盐酸米诺环素软膏与氢氧化钙糊剂治疗窦道型根尖周炎疗效分析.docVIP

盐酸米诺环素软膏与氢氧化钙糊剂治疗窦道型根尖周炎疗效分析 　　[摘要]目的 探讨盐酸米诺环素软膏与氢氧化钙糊剂治疗窦道型根尖周炎的疗效差异。方法 选择2013年7月～2015年7月我院收治的100例窦道型根尖周炎患者，随机分为观察组和对照组，每组50例。观察组采用盐酸米诺环素软膏治疗，对照组采用氢氧化钙糊剂治疗。评定两组患者约诊期间疼痛情况、根管治疗24周后的临床效果。结果 观察组Ⅱ级和Ⅲ级疼痛所占比例和对照组比较，差异无统计学意义（χ2=0.0000，P=1.0000，P0.05）。观察组总有效率高于对照组，差异无统计学意义（χ2=0.0000，P=1.0000，P0.05）。结论 氢氧化钙糊剂与盐酸米诺环素软膏治疗窦道型根尖周炎均可获得显著临床效果，两者疗效相似，值得借鉴。 　　[关键词]窦道型根尖周炎；盐酸米诺环素软膏；氢氧化钙糊剂；疗效 　　[中图分类号] R781.34+1 [文献标识码] A [文章编号] 1674-4721（2016）07（b）-0118-03 　　[Abstract]Objective To explore the difference of therapeutic effects of minocycline hydrochloride and calcium hydroxide paste in the treatment of sinus tract periapical periodontitis.Methods 100 cases with sinus tract periapical periodontitis were selected in our hospital from July 2013 to July 2015 and randomly divided into observation group and control group，with 50 cases in each group.Minocycline hydrochloride ointment was used in the observation group，calcium hydroxide was used in the control group.Pain during the appointment and clinical effect after 24 weeks for root canal therapy were evaluated in the two groups.Results The proportion of grade Ⅱand Ⅲpain in the observation group was compared with that in the control group，the difference was not statistically significant （χ2=0.0000，P=1.0000，P0.05）.The total efficiency rate in the observation group was higher than that in the control group，the difference was not statistically significant （χ2=0.0000，P=1.0000，P0.05）.Conclusion Calcium hydroxide paste and minocycline hydrochloride ointment in the treatment of sinus tract periapical periodontitis both can obtain significant clinical effect，they has similar effect，which is worth of reference. 　　[Key words]Sinus tract periapical periodontitis；Minocycline hydrochloride ointment；Calcium hydroxide；Therapeutic effect 　　在根尖周炎类型中，窦道型属于难治性根尖周炎，常规的治疗措施对其治疗效果有限，引起窦道不愈合且可反复急性发作，严重影响患者的生活质量[1-2]。在窦道型根尖周炎临床治疗措施中，根管消毒的有效性是其治疗的关键。在根管消毒措施中，常用的消毒剂是强氧化钙。盐酸米诺环素软膏具有较广的抗菌谱，对牙周组织破坏产生抑制作用，利于牙周组织再生[3-4]。现报告盐酸米诺环素软膏和氢氧化钙糊剂对窦道型根尖周炎的治疗效果如下。 　　1