中药六神丸在乳牙干髓术中的应用.docVIP

精品论文 参考文献 中药六神丸在乳牙干髓术中的应用 河北工业大学医院 天津 300130 【摘 要】目的 比较中药六神丸与亚砷酸作为乳牙牙髓失活剂用于乳牙干髓术中的疗效及安全性。方法 将80例乳牙牙髓炎的患儿随机分为治疗组40例、对照组40例。两组均于开髓后封药，治疗组以六神丸为失活剂封髓，对照组以亚砷酸封髓。观察两组治疗前后疼痛缓解率、失活效果、远期疗效及并发症发生情况。结果 治疗组疼痛缓解疗效显著优于对照组（Plt;0.05）；并发症发生情况低于对照组（Plt;0.05）；两组失活率及远期疗效相当（Pgt;0.05）。结论 六神丸作为乳牙牙髓失活剂用于乳牙干髓术，在缓解疼痛、减少并发症方面具有较好效果。 【关键词】六神丸；亚砷酸；牙髓失活 Application of Liu Shenwan in the devitalization of teeth，baby pulp Jianjinxia Qianhaiyan Caiwen Songjiayuan The hospital of HebeiUnversity of Technology Abstract AIM .To observe the clinical effect and safety of devitalization of the Liu Shenwan and the arsenic to the tooth，baby pulp Methods：Total of 80 cases of the pulpitis children required devitalization of the pulps were divided into 2 groups，either qroup have 40children. One is the Liu Shenwan groop，the other is the arsenic grouop，the drug were filled into the cavity pulpae. after the pulp were exposed imediatedly. Observe the devitalization effect and pain reaction on the diseased teeth in two days，observed the clinical effect in further three months later RESULTS：The pain reaction and periadoutal injuries in Liu Shenwan groop were significantly lower than those in the arsenic grouop.The clinical effect three months later were as the same as it. CONCLUSION：the Liu Shenwan for dewitallizallion to the teeth，baby pulp could be used in the clinical cure as both a safe and efficiant measure Key words：Liu Shenwan devitalization，Arsenic 【中图分类号】R276.8【文献标识码】A【文章编号】2096-0867（2016）-09-006-02 我国儿童龋齿率长期居高不下，受医疗条件的限制及家长保健意识等影响，大部分龋齿得不到早期治疗，由于乳牙钙化程度低，龋齿发展迅速，大部分发展成牙髓炎而需要牙髓治疗。临床上常用亚砷酸作为失活剂，由于其毒性大又无自限性，且乳牙根尖孔大，从数量和时间上很难掌握，药物泄漏易发生药物性根尖周炎或导致牙龈坏死。我们将中药六神丸作为乳牙牙髓失活剂用于乳牙干髓术，取得良好效果，现报告如下。 1 一般资料 80例均为2004年7月～2006年9月我院口腔科门诊患儿，年龄4～9岁，患牙均有不同程度的牙髓炎症状，随机分为治疗组40例、对照组40例。 2 方法 2.1 治疗方法 两组均用锐利挖匙将腐质去净，用3 %双氧水和0.9 %生理盐水冲洗后，腐净未露髓者用高速钻开髓，立即封药，渗出多者引流，1日后封药。治疗组在露髓处封六神丸（上海中药制药一厂）2粒，隔日复诊；对照组以亚砷酸（上海齿科材料厂）封髓，隔日复诊。并嘱患儿勿咬硬物。 2.2观察内容 观察封药后疼痛缓解率、牙