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目的:对中药材制作的失活剂应用在治疗儿童乳牙牙髓炎治疗上的临床效果进行分析。方法:对我院自2009年10月-2010年10月收治的所有儿童乳牙牙髓炎患者随机抽取120例,并将120例患者随机分成实验组和观察组,每组60例。实验组采用中药失活剂进行治疗,观察组采用西药慢性砷失活剂进行治疗。采用常规的暴露穿髓孔的方法,将失活剂放置在穿髓孔内,然后再用减压的棉球将洞口进行密封。一周之后给予拆除,将全部的冠髓去除,或者是拔掉根髓。并对用药之后的疼痛情况和根尖反应进行观察和记录。结果:实验组中采用中药失活剂的治疗方法对患儿的刺激性较小,临床治疗效果非常显著,恢复情况达到1级和2级标准的一共48例,达到3级标准的10例,达到4级标准的2例。观察组采用西药慢性砷活剂治疗,对患儿的刺激较大,临床治疗效果较好,恢复情况达到1级标准和2级标准的一共36例,达到3级标准的8例,达到4级标准的16例。结论:采用中药失活剂治疗儿童乳牙牙髓炎的临床效果较好,和西药慢性砷失活剂相比,毒性更低,对根尖的刺激性更小。
OBJECTIVE: To analyze the clinical effect of deactivator made from Chinese herbal medicines on the treatment of children with primary pulpitis. Methods: A total of 120 patients with primary deciduous pulpitis admitted to our hospital from October 2009 to October 2010 were selected randomly. 120 patients were randomly divided into experimental group and observation group, with 60 cases in each group. The experimental group was treated with Chinese medicine inactivator, and the observation group was treated with western medicine chronic arsenic inactivator. Using a conventional method of exposing the perforation, place the deactivator in the puncture hole, and then seal the hole with a decompressed cotton ball. A week later to be removed, the entire crown removed, or unplug the root marrow. The pain and apical reaction after the treatment were observed and recorded. Results: In the experimental group, the treatment with traditional Chinese medicine inactivation agent was less irritating to children and the clinical treatment effect was very remarkable. A total of 48 cases reached the grade 1 and 2 standards and 10 cases reached the grade 3 standard. Achieved 4 standards in 2 cases. The observation group treated with western medicine chronic arsenic activator, stimulated children larger, better clinical treatment, recovery to achieve a level 1 standard and 2 standard total of 36 cases, up to 3 standard 8 cases, reaching 4 The standard 16 cases. Conclusion: The clinical effect of using traditional Chinese medicine inactivation on deciduous dental pulpitis in children is better than that of western medicine chronic arsenic inactivator, which is less toxic and less irritating to apical.