李淑云　王丽楠

70例急性牙髓炎的治疗观察

李淑云王丽楠

目的 探讨急性牙髓炎的有效治疗方法。方法 按照随机数字表法将70例急性牙髓炎患者分为对照组和观察组各35例。对照组采用传统的多次根管治疗法，观察组采用一次根管治疗法。结果 两组近期疗效比较：观察组的总有效率为97.1%。对照组的总有效率为94.3%。两组近期疗效差异无统计学意义（P＞0.05）。两组远期疗效比较：治疗1年后，观察组的成功率为94.3%；对照组的成功率为71.4%。观察组远期疗效好于对照组（P＜0.05）。结论 一次根管治疗法优于传统的多次根管治疗法。

急性；牙髓炎；根管

【Abstract】

Objective To explore the effective methods for the treatment of acute pulpitis. Methods 70 cases of acute pulpitis were randomly divided into control group 35 cases and observation group 35 cases. The control group used the traditional multiple step root canal treatment method，the observation group used the one step root canal treatment method. Results Comparison of short phase effects of two groups，the total effective rate of observation group was 97.1%. The total effective rate of control group was 94.3%. There was no significant difference between the two groups（P＞0.05）. Comparison of long-term curative effect of the two groups，after 1 years of treatment，the success rate of the observation group was 94.3%，the success rate of the control group was 71.4%. The long-term curative effect of the observation group was significantly better than that of the control group（P＜0.05）. Conclusion One step root canal treatment method is better than the traditional multiple root canal treatment method.

【Key words】Acute，Pulpitis，Root canal

急性牙髓炎是口腔科常见病，临床通常采用根管治疗方案。目前常用的根管治疗方案主要包括传统的多次根管疗法与一次性根管疗法［1］。我们将70例急性牙髓炎患者随机分为两组，分别采用传统的多次根管治疗法和一次根管治疗法进行临床治疗，现总结分析如下。

1　资料与方法

1.1临床资料

我科收治的70例急性牙髓炎患者。入选标准：临床表现为急性发作，疼痛剧烈，有夜间痛、自发痛、阵发痛、温度刺激疼痛加重和疼痛不能定位等特点；临床检查为牙髓冷热试验剧痛，叩痛（+）或（-），牙龈无红肿压痛，牙周组织基本正常，X线片示根尖周组织良好［2］。按照随机数字表法分成观察组和对照组各35例。其中，观察组男19例，女16例；年龄19～51岁，平均（ 33.5±5.2）岁；对照组男20例，女15例；年龄18～50岁，平均（32.9±5.1）岁。两组患者的年龄、性别、患牙数目、病情程度等情况经比较，差异无统计学意义（P＞0.05）。……