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老年慢性牙髓炎一次性根管治疗的临床效果评估

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目的 探究老年慢性牙髓炎采用一次性根管治疗的疗效.方法 方便选取2022年1月—2023年6月泰州市第三人民医院接诊的86例慢性牙髓炎患者为研究对象,采用随机数表法分为对照组和观察组,各43例,分别予以多次根管和一次性根管治疗,对比两组术后疼痛情况及临床疗效.结果 观察组患者疼痛反应率低于对照组,差异有统计学意义(P<0.05).观察组和对照组的治疗有效率对比,差异无统计学意义(P>0.05).观察组术后肿瘤坏死因子-α、白细胞介素-6、C-反应蛋白分别(2.87±0.56)ng/mL、(1.01±0.35)μg/L、(3.65±0.64)mg/L,均低于对照组,差异有统计学意义(t=9.639、9.623、14.447,P均<0.05).两组并发症总发生率相比,差异无统计学意义(P>0.05).结论 老年慢性牙髓炎患者接受一次性根管治疗术有助于减轻术后疼痛度及术后并发症,并且临床效果显著.
Evaluation of Clinical Effect of One-time Root Canal Therapy for Senile Chronic Pulpitis
Objective To explore the efficacy of one-time root canal therapy for senile chronic pulpitis.Methods A to-tal of 86 patients with chronic pulpitis treated in Taizhou Third People's Hospital from January 2022 to June 2023 were convenient selected as the study objects and divided into control group and observation group by random number table method,43 case in each group.Multiple root canals and one-time root canals were given,respectively.The post-operative pain and clinical effect of two groups were compared.Results The pain response rate of observation group was lower than that of control group,and the difference was statistically significant(P<0.05).There was no significant difference in treatment effective rate between the observation group and the control group(P>0.05).Tumor necrosis factor-α,interleukin-6 and C-reactive protein in the observation group were(2.87±0.56)ng/mL,(1.01±0.35)μg/L and(3.65±0.64)mg/L,respectively,which were lower than those in the control group and the differences were statisti-cally significant(t=9.639,9.623,14.447,all P<0.05).There was no significant difference in total complication rate be-tween the two groups(P>0.05).Conclusion One-time root canal therapy in elderly patients with chronic pulpitis is helpful to reduce postoperative pain and complications,and the clinical effect is significant.

Senile chronic pulpitisOne-time root canalDegree of painClinical effective rate

徐丹、曹新泽

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泰州市第三人民医院口腔科,江苏泰州 225300

老年慢性牙髓炎 一次性根管 疼痛度 临床有效率

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(9)