급성아수염효과학절，능쾌속완해환자통고，감소복진차수，강저치료조작난도，제고환자의종성，원기치료효과여상규근관치료술상당，차근기효과경가，치득림상추엄。
Objective To observe and compare the effect of one -time root canal therapy and routine root canal therapy applied in acute pulpitis treatment.Methods 450 cases of patients with acute pulpitis treated by author were selected with 450 teeth involved,and were divided into one -time group and routine group by using the principle of random.Each of the groups included 225 cases of patients,with 225 teeth involved.One -time root canal therapy was given in one -time group,while routine root canal therapy given in routine group.Short -term effects were com-pared 1 week after therapy,while long -term effects were compared 1 year after therapy.Results 1 week after thera-py,213 cases in one -time group were excellent,excellent rate was 94.67%,while 139 cases in routine was excel-lent,excellent rate 61.78%.And there was statistical difference between the two groups (χ2 =21.970,P <0.05). There were 214 cases in one -time group which were effective,and the total effective rate was 99.56%,and 225 cases in routine group were effective,with total effective rate of 100.00%,and there was no statistical difference between the two groups (χ2 =0.018,P >0.05).One year after therapy,211 cases in one -time group were successful,success rate was 93.78%,and 223 cases were effective,total effective rate 99.11%.217 cases in routine group were success-ful,success rate was 96.44%,and 224 cases were effective,with total effective rate of 99.56%.There were no statis-tical differences of success and effective rate between the two groups (χ2 =0.085,0.006,both P >0.05 ). Conclusion It is effective to apply one -time root canal therapy to treat acute pulpitis under strict indications,pain relieved,referral time reduced,operation difficulty decreased,compliance increased.And the long -term effect of one-time root canal therapy is the same as routine root canal therapy,and the short -term effect is better.It is worthy of clinical use.
