超声根管预备联用冲洗液的抗菌效果及术后临床评价.pdfVIP

重庆医科大学学报2008年第33卷第4期 (Joumal of Chongqing Medical University 2008．Vo1．33 No．4) 一 497一 晦举磷客 文章编号：0253—3626(2008)04一o497—03 超声根管预备联用冲洗液的抗菌效果及术后临床评价 刘 鑫，，向学熔，，邓蔓菁z，张 莉z，董天贞 (1．重庆医科大学附属13腔医院牙周粘膜科，重庆 400015；2．第三军医大学野战外科研究所13腔科，重庆 400042) 【摘 要】目的：比较甲硝唑、洗必泰和生理盐水联合超声技术杀灭感染根管内厌氧菌的效果以及术后反应的临床评价。方法： 临床选择慢性根尖周炎患牙400颗，随机分为甲硝唑联合超声技术组、洗必泰联合超声技术组、生理盐水联合超声技术组和对 照组，每组各100颗患牙，比较其术后发生根管治疗期间急症(EIE)的情况。并从每组中各随机抽取20颗患牙，对其根管预备 前后分别取样进行厌氧培养，评价其抗厌氧菌效果。结果：根管预备后各组均能显著减少厌氧菌数量(P0．01)，且甲硝唑组和洗 必泰组效果更佳(P0．05)，但两者间差异没有统计学意义(P0．05)；甲硝唑组和洗必泰组发生EIE的比率明显低于生理盐水组 和对照组( 0．05)，但两者之间差异没有统计学意义(P0．05 o结论：甲硝唑与洗必泰两种超声根管冲洗液均可有效的杀灭根 管内细菌，预防根管治疗术后反应，有助于提高根管治疗的成功率。 【关键词】根管治疗术；超声技术；冲洗液；细菌 【中国图书分类法分类号】R781．05 【文献标识码】B 【收稿日期】2007—06—28 BactericidaI effect of ultrasonic treatment combined with irrigations in root canal preparation and its clinlical evaluation after treatment ，J， 。e (Department of Periodontics and Oral Medcine，the Affiliated Stomatological Hospital， Chongqing Medical University) 【Abstract】Objective：To evaluate the bactericidal effect of ultrasonic treatment combined with metronidazole，chlorhexidine and physiological saline in root canal preparation and the clinlical evaluation after treatment．Methods：A totle of 400 chronic periapicalperi0d0ntitis teeth in clinic were selected and then divided them into four groups，metronidazole combined with ultrasonic technique group，chlorhexidine combined with ultrasonic technique group，physiological saline combined with ultrasonic technique group and control group．Each group had 100 teeth．The incidence of endodontic inter—appointment emergencies(EIE) after treatment was compared．Twenty teeth of each group were selected and anaerobic bacteria colony counting before and after root canal preparation were examined．Results：Anaerobic bacteria of each gro