[1]吴 静.氢氧化钙糊剂联合根管治疗术治疗牙髓炎的效果[J].医学信息,2022,35(16):115-117.[doi:10.3969/j.issn.1006-1959.2022.16.028]
 WU Jing.Effect of Calcium Hydroxide Paste Combined with Root Canal Therapy on Pulpitis[J].Journal of Medical Information,2022,35(16):115-117.[doi:10.3969/j.issn.1006-1959.2022.16.028]
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氢氧化钙糊剂联合根管治疗术治疗牙髓炎的效果()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年16期
页码:
115-117
栏目:
临床研究
出版日期:
2022-08-15

文章信息/Info

Title:
Effect of Calcium Hydroxide Paste Combined with Root Canal Therapy on Pulpitis
文章编号:
1006-1959(2022)16-0115-03
作者:
吴 静
(天津市滨海新区大港中医医院口腔科,天津 300270)
Author(s):
WU Jing
(Department of Stomatology,Dagang Hospital of Traditional Chinese Medicine,Binhai New Area,Tianjin 300270,China)
关键词:
氢氧化钙糊剂根管治疗牙髓炎炎症因子
Keywords:
Calcium hydroxide pasteRoot canal therapyPulpitisInflammatory factors
分类号:
R781.05
DOI:
10.3969/j.issn.1006-1959.2022.16.028
文献标志码:
A
摘要:
目的 观察氢氧化钙糊剂联合根管治疗术治疗牙髓炎的效果。方法 选取2020年3月-2021年3月我院诊治的70例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35例。对照组采用氧化锌碘仿糊剂联合根管治疗,观察组采用氢氧化钙糊剂联合根管治疗,比较两组临床、牙周指数指标[出血指数(BI)、临床附着水平(CAL)、探诊深度(PD)、菌斑指数(PLI)]、根管疼痛度、血清炎症因子水平[白细胞介素-6(IL-6)、白细胞介素-8(IL-8)、C反应蛋白(CRP)]。结果 观察组治疗总有效率为94.29%,高于对照组的82.62%(P<0.05);观察组BI、CAL、PD、PLI小于对照组(P<0.05);观察组疼痛度0级、Ⅰ级发生率高于对照组,Ⅱ级、Ⅲ级发生率低于对照组(P<0.05);观察组IL-6、IL-8、CRP水平低于对照组(P<0.05)。结论 氢氧化钙糊剂联合根管治疗术治疗牙髓炎的效果确切,可减轻疼痛程度,降低炎症因子水平,改善牙周指数,是一种有效、可行的治疗方法。
Abstract:
Objective To observe the effect of calcium hydroxide paste combined with root canal therapy in the treatment of pulpitis.Methods A total of 70 patients with pulpitis diagnosed and treated in our hospital from March 2020 to March 2021 were selected as the research objects. They were divided into control group and observation group by random number table method, with 35 cases in each group. The control group was treated with zinc oxide iodoform paste combined with root canal therapy, and the observation group was treated with calcium hydroxide paste combined with root canal therapy. The clinical and periodontal index indicators [bleeding index (BI), clinical attachment level (CAL), probing depth (PD), plaque index (PLI)], root canal pain, serum inflammatory factor levels [interleukin-6 (IL-6), interleukin-8 (IL-8), C-reactive protein (CRP)] were compared between the two groups.Results The total effective rate of treatment in the observation group was 94.29%, which was higher than 82.62% in the control group P<0.05). BI, CAL, PD and PLI in the observation group were smaller than those in the control group (P<0.05). The incidence of pain grade 0 and grade Ⅰ in the observation group were higher than that in the control group, and the incidence of grade Ⅱ and grade Ⅲ were lower than that in the control group (P<0.05). The levels of IL-6, IL-8 and CRP in the observation group were lower than those in the control group (P<0.05).Conclusion Calcium hydroxide paste combined with root canal therapy is effective in the treatment of pulpitis, which can reduce the degree of pain, reduce the level of inflammatory factors and improve the periodontal index. It is an effective and feasible treatment method.

