妊娠期牙髓炎一次性根管预备疗效观察.docVIP

妊娠期牙髓炎一次性根管预备疗效观察[摘要]目的探讨孕期牙髓炎一次性根管预备治疗的效果。方法回顾性研究53例孕期牙髓炎患者，采用盐酸阿替卡因肾上腺素注射液单独麻醉或盐酸阿替卡因肾上腺素注射液和盐酸利多卡因注射液联合麻醉，进行一次性根管预备，Vitapex根管糊剂暂封，待患者顺利生产后再常规根管充填，半年后拍片评价疗效。结果痊愈46例，有效6例，1例冠根折断后拔除。痊愈率87%，总有效率（痊愈加有效）为98%。结论使用盐酸阿替卡因肾上腺素注射液和盐酸利多卡因注射液对孕期牙髓炎患者进行一次性根管预备是一种安全、有效的治疗方法，值得推广。 [关键词]一次性根管预备；妊娠；牙髓炎；盐酸阿替卡因肾上腺素注射液；盐酸利多卡因注射液 [中图分类号]R 781.31[文献标志码]A[doi]10.3969/j.issn.1673-5749.2012.01.011 Observation of the curative effect of one-appointment root canal preparation used in pregnant women with pulpitisLi Shuhui, Qiu Zhiyuan.（Dept. of Stomatology, People’s Hospital of Xinjiang Uygur Autonomous Region, Urumuqi 830001, China） [Abstract]ObjectiveTo investigate the curative effect of one-appointment root canal preparation used in pregnant women with pulpitis. MethodsThe study was retrospective study. 53 pregnant women with pulpitis were narcotized with Primacaine alone or Primacaine and Lidocaine both. One-appointment root canal preparation and Vitapex pasta was used to these patients. The normal obturation of the root canal was conducted after delivery and the evaluation by X-ray dental film was processed half a year later. ResultsThe heal case was 46. The valid case was 6. One case was extracted the tooth with the wreckage of the root. The heal rate was 87%. The general valid rate（heal and valid case）was 98%. ConclusionPrimacaine and Lidocaine are safe and effective to pregnant patient with pulpitis. One-appointment root canal preparation is worth to popularized. [Key words]one-appointment root canal preparation；pregnant；pulpitis；Primacaine；Lidocaine 妊娠期牙髓炎不仅给患者本人带来巨大痛苦，而且会影响腹中胎儿的生长发育，剧烈的疼痛还有可能造成孕妇早产或流产。现今孕期牙髓炎患者多采用开髓安抚后氢氧化钙直接盖髓，使患者在活髓状态下度过孕期，待孕妇生产恢复后再行牙髓治疗的方法[1]，但此方法由于保留了活髓而存在牙髓再发生炎性疼痛的可能。本研究采用盐酸阿替卡因肾上腺素注射液（必兰）及盐酸利多卡因注射液对牙髓炎孕妇进行局部麻醉并在无痛下进行一次性根管预备后封药，待产妇恢复后再行根管充填及牙冠修复。 本文就其治疗进行回顾性分析，以期为今后的改进治疗提供参考。 1材料和方法 1.1临床资料 选择2007年7月至2010年7月来新疆维吾尔自治区人民医院口腔科门诊就诊的53例牙髓炎孕妇患者为研究对象。孕周为6～35周，年龄25～40岁，平均30岁，所有患者均无流产史和早产史。 1.2主要药物和治疗仪器 盐酸阿替卡因肾上腺素注射液（每支1.7 mL，含阿替卡因68μg