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目的探讨一次性根管治疗联合康复治疗在牙体牙髓病患者中的疗效观察及安全性。方法选取2016年3月—2017年5月医院收治的牙体牙髓病患者90例(患牙90颗),随机数字法分为对照组(n=45)和观察组(n=45)。对照组采用多次法根管治疗,观察组采用一次性根管治疗联合康复治疗,采用咬合力测定仪患者治疗前、后咬合力;采用称重法评估咀嚼效率,比较2组临床疗效及安全性。结果观察组治疗后咬合力、咀嚼效率,高于对照组(P<0.05);观察组治疗后牙龈指数、出血指数,低于对照组(P<0.05);观察组治疗后2例出血并发症,发生率为4.44%,低于对照组5例出现并发症,发生率为11.11%(P<0.05)。结论将一次性根管治疗联合康复治疗效果理想,有助于改善患者咀嚼能力,安全性较高,值得推广应用。
Objective To investigate the efficacy and safety of one-time root canal therapy and rehabilitation therapy in patients with dental pulp diseases. Methods Ninety patients (90 teeth) with dental pulp disease were selected from March 2016 to May 2017 in our hospital. The patients were divided into control group (n = 45) and observation group (n = 45) by random number method. The control group received multiple root canal therapy. The observation group received one-time root canal therapy combined with rehabilitation. The bite force was measured before and after treatment. The chewing efficiency was evaluated by weighing method. The clinical efficacy and safety were compared between the two groups Sex. Results After treatment, the bite force and chewing efficiency were higher in the observation group than those in the control group (P <0.05). The gingival index and bleeding index in the observation group were lower than those in the control group (P <0.05) , The incidence was 4.44%, which was lower than that of the control group (5 cases). The incidence rate was 11.11% (P <0.05). Conclusion The one-time root canal therapy combined with rehabilitation is effective and will help to improve the mastication ability of patients with high safety and should be popularized and applied.