中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
21期
90-91
,共2页
慢性牙髓炎根尖炎%根管治疗术%一次法%多次法%疗效
慢性牙髓炎根尖炎%根管治療術%一次法%多次法%療效
만성아수염근첨염%근관치료술%일차법%다차법%료효
Chronic pulpitis and apical periodontis%Root canal therapy%Single-visit treatment%Multiple-visit treatment%Curative effect
目的：分析比较一次与多次法根管治疗慢性牙髓炎根尖炎的临床疗效。方法整群选取于2013年1月-2014年2月来院治疗的慢性牙髓炎根尖炎240例作为研究对象，共260颗患牙，随机数字表达法分为对照组和观察组，各组120例，对照组采用多次法根管治疗，观察组采取一次法根管治疗，术后随访1~2年，观察两组患者的临床效果。结果观察组疼痛程度0级、I级、II级、III级分别为46例、55例、15例、4例，对照组疼痛程度0级、I级、II级、III级分别为59例、51例、9例、1例，两组疼痛发生率比较差异无统计学意义（P>0.05）；观察组治愈、显效、有效、无效分别为91例、24例、2例、3例，成功率为97.50%，对照组治愈、显效、有效、无效分别为99例、18例、1例、2例，成功率为98.33%，成功率为98.33%，观察组术后2年的成功率为97.50%,略低于对照组的98.33%,差异无统计学意义（χ2=0.1687，P>0.05）。结论一次法根管治疗与多次法根管治疗慢性牙髓炎根尖炎的疗效相当，但一次法根管治疗可减少就诊次数，患者易于接受，属于一种安全有效的方法，值得临床推广应用。
目的：分析比較一次與多次法根管治療慢性牙髓炎根尖炎的臨床療效。方法整群選取于2013年1月-2014年2月來院治療的慢性牙髓炎根尖炎240例作為研究對象，共260顆患牙，隨機數字錶達法分為對照組和觀察組，各組120例，對照組採用多次法根管治療，觀察組採取一次法根管治療，術後隨訪1~2年，觀察兩組患者的臨床效果。結果觀察組疼痛程度0級、I級、II級、III級分彆為46例、55例、15例、4例，對照組疼痛程度0級、I級、II級、III級分彆為59例、51例、9例、1例，兩組疼痛髮生率比較差異無統計學意義（P>0.05）；觀察組治愈、顯效、有效、無效分彆為91例、24例、2例、3例，成功率為97.50%，對照組治愈、顯效、有效、無效分彆為99例、18例、1例、2例，成功率為98.33%，成功率為98.33%，觀察組術後2年的成功率為97.50%,略低于對照組的98.33%,差異無統計學意義（χ2=0.1687，P>0.05）。結論一次法根管治療與多次法根管治療慢性牙髓炎根尖炎的療效相噹，但一次法根管治療可減少就診次數，患者易于接受，屬于一種安全有效的方法，值得臨床推廣應用。
목적：분석비교일차여다차법근관치료만성아수염근첨염적림상료효。방법정군선취우2013년1월-2014년2월래원치료적만성아수염근첨염240례작위연구대상，공260과환아，수궤수자표체법분위대조조화관찰조，각조120례，대조조채용다차법근관치료，관찰조채취일차법근관치료，술후수방1~2년，관찰량조환자적림상효과。결과관찰조동통정도0급、I급、II급、III급분별위46례、55례、15례、4례，대조조동통정도0급、I급、II급、III급분별위59례、51례、9례、1례，량조동통발생솔비교차이무통계학의의（P>0.05）；관찰조치유、현효、유효、무효분별위91례、24례、2례、3례，성공솔위97.50%，대조조치유、현효、유효、무효분별위99례、18례、1례、2례，성공솔위98.33%，성공솔위98.33%，관찰조술후2년적성공솔위97.50%,략저우대조조적98.33%,차이무통계학의의（χ2=0.1687，P>0.05）。결론일차법근관치료여다차법근관치료만성아수염근첨염적료효상당，단일차법근관치료가감소취진차수，환자역우접수，속우일충안전유효적방법，치득림상추엄응용。
Objective To compare the clinical effect between single-visit and multiple-visit root canal treatment for chronic pulpi-tis and apical periodontis. Methods 240 patients with chronic pulpitis and apical periodontis in 260 teeth treated in our hospital during January 2013 and February 2014 were selected as the research object and divided into control group and observation group according to the random number table method with 120 patients in each group. After multiple-visit root canal treatment for the ob-servation group and single-visit root canal treatment for the control group, 1~2 years follow-up was performed for both the two. The clinical effects of them were observed. Results According to the pain grading standards by Mohd Sulng, in Class 0, I, II, III , there were 46, 55, 15, 4 patients in the observation group and 59, 51, 9, 1 patients in the control group, and there was statistically significant difference between the frequency of pain of the two groups , P>0.05. In the observation group, 91 cases were cured, 24 cases were markedly effective, 2 cases were effective, 3 cases were invalid, and the success rate was 97.50%, while in the control group, 99 cases cured, 18 cases markedly effective, 1 case effective, 2 cases invalid, and the success rate 98.33%. 2 years after operation, the success rate of the observation group was 97.50%, slightly lower than that of the control group, 98.33%, and the dif-ference was not statistically significant (χ2=0.1687, P>0.05). Conclusion The effects of single-visit and multiple-visit root canal treatment for chronic pulpitis and apical periodontis are equivalent. But single-visit root canal treatment is more accessible to pa-tients for fewer visits, therefore it is worthy of promotion.
