摘要
目的评价国内急性牙髓炎临床治疗研究的质量和文献所报道的治疗方法的有效性,为临床更有效地治疗急性牙髓炎提供参考。方法通过检索中国医院数字图书馆数据库中1994年至今关于急性牙髓炎治疗的临床研究文献,筛选获得研究方案为随机对照试验的文章,按照循证医学的方法进行分析评价。结果共检索到64篇关于急性牙髓炎临床治疗的文献,符合入选标准的15篇。随机对照试验研究较少,研究质量欠佳。仅有的符合要求的研究结果提示根管治疗是治疗急性牙髓炎的最根本方法;一次性根管治疗应在严格控制适应症的条件下进行。结论从循证医学角度出发,目前国内关于急性牙髓炎临床治疗研究的文献数量和质量均不能满足对临床治疗提供指南的要求,需要不断提高临床科研水平,以期为临床医疗提供最佳证据。
Objective To evaluate the quality of the clinical research for the treatment of acute pulpitis and to determine the effectiveness of its therapy courses reported in domestic medical journals. Methods Relevant literatures were searched from CHKD. CNKI. net and selected with randomized controlled trial （RCT） criteria, Evidence-based analysis was performed to the identified literatures. Results There were totally 64 articles obtained and only 15 of them met the criteria, It revealed low quantity and poor quality of RCT research, As far as the published articles, root canal treatment is the best means for acute pulpitis and one-visit root canal treatment could be carried only when indication conformed. Conclusion According to evidence-based medicine, neither quantity nor quality of reviewed literatures regarding treament of acute pulpifis meets the clinic instruction requirement. It＇ s badly needed to improve clinical research and provide the best evidence for clinical therapy.
出处
《现代医院》
2005年第10期11-13,共3页
Modern Hospitals
关键词
循证医学
随机对照试验
急性牙髓炎
治疗
Evidence-based medicine, Randomized controlled trial, Acute pulpifis, Treatment
