中国当代医药
中國噹代醫藥
중국당대의약
China Modern Medicine
2015年
29期
98-100
,共3页
一次性根管治疗%分次性根管治疗%隐裂性牙髓炎%老年人
一次性根管治療%分次性根管治療%隱裂性牙髓炎%老年人
일차성근관치료%분차성근관치료%은렬성아수염%노년인
One time root canal treatment%Several times root canal treatment%Cracked pulpitis%Elderly
目的：比较一次性与分次性根管治疗老年隐裂性牙髓炎的临床效果和可靠性。方法按照随机数字表法将2012年1月~2014年1月于我院治疗的184例老年隐裂性牙髓炎患者随机分为对照组和试验组各92例，对照组患者采用分次性根管治疗，试验组患者采用一次性根管治疗，两组患者均治疗12个月，比较两组患者治疗总有效率、疼痛率以及治疗成功率。结果试验组患者治疗的总有效率为98.91%，显著高于对照组患者的85.87%，两组比较差异有统计学意义(P<0.05)；试验组患者治疗的疼痛率为7.61%，显著低于对照组患者的16.30%，两组比较差异有统计学意义(P<0.05)；两组患者随访12个月后，试验组患者治疗的成功率为95.65%，显著高于对照组患者的80.43%，两组比较差异有统计学意义(P<0.05)。结论老年隐裂性牙髓炎患者应用一次性根管治疗较分次性根管治疗具有治疗周期短、有效率高、疼痛程度轻以及远期疗效更确切的优势，能够有效提高患者的生活质量，减轻患者的负担，是一种安全有效的治疗方法。
目的：比較一次性與分次性根管治療老年隱裂性牙髓炎的臨床效果和可靠性。方法按照隨機數字錶法將2012年1月~2014年1月于我院治療的184例老年隱裂性牙髓炎患者隨機分為對照組和試驗組各92例，對照組患者採用分次性根管治療，試驗組患者採用一次性根管治療，兩組患者均治療12箇月，比較兩組患者治療總有效率、疼痛率以及治療成功率。結果試驗組患者治療的總有效率為98.91%，顯著高于對照組患者的85.87%，兩組比較差異有統計學意義(P<0.05)；試驗組患者治療的疼痛率為7.61%，顯著低于對照組患者的16.30%，兩組比較差異有統計學意義(P<0.05)；兩組患者隨訪12箇月後，試驗組患者治療的成功率為95.65%，顯著高于對照組患者的80.43%，兩組比較差異有統計學意義(P<0.05)。結論老年隱裂性牙髓炎患者應用一次性根管治療較分次性根管治療具有治療週期短、有效率高、疼痛程度輕以及遠期療效更確切的優勢，能夠有效提高患者的生活質量，減輕患者的負擔，是一種安全有效的治療方法。
목적：비교일차성여분차성근관치료노년은렬성아수염적림상효과화가고성。방법안조수궤수자표법장2012년1월~2014년1월우아원치료적184례노년은렬성아수염환자수궤분위대조조화시험조각92례，대조조환자채용분차성근관치료，시험조환자채용일차성근관치료，량조환자균치료12개월，비교량조환자치료총유효솔、동통솔이급치료성공솔。결과시험조환자치료적총유효솔위98.91%，현저고우대조조환자적85.87%，량조비교차이유통계학의의(P<0.05)；시험조환자치료적동통솔위7.61%，현저저우대조조환자적16.30%，량조비교차이유통계학의의(P<0.05)；량조환자수방12개월후，시험조환자치료적성공솔위95.65%，현저고우대조조환자적80.43%，량조비교차이유통계학의의(P<0.05)。결론노년은렬성아수염환자응용일차성근관치료교분차성근관치료구유치료주기단、유효솔고、동통정도경이급원기료효경학절적우세，능구유효제고환자적생활질량，감경환자적부담，시일충안전유효적치료방법。
Objective To contrast the clinical effect and reliability of one time and several times root canal treatment on elderly cracked pulpitis. Methods 184 patients with elderly cracked pulpitis in our hospital from January 2012 to January 2014 were selected according to the digital table method.They were divided into control group and experimen-tal group,92 cases in each group.One time root canal treatment was applied to control group.Several times root canal treatment was applied to experimental group.Patients in both group were treated for 12 months.After theraphy,the total effective rate,the rate of pain and the sucess rate of treatment were compared between the two groups. Results The to-tal effective rate of experimental group was 98.91%,higher than 85.87% of control group,the difference was significant (P<0.05).The rate of pain of experimental group was 7.61%,lower than 16.30% of control group,the difference was sig-nificant (P<0.05).After 12 months of follow-up,the sucess rate of treatment of experimental group was 95.65%,higher than 80.43% of control group,the difference was significant(P<0.05). Conclusion One time root canal treatment has the advantage of short treatment cycle,high effective rate,mild pain and exactly long-term curative effect over several times root canal treatment.It can improve the quality of life of patients effectively and reduce the burden of patients.It is a safe and effective treatment method.
