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目的探讨一次性根管治疗牙髓病与根尖周病的临床效果及应用价值。方法 140例牙髓病及根尖周病患者,随机分为A组与B组,每组70例。A组采用一次性根管疗法完成治疗,B组采用多次性根管疗法完成治疗。记录两组患者治疗时间及VAS评分,对比其治疗后7d及术后追访8个月疗效情况。结果 1 A组患者总治疗时间为(3.2±1.1)d,明显低于B组患者的(10.3±3.6)d,组间对比差异具有统计学意义(P<0.05);两组患者治疗前后VAS评分对比差异无统计学意义(P>0.05);2两组患者治疗后7 d及8个月后疗效对比无差异无统计学意义(P>0.05)。结论一次性根管方案对牙髓病及根尖周病患者治疗效果显著,可有效节省治疗时间、缓解疼痛,具有临床推广价值。
Objective To investigate the clinical effect and application value of one-time root canal therapy on pulpontal disease and apical periodontal disease. Methods 140 patients with endodontic disease and apical periodontal disease were randomly divided into group A and group B, with 70 cases in each group. Group A completed the treatment with one-time root canal therapy, Group B completed the treatment with multiple root canal therapy. Record the treatment time and VAS score of two groups of patients, compare their therapeutic effect after 7 days and 8 months after operation. Results The total treatment time in group A was (3.2 ± 1.1) d, which was significantly lower than that in group B (10.3 ± 3.6) d, with significant difference between groups (P <0.05). The VAS There was no significant difference in scores between two groups (P> 0.05). There was no significant difference in the curative effect between the two groups 7 and 8 months after treatment (P> 0.05). Conclusion The one-time root canal regimen has significant therapeutic effect on patients with endodontic and periapical disease, which can effectively save the treatment time and relieve the pain, and has the clinical popularization value.