刘伟

[摘要] 目的 探讨非创伤性修复治疗技术在儿童乳牙龋齿治疗中的临床应用效果。 方法 选取2018年1月至2020年1月我院收治的乳牙龋齿患儿129例，随机分为观察组（n=65）和对照组（n=64），对照组给予常规传统修复治疗，观察组给予非创伤性修复治疗。比较两组临床疗效、治疗修复时间、VAS评分及治疗配合度。 结果 观察组显效43例（66.15%）、有效19例（29.23%）、无效3例（4.62%），整体临床疗效优于对照组，差异有统计学意义（Z=4.368，P=0.000）;临床总有效率为95.38%，明显高于对照组81.25%，差异有统计学意义（χ2=6.270，P=0.012）。观察组治疗修复时间为（23.17±3.58）min，低于对照组的（40.06±5.11）min;VAS评分为（2.73±0.54）分，低于对照组的（4.12±0.75）分，差异有统计学意义（t=21.711，P=0.000;t=12.064，P=0.000）。观察组治疗配合度为90.77%，高于对照组的65.63%，差异有统计学意义（χ2=11.997，P=0.001）。 结论 非创伤性修复治疗儿童乳牙龋齿的临床疗效显著，可有效缩短治疗修复时间、减轻患儿疼痛、提高治疗依从性，值得推广。

[关键词] 非创伤性修复;儿童;乳牙龋齿;材料填充;配合度

[中图分类号] R788          [文献标识码] B          [文章編号] 1673-9701（2021）06-0093-03

The effect of clinical application on non-traumatic restorative treatment technique in 65 children patients with deciduous dental caries

LIU Wei

Xining Stomatological Hospital， Xining  810000， China

[Abstract] Objective To explore the effect of clinical application on non-traumatic restorative technique in the treatment of deciduous dental caries in children. Methods A total of 129 children patients who were admitted to our hospital from January 2018 to January 2020 were selected and randomly divided into observation group（n=65） and control group（n=64）. The control group was given conventional traditional repair， and the observation group was given non-traumatic repair. The clinical efficacy， treatment repair time， VAS score and treatment compliance were compared between the two groups. Results In the observation group， 43 cases were significantly effective（66.15%）， 19 cases were effective（29.23%）， and 3 cases were ineffective（4.62%）. The overall clinical efficacy was statistically significantly better than that in the control group（Z=4.368， P=0.000）; the total clinical effective rate was 95.38%， which was significantly higher than that of 81.25% in the control group（χ2=6.270， P=0.012）. The treatment repair time in the observation group was（23.17±3.58） min， which was statistically significantly lower than that of（40.06±5.11） min in the control group; the VAS score was（2.73±0.54） points， which was statistically significantly lower than that of（4.12±0.75） points in the control group（t=21.711， P=0.000; t=12.064， P=0.000）. The treatment compliance rate in the observation group was 90.77%， which was statistically significantly higher than that of 65.63% in the control group（χ2=11.997， P=0.001）. Conclusion Non-traumatic restorative technique is effective in the treatment of deciduous dental caries in children. It can effectively shorten the time of treatment and restoration， reduce pain in children patients， and improve treatment compliance. It is worthy of promotion.

[Key words] Non-traumatic restorative technique; Children; Deciduous dental caries; Material fillings; Compliance

儿童龋齿是口腔科常见的慢性疾病，发生在乳牙时期的龋齿即为儿童乳牙龋齿。龋齿是由口腔多因素作用导致的牙齿硬组织进行性病损，患儿牙釉质发生龋蚀，牙冠龋坏部位灰暗不光滑、牙垢堆积、牙体缺损形成龋洞[1]。儿童乳牙龋齿好发于5岁以下的儿童，发病率高达67%，疾病发生与喂养习惯、食物及口腔卫生等因素密切相关[2]。儿童乳牙龋齿具有发病早、患龋率高及龋蚀发展速度快等特点，以牙黑及牙洞为主要表现。随着龋洞发展至牙本质，患儿出现疼痛、食物嵌塞等，咀嚼功能受到不同程度的影响，进一步发展为恒牙龋坏，影响口腔软组织发育，严重者甚至出现牙体结构崩解，最终影响患儿口腔健康，诱发其他相关疾病[3]，因此，临床及时干预治疗尤为重要。……