摘要
目的：比较一次性与分次性根管治疗老年隐裂性牙髓炎的临床效果和可靠性。方法按照随机数字表法将2012年1月～2014年1月于我院治疗的184例老年隐裂性牙髓炎患者随机分为对照组和试验组各92例，对照组患者采用分次性根管治疗，试验组患者采用一次性根管治疗，两组患者均治疗12个月，比较两组患者治疗总有效率、疼痛率以及治疗成功率。结果试验组患者治疗的总有效率为98.91%，显著高于对照组患者的85.87%，两组比较差异有统计学意义（P〈0.05）；试验组患者治疗的疼痛率为7.61%，显著低于对照组患者的16.30%，两组比较差异有统计学意义（P〈0.05）；两组患者随访12个月后，试验组患者治疗的成功率为95.65%，显著高于对照组患者的80.43%，两组比较差异有统计学意义（P〈0.05）。结论老年隐裂性牙髓炎患者应用一次性根管治疗较分次性根管治疗具有治疗周期短、有效率高、疼痛程度轻以及远期疗效更确切的优势，能够有效提高患者的生活质量，减轻患者的负担，是一种安全有效的治疗方法。
Objective To contrast the clinical effect and reliability of one time and several times root canal treatment on elderly cracked pulpitis. Methods 184 patients with elderly cracked pulpitis in our hospital from January 2012 to January 2014 were selected according to the digital table method.They were divided into control group and experimen-tal group,92 cases in each group.One time root canal treatment was applied to control group.Several times root canal treatment was applied to experimental group.Patients in both group were treated for 12 months.After theraphy,the total effective rate,the rate of pain and the sucess rate of treatment were compared between the two groups. Results The to-tal effective rate of experimental group was 98.91%,higher than 85.87% of control group,the difference was significant （P〈0.05）.The rate of pain of experimental group was 7.61%,lower than 16.30% of control group,the difference was sig-nificant （P〈0.05）.After 12 months of follow-up,the sucess rate of treatment of experimental group was 95.65%,higher than 80.43% of control group,the difference was significant（P〈0.05）. Conclusion One time root canal treatment has the advantage of short treatment cycle,high effective rate,mild pain and exactly long-term curative effect over several times root canal treatment.It can improve the quality of life of patients effectively and reduce the burden of patients.It is a safe and effective treatment method.
出处
《中国当代医药》
2015年第29期98-100,共3页
China Modern Medicine
关键词
一次性根管治疗
分次性根管治疗
隐裂性牙髓炎
老年人
One time root canal treatment
Several times root canal treatment
Cracked pulpitis
Elderly
