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目的:探讨急性牙髓炎一次性根充治疗的临床价值。方法:收集2009年2月—2011年9月急性牙髓炎患者100例,将其按数字随机表法分为参照组与试验组。两组均给予全身治疗和口腔保健。参照组患者采用传统根充法进行治疗;试验组患者采用一次性根充法进行治疗,将两组患者近期疼痛发生情况及远期治疗效果、并发症进行对比。结果:治疗后,试验组患者疼痛评分为(1.93±0.84)分;参照组患者疼痛评分为(3.52±1.58)分,差异有统计学意义(P<0.05)。治疗6个月后,试验组患者治疗总有效率为96.9%;参照组患者治疗总有效率为76.9%,差异有统计学意义(P<0.05);治疗1年后,试验组患者治疗总有效率为92.2%;参照组患者治疗总有效率为73.8%,差异有统计学意义(P<0.05);治疗2年后,试验组患者治疗总有效率为84.4%;参照组患者治疗总有效率为73.8%,差异无统计学意义(P>0.05);治疗后试验组合并IAE 5例,参照组合并合并IAE 4例,差异无统计学意义(P>0.05)。结论:将一次性根充方法应用于急性牙髓炎患者治疗中,疗效确切,有利于缓解患者疼痛,且治疗后半年内、1年内的有效率均比较高,而2年内治疗效果相当。需要注意的是,无论采用哪种根充法,都需要积极预防IAE的发生。
Objective: To investigate the clinical value of one-time root canal therapy for acute pulpitis. Methods: 100 cases of acute pulpitis from February 2009 to September 2011 were collected and divided into reference group and experimental group by digital random table. Both groups were given systemic treatment and oral health care. The patients in the reference group were treated by the traditional root-filling method. The patients in the experimental group were treated by the one-time root-filling method. The incidence of the recent pain and the long-term therapeutic effect and complication were compared between the two groups. Results: After treatment, the pain score of the test group was (1.93 ± 0.84) points; the pain score of the reference group was (3.52 ± 1.58) points, the difference was statistically significant (P <0.05). After 6 months of treatment, the total effective rate of the treatment group was 96.9%; the total effective rate of the reference group was 76.9%, the difference was statistically significant (P <0.05); after 1 year of treatment, the treatment group had a total of The effective rate was 92.2%; the total effective rate of the reference group was 73.8%, the difference was statistically significant (P <0.05); after 2 years of treatment, the total effective rate of the experimental group was 84.4%; the total effective rate (P> 0.05). There was no significant difference between the two groups (P> 0.05). After treatment, 5 cases were combined with IAE in the test group and 4 cases in the reference group and IAE group. Conclusion: The one-time root-filling method applied to the treatment of patients with acute pulpitis has the exact curative effect and is good for alleviating the pain in patients. The effective rate within one year after treatment is relatively high within one year, while the treatment effect is comparable within two years. It should be noted that, no matter what kind of root filling method, we need to actively prevent the occurrence of IAE.