参考文献/References:

[1]苏小波.氢氧化钙糊剂联合根管治疗术治疗牙髓炎或根尖炎的疗效观察[J].全科口腔医学电子杂志,2016,3(12):46-47.[2]谷春妍,黄震.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].中国生化药物杂志,2016,36(6):79-81.[3]陈婷.氢氧化钙糊剂联合根管治疗术治疗牙髓炎或根尖的疗效观察[J].全科口腔医学电子杂志,2018,5(34):51-55. [4]陈超.氢氧化钙糊剂治疗牙髓炎及根尖炎的效果[J].中国卫生标准管理,2019,10(2):80-82. [5]李菲菲,刘兴容.地塞米松-氢氧化钙糊剂用于根管内封药疗效的系统评价[J].西南医科大学学报,2017,40(2):160-164. [6]邱亚,米方林,姚承佼,等.Vitapex 糊剂在根尖周炎消毒和充填治疗中的作用效果评价[J].中华临床医师杂志(电子版),2016,10(17):2571-2575. [7]张靖.Vitapex糊剂在感染性畸形中央尖根尖诱导成形术中的应用效果[J].安徽医学,2016,37(7):804-806. [8]李丽洁,格根塔娜,鄂丽华.Vitapex 糊剂和氢氧化钙糊剂在根尖诱导成形术的临床对比[J].内蒙古医科大学学报,2016,37(6):552-556.[9]朱振亚,宋砚斌,潘伟伟.不同赋形剂氢氧化钙糊剂对离体牙根管内粪肠球菌抗菌性的研究[J].中华医院感染学杂志,2016,25(13):2923-2925.[10]李钰玥,范荣,郑雷蕾,等.三种根管充填材料对乳牙根尖周炎常见细菌的抑菌性[J].中国微生态学杂志,2019,31(3):306-309.[11]董琳娜.Vitapex糊剂与氧化锌碘仿糊剂填充治疗儿童乳牙慢性根尖周炎效果分析[J].青岛医药卫生,2021,53(6):439-441.[12]吴艳,杨瑶瑶,王瑶.Vitapex 与氢氧化钙用于活髓切断术的系统评价[J].西南医科大学学报,2018,41(5):401-406.[13]赵飞,王玉玮,王立,等.MTA活髓切断术与根管治疗术在乳磨牙早期牙髓炎的临床效果比较分析[J].湖南师范大学学报(医学版),2018,15(6):60-63.[14]李丽娅,杜启涛.根管填充环氧树脂类糊剂治疗成人牙髓病及根尖周炎的疗效研究[J].川北医学院学报,2019,34(1):65-67.[15]朱婷婷,张秋,胡焱,等.地塞米松-氢氧化钙糊剂防治根管治疗期间疼痛疗效的系统评价[J].西南军医,2016,18(3):251-254.[16]张韵晴,杨志雄,王丽芳.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].现代诊断与治疗,2018,29(20):3291-3292.[17]杨棕嘉,卢兰.三种根管消毒药用于急慢性根尖周炎感染根管消毒的临床疗效观察[J].昆明医科大学学报,2015,36(3):155-156.[18]李一光.氢氧化钙糊剂活髓保存治疗龋源性牙髓炎对患儿LTB4、TNF-α、IL-8水平及咬合功能的影响[J].中国美容医学,2021,30(6):143-146.[19]郭莉,陈曦,李佩,等.Vitapex糊剂在根管治疗乳牙慢性根尖周炎中的效果分析[J].现代生物医学进展,2017,17(27):5287-5289.[20]魏建敏,谷珊瑚,孙建伟,等.曲安奈德-氢氧化钙碘仿糊剂对一次法根管治疗后镇痛效果评价[J].广西医学,2016,38(7):1010-1012.

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更新日期/Last Update: 1900-01-01