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目的探讨妊娠期妇女急性牙髓炎适宜的治疗方法。方法选取2011年8月至2015年3月在我院口腔中心就诊的104例妊娠期急性牙髓炎患者,采用随机数表法分为观察组和对照组,观察组53例53颗患牙根管预备后导入比塔派克斯(Vitapex)糊剂消毒、过渡性充填根管,对照组51例51颗患牙局麻下去除冠髓,行氢氧化钙牙髓切断术。比较两组患者术后疼痛缓解效果、术后6个月的临床效果。结果观察组患者术后疼痛缓解有效率为98.11%(52/53),对照组为96.08%(49/51),差异无统计学意义(P>0.05);术后6个月观察组患者的临床治疗有效率为96.22%(51/53),明显高于对照组的64.71%(33/51),差异具有统计学意义(P<0.05)。结论 Vitapex糊剂充填根管能有效治疗妊娠期妇女牙髓炎,缓解疼痛并维持较长时间的疗效,有利于患者身心健康。
Objective To investigate the suitable treatment of acute pulpitis in pregnant women. Methods A total of 104 cases of acute pulpitis during pregnancy in our hospital from August 2011 to March 2015 were randomly divided into observation group and control group with 53 cases of root The tube was prepared and introduced into Vitapex paste, transitional filling root canal, 51 cases of 51 cases of tooth crown under the local anesthesia in the control group were treated with calcium hydroxide endodontic surgery. Postoperative pain relief and postoperative 6 months postoperative efficacy were compared between the two groups. Results The effective rate of postoperative pain relief was 98.11% (52/53) in the observation group and 96.08% (49/51) in the control group, with no significant difference (P> 0.05). The postoperative 6 months in the observation group The effective rate of clinical treatment was 96.22% (51/53), which was significantly higher than that of the control group (64.71%, 33/51). The difference was statistically significant (P <0.05). Conclusion Vitapex paste-filled root canal can effectively treat pulpitis in pregnant women, relieve pain and maintain a long-term efficacy, is conducive to the patient’s physical and mental health.