根管治疗术后疼痛临床研究.docVIP

根管治疗术后疼痛临床研究 　　【摘要】 目的：评估活髓牙、坏死性牙髓炎和根管再治疗患者在经根管治疗后根管治疗后疼痛（PEP）的发生率和强度。方法：选择2011年7-12月在本院接受RCT的患者137例为研究对象，根据其牙髓症状分为活髓牙组71例、死髓牙组26例和再治疗组40例。所有患者由同一程序进行根管治疗。比较分析各组患者在治疗6、18 h的疼痛发生率和强度等级。结果：活髓牙组患者PEP的发生率和强度（63.8%，2.46±1.4）均高于死髓牙组（38.5%，1.78±1.2）和再治疗组（43.8%，1.89±1.1），比较差异均有统计学意义（P0.05）。女性患者治疗6、18 h的平均疼痛强度分别为（2.29±1.38）和（1.97±1.21），均高于男性患者的（1.95±1.19）和（1.68±0.99），比较差异均有统计学意义（P=0.034、P=0.041）。结论：活髓牙患者RCT术后的PEP较坏死性牙髓炎和根管再治疗相比有着较高发生率及强度。 　　【关键词】 根管治疗； 根管治疗术后疼痛； 临床研究 　　中图分类号 R781.33 文献标识码 B 文章编号 1674-6805（2016）14-0015-02 　　Clinical Study on Postendodontic Treatment Pain after Root Canal Treatment/ZHANG Liang.//Chinese and Foreign Medical Research，2016，14（14）：15-16 　　【Abstract】 Objective：To assess the incidence and severity of postendodontic treatment pain（PEP） subsequent to root canal treatment（RCT） in vital teeth，necrotic pulp teeth and re-treatment teeth.Method：One hundred and thirty-seven patients undergoing RCT in our hospital from July 2011 to December 2012 were selected as the objects and devided into vital pulp group（n=70），necrotic pulp group（n=26） and re-treatment group（n=40） according to their different clinical manifestations.All patients were given the same procedure of RCT.The incidence and severity of postendodontic treatment pain（PEP） at 6 and 18 hours posttreatment of patients from different group were compared.Result：The incidence and severity of PEP in the vital pulp group（63.8%，2.46±1.4） were significantly higher than the necrotic pulp group（38.5%，1.78±1.2） and the re-treatment group（43.8%，1.89±1.1），the differences were statistically significant（P0.05）.Gender was significantly associated with the intensity of PEP.After treatment of 6，18 hours，women reported a higher mean pain intensity than men （2.29±1.38） versus （1.95±1.19） and （1.97±1.21） versus （1.68±0.99），the differences were statistically significant（P=0.034，0.041）.Conclusion：RCT of teeth with vital pulp induce significantly higher incidence and intensity of PEP compared to teeth with necrotic pu