摘要
目的 探讨根管治疗术对老年糖尿病患者根尖周炎的临床疗效。方法选取2019年1月—2020年1月收治的老年根尖周炎患者80例,根据是否合并糖尿病分为观察组(合并糖尿病)与对照组(未合并糖尿病),每组40例。所有患者均由同一组临床经验丰富的医师进行根管治疗操作。疗程结束后,对所有患者进行至少随访1年。记录两组患者治疗后疼痛情况、远期治疗成功率和失败率,以及不良反应发生情况。结果 两组患者接受干预1周,VAS评分分布差异有统计学意义(P <0.05),观察组的平均VAS评分高于对照组患者(t=8.054,P=0.003)。两组患者不良反应发生率差异无统计学意义(P> 0.05)。治疗1年后随访,对照组患者治疗成功率为87.50%,观察组患者治疗成功率为62.50%。观察组患者治疗成功率低于对照组患者(P <0.05)。结论 老年根尖周炎患者接受根管治疗的疗效尚可,但糖尿病会弱化根管治疗效果。与未合并糖尿病的患者相比,合并糖尿病的老年根尖周炎患者尽管治疗后短期内并发症风险并未加重,但远期治疗效果仍有影响。针对这类患者,有效控制血糖可能对提升患者预后具有一定价值。
Objective To investigate the clinical effect of root canal therapy on periapical periodontitis in elderly diabetic patients.Methods From January 2019 to January 2020, a total of 80 elderly patients with periapical periodontitis were divided into observation group(combined with diabetes mellitus) and control group(without diabetes mellitus) according to whether diabetes was merged or not,with 40 cases in each group. All patients were treated by the same group of clinically experienced physicians. After the treatment, all patients were followed up for at least one year. The pain, long-term treatment success rate, failure rate and adverse reactions of the two groups were recorded. Results One week after treatment, there was significant difference in VAS score distribution between the two groups(P < 0.05).The average VAS score of the observation group was higher than that of the control group(t=8.054, P=0.003) There was no significant difference in the incidence of adverse reactions between the two groups(P > 0.05). After one year of follow-up, the treatment success rate of the control group was 87.50%, and that of the observation group was 62.50%. The treatment success rate of the observation group was lower than that of the control group(P <0.05). Conclusion Root canal therapy is effective in elderly patients with periapical periodontitis, but diabetes will weaken the effect of root canal therapy.Compared with patients without diabetes, the risk of complications in elderly patients with diabetes mellitus after periapical periodontitis did not increase in the short term, but the long-term effect was still affected. For such patients, effective control of blood glucose may have a certain value in improving the prognosis of patients.
作者
黎炽炎
LI Chiyan(Department of Stomatology,Luoding People's Hospital,Luoding Guangdong 527200,China)
出处
《中国卫生标准管理》
2022年第22期96-100,共5页
China Health Standard Management
关键词
根管治疗
糖尿病
根尖周炎
远期疗效
老年
血糖
root canal therapy
diabetes
periapical periodontitis
long term effect
old age
blood sugar
