[1]周 青.碘仿氢氧化钙糊剂在慢性根尖周炎中的应用及对根管消毒效果及封药后疼痛反应情况的影响[J].医学信息,2022,35(21):122-124.[doi:10.3969/j.issn.1006-1959.2022.21.031]
 ZHOU Qing.Application of Iodoform Calcium Hydroxide Paste in Patients with Chronic Apical Periodontitis and its Effect on Root Canal Disinfection and Pain Reaction After Sealing[J].Journal of Medical Information,2022,35(21):122-124.[doi:10.3969/j.issn.1006-1959.2022.21.031]
点击复制

碘仿氢氧化钙糊剂在慢性根尖周炎中的应用及对根管消毒效果及封药后疼痛反应情况的影响()
分享到:

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年21期
页码:
122-124
栏目:
药物与临床
出版日期:
2022-11-01

文章信息/Info

Title:
Application of Iodoform Calcium Hydroxide Paste in Patients with Chronic Apical Periodontitis and its Effect on Root Canal Disinfection and Pain Reaction After Sealing
文章编号:
1006-1959(2022)21-0122-03
作者:
周 青
(丰城市人民医院口腔科,江西 丰城 331100)
Author(s):
ZHOU Qing
(Department of Stomatology,Fengcheng People’s Hospital,Fengcheng 331100,Jiangxi,China)
关键词:
慢性根尖周炎碘仿氢氧化钙糊剂根管消毒疼痛反应
Keywords:
hronic periapical periodontitisIodoform calcium hydroxide pasteRoot canal disinfection effectPain response
分类号:
R781.34+1
DOI:
10.3969/j.issn.1006-1959.2022.21.031
文献标志码:
A
摘要:
目的 探究碘仿氢氧化钙糊剂在慢性根尖周炎患者中的应用及对根管消毒效果及封药后疼痛反应情况的影响。方法 选取2019年5月-2021年5月我院收治的70例慢性根尖周炎患者,根据随机数字表法分为对照组和观察组,每组35例。对照组给予甲醛甲酚治疗,观察组给予碘仿氢氧化钙糊剂治疗,比较两组临床疗效、牙周指标、血清炎症因子水平、根管治疗约诊间痛(EIP)发生率以及并发症发生情况。结果 观察组临床治疗总有效率为94.29%,高于对照组的77.14%,差异有统计学意义(P<0.05);观察组治疗后牙龈指数(GI)、出血指数(BI)、牙周探诊程度(PD)、菌斑指数(PLI)均低于对照组,差异有统计学意义(P<0.05);两组治疗后炎症因子水平低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组EIP发生率为17.14%,不良反应发生率为11.43%,均低于对照组的42.86%和31.43%,差异有统计学意义(P<0.05)。结论 碘仿氢氧化钙糊剂在慢性根尖周炎患者中的临床治疗效果较好,可减轻患者的疼痛感,降低不良反应发生几率。
Abstract:
Objective To explore the application of iodoform calcium hydroxide paste in patients with chronic periapical periodontitis and its effect on root canal disinfection and pain response after sealing.Methods Seventy patients with chronic periapical periodontitis admitted to our hospital from May 2019 to May 2021 were selected and divided into control group and observation group according to the random number table method, with 35 cases in each group.The control group was treated with formaldehyde cresol, and the observation group was treated with iodoform calcium hydroxide paste.The clinical efficacy, periodontal index, serum inflammatory factor level, endodontic interappointment pain (EIP) and complications were compared between the two groups.Results The total effective rate of clinical treatment in the observation group was 94.29%, which was higher than 77.14% in the control group, and the difference was statistically significant (P<0.05). After treatment, the gingival index (GI), bleeding index (BI), periodontal probing degree (PD) and plaque index (PLI) in the observation group were lower than those in the control group, and the differences were statistically significant (P<0.05). The levels of inflammatory factors in the two groups after treatment were lower than those before treatment, and the observation group was lower than the control group, the differences were statistically significant (P<0.05). The incidence of EIP in the observation group was 17.14%, and the incidence of adverse reactions was 11.43%, which were lower than 42.86% and 31.43% in the control group, and the differences were statistically significant (P<0.05).Conclusion Iodoform calcium hydroxide paste has a good clinical effect in patients with chronic periapical periodontitis, which can reduce the pain of patients and reduce the incidence of adverse reactions.

