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目的探讨急性牙髓炎疼痛放散区域的分布。方法选择3 432例急性牙髓炎病例,记录患者的一般情况、确诊患牙、疼痛部位、放散区域,然后收集整理,进行描述性分析。结果急性牙髓炎中63.79%的患者疼痛会波及多个牙齿,74.85%的患者疼痛会向头颈面部周围组织放散。不同牙位的急性牙髓炎疼痛放散区域不同,后牙急性牙髓炎疼痛放散涉及的部位较前牙更多更广;对于全口牙齿来说,嚼肌区是最易受累的区域,颞区是后牙牙髓炎发生时出现疼痛比例较高的部位。结论急性牙髓炎疼痛放散区域多数集中在确诊牙齿的周围,但与牙位无特异性对应关系,医师可以根据患者疼痛放散的部位有针对性地重点检查可疑牙,提高工作效率。
Objective To investigate the distribution of pain relief area in acute pulpitis. Methods A total of 3 432 cases of acute pulpitis were selected. The general conditions of the patients were recorded, the teeth, the painful parts and the emancipation area were confirmed. Then they were collected and analyzed for descriptive analysis. Results Acute pulpitis in 63.79% of patients with pain will spread to multiple teeth, 74.85% of patients with pain will spread around the face and neck tissue. Acute pulpitis of different teeth with different areas of pain relief, acute pulpitis pain relief radiating parts involved more and more than the anterior teeth wider; for the teeth, the chewing muscle area is the most vulnerable area, temporal District is the occurrence of posterior tooth pulpitis, a higher proportion of parts of the site. Conclusion Most of the areas of acute pulpitis pain release are concentrated around the confirmed teeth, but no specific correspondence with the tooth position, the doctor can focus on the suspicious teeth and improve the work efficiency according to the site of patient’s pain emanation.