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目的:探讨急性逆行性牙髓炎采用盐酸米诺环素软膏根管内封药治疗的疗效及缓解疼痛的作用。方法:采用回顾性方法,选取2011年4月-2013年10月以来我院收治的84例急性逆行性牙髓炎患者的临床资料,按照治疗方法的不同将他们随即分为对照组和观察组,每组42例。对照组采用开髓拔髓治疗,根管内封甲醛甲酚;观察组也采用开髓拔髓治疗,根管内封盐酸米诺环素软膏,接受治疗后3天,开始记录患者的疼痛缓解时间、叩痛、牙齿松动度等指标。结果:所有患者经过3天的治疗,观察组牙齿松动度、叩痛改善程度明显优于对照组,观察组疼痛缓解时间明显比对照组小(P<0.05),有统计学意义。结论:采用盐酸米诺环素软膏根管内封药治疗急性期逆行性牙髓炎,有很好的治疗效果,能够有效缓解患者的疼痛。
Objective: To investigate the curative effect and pain relief of acute retrograde pulpitis treated with intragastric administration of minocycline hydrochloride ointment. Methods: The clinical data of 84 patients with acute retrograde pulpitis treated in our hospital from April 2011 to October 2013 were selected retrospectively. According to the different treatment methods, they were divided into control group and observation group , 42 cases in each group. In the control group, the medulla oblongata was used to treat the root canal, and the root canal was filled with the formaldehyde. The observation group was also treated with open pulp and pulp, and the minocycline hydrochloride was sealed in the root canal. Three days after the treatment, the patient’s pain relief Time, percussion pain, tooth mobility and other indicators. Results: After 3 days of treatment, the degree of dental mobility and percussion pain in the observation group were significantly better than those in the control group. The pain relief time in the observation group was significantly smaller than that in the control group (P <0.05). Conclusion: The treatment of acute retrograde pulpitis with Minocycline Hydrochloride root canal encapsulation has good therapeutic effect and can effectively relieve pain in patients.