参考文献/References:

[1]谢嘉盛,林少云.多次法与一次法根管治疗慢性牙髓炎、根尖周炎临床疗效对比分析[J].临床军医杂志,2019,47(4):396-397. [2]朱晓云.超声冲洗联合氢氧化钙糊剂用于一次法根管治疗的疗效观察[J].河北医药,2018,40(11):1707-1710.[3]虞建花.氢氧化钙糊剂联合根管治疗术治疗牙髓炎或根尖炎的临床疗效[J].实用中西医结合临床,2021,21(12):57-58.[4]刘学勍.樟脑酚根管消毒与氢氧化钙根管消毒对慢性根尖周炎患者的近远期疗效分析[J].包头医学院学报,2019,35(9):36-37.[5]李苹.Cortisomol与CCQ糊剂在慢性根尖周炎根管治疗中的效果比较[J].实用医院临床杂志,2010,7(2):90-91.[6]刘芳,姚君,周苗,冯海燕.碘仿氢氧化钙糊剂根管封药治疗慢性根尖周炎的临床疗效及其安全性[J].临床合理用药杂志,2021,14(3):111-112.[7]韩维东.四种根管消毒药物治疗有瘘型单根管上前牙根尖炎临床研究[J].现代医院,2012,12(7):48-49.[8]刘超星.氢氧化钙联合抗生素糊剂对根管消毒患者疼痛程度及消毒效果的影响[J].首都食品与医药,2018,25(11):42.[9]谢嘉盛,林少云.多次法与一次法根管治疗慢性牙髓炎、根尖周炎临床疗效对比分析[J].临床军医杂志,2019,47(04):396-397.[10]王燕.多西环素联合氢氧化钙糊剂根管内封药治疗慢性根尖周炎的效果观察[J].医药论坛杂志,2020,41(6):136-139.[11]郑义稳.三种不同糊剂在根管治疗中的临床效果比较[J].中外医学研究,2021,19(6):120-122.[12]付素文,白肖佩,冯文珍.一次根管治疗术及多次根管治疗术在慢性根尖周炎中的治疗效果比较[J].检验医学与临床,2019,16(18):2716-2718.[13]沙业霞,林雪霞,刘钰宇.不同剂型氢氧化钙在乳牙根管消毒的疗效观察[J].现代医院,2014,14(1):54-55.[14]谢慎.氢氧化钙糊剂在根管治疗术中对牙髓病及根尖周病患者血清炎症因子水平的影响[J].医学理论与实践,2019,32(12):1892-1894.[15]马素霞.应用碘仿氢氧化钙抑菌糊剂对乳牙根尖病变进行根管治疗的效果分析[J].药品评价,2019,16(2):39-42.

相似文献/References:

[1]杨晓飞,格根塔娜,杨昱藩.肿瘤坏死因子-α在慢性根尖周炎中的作用研究[J].医学信息,2021,34(21):46.[doi:10.3969/j.issn.1006-1959.2021.21.011]
 YANG Xiao-fei,GEGEN Ta-na,YANG Yu-fan.Role of Tumor Necrosis Factor-α in Chronic Apical Periodontitis[J].Journal of Medical Information,2021,34(21):46.[doi:10.3969/j.issn.1006-1959.2021.21.011]
[2]朱莲蓬.Vitapex糊剂和氢氧化钙糊剂治疗恒牙慢性根尖周炎的疗效[J].医学信息,2021,34(23):141.[doi:10.3969/j.issn.1006-1959.2021.23.042]
 ZHU Lian-peng.Effect of Vitapex Paste and Calcium Hydroxide Paste on Chronic Periapical Periodontitis of Permanent Teeth[J].Journal of Medical Information,2021,34(21):141.[doi:10.3969/j.issn.1006-1959.2021.23.042]
[3]薄 磊.镍钛机用器械联合超声冲洗对慢性根尖周炎根管内毒素的清除效果[J].医学信息,2022,35(07):131.[doi:10.3969/j.issn.1006-1959.2022.07.033]
 BO Lei.Effect of Nickel-titanium Rotary Instrumentation Combined with Ultrasonic Irrigation on Endotoxin Removal in Root Canal of Chronic Periapical Periodontitis[J].Journal of Medical Information,2022,35(21):131.[doi:10.3969/j.issn.1006-1959.2022.07.033]

更新日期/Last Update: 1900-01-01