摘要
目的分析氢氧化钙糊剂填充配合开髓减压引流术对牙髓炎患者的影响。方法选取2022年12月—2023年12月曹县人民医院收治的60例牙髓炎患者为研究对象,按随机数字表法将其分为对照组和观察组,各30例。所有患者均行开髓减压引流术治疗,对照组以氧化锌丁香酚水门汀填充,观察组以氢氧化钙糊剂填充。对比两组的临床疗效、疼痛程度、口腔健康情况、炎症因子水平。结果观察组治疗总有效率为93.33%,高于对照组的73.33%,差异有统计学意义(P<0.05)。治疗后,观察组疼痛视觉模拟评分为(1.21±0.27)分、牙龈指数为(0.42±0.06)分、菌斑指数为(0.48±0.11)分、白介素-6为(30.20±2.59)pg/mL、C反应蛋白为(7.35±0.89)mg/L,均低于对照组的(1.96±0.35)分、(0.63±0.18)分、(0.75±0.19)分、(35.71±3.25)pg/mL、(9.61±1.21)mg/L,组间差异有统计学意义(P<0.05)。结论氢氧化钙糊剂填充配合开髓减压引流术可减轻牙髓炎患者的疼痛,改善口腔健康,减轻炎症反应。
Objective To analyze the effect of calcium hydroxide paste filling with decompression and drainage on patients with pulpitis.Methods A total of 60 pulpitis patients admitted to Caoxian People's Hospital from December 2022 to December 2023 were selected as the research objects and divided into a control group and an observation group,with 30 cases in each group.All patients underwent open pulp decompression and drainage,the control group was filled with zinc oxide eugenol pententine and the observation group with calcium hydroxide.Comparing the clinical efficacy,pain level,oral health,and inflammatory factor levels between the two groups.Results The overall response rate of the observation group was 93.33%,which was higher than 73.33% in the control group,and the difference was statistically significant(P<0.05).After treatment,the visual analog pain score of the observation group was(1.21±0.27)points,gingival index was(0.42±0.06)points,plaque index was(0.48±0.11),interleukin-6 was(30.20±2.59)pg/mL,and C-reactive protein was(7.35±0.89)mg/L,which were lower than(1.96±0.35)points,(0.63±0.18)points,(0.75±0.19)points,(35.71±3.25)pg/mL,and(9.61±1.21)mg/L in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Calcium hydroxide paste filling with open pulp decompression and drainage can reduce pain,improve oral health and reduce inflammation in pulpitis patients.
作者
李菲菲
LI Feifei(Department of Stomatology,Caoxian People's Hospital,Heze 274400,China)
出处
《反射疗法与康复医学》
2024年第14期157-159,163,共4页
Reflexology And Rehabilitation Medicine
关键词
牙髓炎
开髓减压引流术
炎症因子
Pulpitis
Open pulp decompression and drainage
Inflammatory factors
