黄保岚

[摘要] 目的 探讨在牙髓炎治疗过程中联合应用根管治疗术与干髓术进行治疗的临床治疗效果，从而为牙髓炎的治疗提供相应的理论支持。方法 方便选取2018年9月—2019年9月期间在该院牙科接受治疗的100例患有牙髓炎的患者作为研究对象，并通过随机数字表法将其平均分为实验组和对照组，每组50例患者，其中实验组患者采取干髓术联合根管治疗术，对照组患者则采取干髓术进行治疗，统计并比较实验组和对照组的临床治疗总有效率，从而探讨根管治疗术和干髓术联合应用于治疗牙髓炎的临床效果。结果 通过上述治疗方法，实验组患者中有36例患者的治疗效果较为明显，2例患者无明显的效果甚至加重，实验组患者的临床治疗总有效率为96.00%;对照组患者中有16例患者的治疗效果较为明显，但有9例患者无明显的效果，对照组的临床治疗总有效率为82.00%，可見实验组患者的临床治疗总有效率明显比对照组患者高，差异有统计学意义（χ2=4.503，P<0.05）;在实验组中，有1例患者手术后发生了轻度叩痛的并发症，其他如填充物脱落、冠髓未除尽及敏感性升高等并发症的患者例数均为0，实验组患者术后相关并发症的发生率为2.00%;在对照组中，有2例患者在术后发生了敏感性升高的并发症，1例患者发生了充填物脱落，1例患者发生了冠髓未除尽，1例患者出现了轻度叩痛，对照组患者术后相关并发症的发生率为10.00%。可见实验组患者术后相关并发症的发生率较对照组患者低，差异有统计学意义（χ2=4.418，P<0.05）。结论 在牙髓炎患者的治疗过程中采取根管治疗术联合干髓术进行治疗，可有效提高其临床治疗总有效率，降低术后相关并发症的发生率，促进患者的预后，值得应用实际的临床治疗工作中。

[关键词] 根管治疗术;干髓术;联合;应用;牙髓炎;治疗;临床效果

[Abstract] Objective To explore the clinical effects of the combined application of root canal therapy and dry pulp in the treatment of pulpitis， so as to provide corresponding theoretical support for the treatment of pulpitis. Methods A total of 100 patients with pulpitis who underwent dental treatment in the hospital from September 2018 to September 2019 were convenienty selected as research objects， and they were divided into experimentd group and control group by random number table method. There were 50 patients in each group， in which the patients in the experimental group were treated with marrow marrow surgery combined with root canal therapy， and the patients in the control group were treated with marrow marrow surgery. The clinical effect of combined tube therapy and stem pulp in the treatment of pulpitis. Results Through the above treatment methods， 36 patients in the experimental group were more effective， 2 patients had no obvious effect or even worsened， the total effective rate of clinical treatment in the experimental group was 96.00%; 16 patients in the control group The treatment effect was obvious， but there were no significant effects in 9 patients. The total effective rate of clinical treatment in the control group was 82.00%. It can be seen that the total effective rate of clinical treatment in the experimental group was higher than that in the control group，the difference was statistically significant（χ2=4.503， P<0.05）; in the experimental group， 1 patient had complications of mild pain and pain after the operation， and other complications such as filler loss， incomplete removal of the coronary marrow， and increased sensitivity. The number of patients was 0， and the incidence of postoperative related complications in the experimental group was 2.00%. In the control group， 2 patients had complications with increased sensitivity after surgery， and 1 patient had fillers. Shedding， 1 patient had unremoved coronary marrow， 1 patient had mild pain， and the incidence of related complications in the control group was 10.00%. It can be seen that the incidence of postoperative related complications was lower in the experimental group than in the control group， and the difference was statistically significant（χ2=4.418， P<0.05）.Conclusion In the treatment of patients with pulpitis， the use of root canal therapy combined with dry pulp surgery can effectively improve the total effective rate of clinical treatment， reduce the incidence of postoperative related complications， and promote the prognosis of patients. It is worthy of practical application.

[Key words] Root canal therapy; Pulp marrow surgery; Combination; Application; Pulpitis; Treatment; Clinical effect

牙髓炎是临床上牙科常为常见和多发的一种疾病，主要是发生在牙髓组织的炎性病变。牙髓炎常见的致病因素有感染、化学刺激和物理刺激等，患者在急性期通常会有剧烈牙痛的临床表现，并且在夜间和有温度刺激的时候疼痛会加重[1]。慢性牙髓炎患者一般没有明显的自发痛，但受到冷、热刺激时，患者会有剧烈的疼痛，部分患者还可出现持续性跳痛以及放射痛（一般可放射至耳颞部）。……