[1]程 杰,王士杰,孙寒蕾.早期开髓减压引流术在急性牙髓炎治疗中的应用效果研究[J].医学信息,2023,36(01):126-128.[doi:10.3969/j.issn.1006-1959.2023.01.025]
　CHENG Jie,WANG Shi-jie,SUN Han-lei.Application Effect of Early Decompression Drainage in the Treatment of Acute Pulpitis[J].Journal of Medical Information,2023,36(01):126-128.[doi:10.3969/j.issn.1006-1959.2023.01.025]
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早期开髓减压引流术在急性牙髓炎治疗中的应用效果研究()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年01期
页码:
126-128
栏目:
临床研究
出版日期:
2023-01-01

文章信息/Info

Title:
Application Effect of Early Decompression Drainage in the Treatment of Acute Pulpitis
文章编号:
1006-1959（2023）01-0126-03
作者:
程 杰; 王士杰; 孙寒蕾
（天津市蓟州区中医院口腔科，天津 301900）
Author(s):
CHENG Jie; WANG Shi-jie; SUN Han-lei
(Department of Stomatology,Tianjin Jizhou District Hospital of Traditional Chinese Medicine,Tianjin 301900,China)
关键词:
早期开髓减压引流术; 急性牙髓炎; 保髓疗法; 牙髓坏疽
Keywords:
Early decompression drainage; Acute pulpitis; Pulp-preserving therapy; Pulp gangrene
分类号:
R743.3
DOI:
10.3969/j.issn.1006-1959.2023.01.025
文献标志码:
A
摘要:
目的 研究早期开髓减压引流术在急性牙髓炎治疗中的应用效果。方法 选取2021年1月-12月在我院诊治的88例急性牙髓炎患者为研究对象，采用随机数字表法分为对照组和观察组，各44例。对照组采用保髓疗法治疗，观察组采用早期开髓减压引流术治疗，比较两组临床治疗效果、不同时间段疼痛评分、炎症因子水平、治疗总疗程、治疗次数、并发症发生率。结果 观察组治疗总有效率为94.45%，高于对照组的81.82%（P＜0.05）；观察组治疗后3 d疼痛评分与对照组比较，差异无统计学意义（P＞0.05），治疗15、30 d疼痛评分均低于对照组（P＜0.05）；观察组炎症因子白细胞介素-6（IL-6）、白细胞介素-8（IL-8）、C反应蛋白（CRP）均低于对照组（P＜0.05）；观察组治疗总疗程、治疗次数均小于对照组（P＜0.05）；观察组并发症发生率为4.55%，低于对照组的11.36%（P＜0.05）。结论 早期开髓减压引流术在急性牙髓炎治疗中应用效果确切，可减轻患者疼痛和炎症反应，减少治疗次数，缩短治疗总疗程，降低并发症发生率。
Abstract:
Objective To study the effect of early decompression drainage in the treatment of acute pulpitis.Methods A total of 88 patients with acute pulpitis diagnosed and treated in our hospital from January to December 2021 were selected as the research objects. They were divided into control group and observation group by random number table method, with 44 cases in each group. The control group was treated with medullary therapy, and the observation group was treated with early decompression drainage. The clinical treatment effect, pain score at different time periods, inflammatory factor level, total treatment course, treatment times and complication rate were compared between the two groups.Results The total effective rate of treatment in the observation group was 94.45%, which was higher than 81.82% in the control group (P<0.05). There was no significant difference in pain score between the observation group and the control group at 3 days after treatment (P>0.05), while the pain scores of the observation group at 15 and 30 days after treatment were lower than those of the control group (P<0.05). The inflammatory factors IL-6, IL-8 and CRP in the observation group were lower than those in the control group (P<0.05). The total course of treatment and the number of treatments in the observation group were less than those in the control group (P<0.05). The incidence of complications in the observation group was 4.55%, which was lower than 11.36% in the control group (P<0.05).Conclusion Early decompression drainage is effective in the treatment of acute pulpitis, which can reduce pain and inflammatory response, reduce the number of treatments, shorten the total course of treatment, and reduce the incidence of complications.

参考文献/References:

[1]夏丽,陈增平,朱立功,等.Depulpin失活剂在急性牙髓炎应急处理中的临床应用[J].实用口腔医学杂志,2016,31(2):292-294.[2]周学东,黄定明,刘建国,等.牙髓损伤的活髓保存治疗[J].华西口腔医学杂志,2017,35(4):339-347.[3]李静.多聚甲醛牙髓失活法与传统失活法对缓解牙髓炎疼痛效果的临床比较[J].湖南中医药大学学报,2016,36(6):343-344.[4]张睿,郑丹,孟柳燕.牙周牙髓联合病变伴畸形根面沟治疗的临床疗效研究[J].口腔医学研究,2020,36(1):56-60.[5]Jsberg H,Tervahartiala T,Sorsa T,et al.Probiotic intervention influences the salivary levels of Matrix Metalloproteinase(MMP)-9andTis-sue Inhibitor of metalloproteinases(TIMP) -1 in healthy adults[J].Arch Oral Biol,2018,85(1):58-63.[6]张勋.速效牙痛宁酊配合常规疗法对根管治疗后牙髓炎患者龈沟液白介素,MMP-8/TIMP1含量的影响[J].河北医药,2018,40(17):98-101.[7]董丽华.化脓性牙髓炎患者血清TNF-α、IL-8及CD14水平的变化及意义[J].国际检验医学杂志,2018,39(15):87-89,93.[8]谢冰,杨卫东,冯加飞,等.早期开髓减压引流术联合氢氧化钙治疗牙髓炎的疗效及对血清TLR4、CX3CL1的影响[J].武汉大学学报(医学版),2020,41(3):495-498.[9]张青.早期开髓减压引流术在急性牙髓炎治疗中的应用效果观察[J].实用中西医结合临床,2020,20(3):115-116.[10]孟丹婕,蒋勇,胡晓蕾.局麻下直接拔髓和失活术对老年患者磨牙急性牙髓炎疼痛控制的对比观察[J].暨南大学学报,2016,37(3):249-252,258.[11]Zhang W,Dai YB,Wan PC,et al.Reldtion shipbetween post extraction pain and acute pulpitis:a randomised trial using third molars[J].Int Dent J,2016,66(6):325-329.[12]章琰.STA髓腔麻醉法在乳磨牙牙髓摘除术中的应用[J].实用口腔医学杂志,2016,32(5):701-704.[13]陈悦.侵袭性牙周炎基础治疗中不同时机口服抗生素的短期疗效观察[J].基层医学论坛,2017,21(23):3071-3072.[14]李素卿,童新文.三种应急治疗方法对急性牙髓炎止痛效果比较分析[J].中国实用口腔科杂志,2016,8(10):619-620.[15]Heidari A,Shahrabi M,Rokouei M,et al.Comparative study of sub-stance P and neurokinin A in gingival crevicular fluid of healthy and painful carious permanent teeth[J].J Dent Res,2017,14(1):57-61.[16]董文豪.急性牙髓炎老年的患者的治疗方案研究[J].贵州医药,2019,28(7):210-214.[17]卢霞,范丽苑,邓霞,等.局麻下牙髓失活术与直接拔髓治疗磨牙急性牙髓炎的疗效对比[J].西部医学,2021,20(5):134-137.[18]朱珊,宋少华,胡海波.早期开髓减压引流术在急性牙髓炎治疗中应用效果分析[J].中华老年医学杂志,2016,34(4):424-425.

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更新日期/Last Update: 1900-01-01