一次性根管治疗牙髓炎临床效果及可行性研究.docVIP

一次性根管治疗牙髓炎的临床效果及可行性研究 　　[摘要]目的 探讨一次性根管治疗牙髓炎的临床效果和可行性。方法 选择2014年1月～2015年7月我院接诊的240例牙髓炎患者作为研究对象，按照平均分配的原则分为观察组和对照组，各120例。观察组实施一次性根管治疗，对照组给予传统根管治疗。观察并记录两组的术后疼痛程度，分别于治疗2周后和随访12个月后比较两组的近期和远期临床效果。结果 观察组的术后疼痛程度低于对照组，差异有统计学意义（P0.01）。观察组的近期总有效率为91.67%，显著高于对照组的77.50%，差异有统计学意义（P0.01）。观察组的远期总有效率为93.33%，显著高于对照组的81.67%，差异有统计学意义（P0.01）。结论 相比传统根管治疗，一次性根管治疗能显著减轻患者的术后疼痛程度，提高近期及远期临床治疗效果，值得临床推广应用。 　　[关键词]一次性根管治疗；牙髓炎；临床效果；可行性 　　[中图分类号] R781.32 [文献标识码] A [文章编号] 1674-4721（2017）02（b）-0085-03 　　[Abstract]Objective To investigate the clinical effect and feasibility of one-time root canal therapy in the treatment of pulpitis.Methods 240 patients with pulpitis from January 2014 to July 2015 in our hospital were selected as the research objects.According to the average distribution principle，all the patients were divided into the observation group and the control group，120 cases in each group.The observation group was given one-time root canal therapy，and the control group was treated with traditional root canal therapy.The degree of postoperative pain was observed and recorded.The short-term and long-term clinical results of the two groups after 2 weeks and 12 months of follow-up were compared，respectively.Results The postoperative pain of the observation group was lower than that of the control group，with significant difference （P0.01）.The short-term total effective rate of the observation group was 91.67%，which was higher than that of the control group （77.50%），with significant difference （P0.01）.The long-term total effective rate of the observation group was 93.33%，which was higher than that of the control group （81.67%），with significant difference （P0.01）.Conclusion By comparing with the traditional root canal treatment，one-time root canal treatment can significantly relieve postoperative pain and improve the curative effects of short-term and long-term clinical treatment，it is worthy of popularization and application. 　　[Key words]One-time root canal therapy；Pulpitis；Clinical effect