上海口腔医学

上海口腔医学 ›› 2017, Vol. 26 ›› Issue (6): 669-671.doi: 10.19439/j.sjos.2017.06.022

• 论著 • 上一篇    下一篇

2种夜间急诊处理急性牙髓炎方法的临床疗效比较

刘建, 施存山   

  1. 江苏省泰州市人民医院 口腔科,江苏 泰州 225300
  • 收稿日期:2017-06-23 修回日期:2017-09-01 出版日期:2017-12-20 发布日期:2018-01-09
  • 通讯作者: 施存山，E-mail:981773770@qq.com
  • 作者简介:刘建（1972-），男，学士，副主任医师， E-mail:Liujiantz2008@163.com

Comparative study of pain releasing effect of two approaches to acute pulpitis in the night emergency

LIU Jian, SHI Cun-shan   

  1. Department of Stomatology, People's Hospital of Taizhou City. Taizhou 225300, Jiangsu Province, China
  • Received:2017-06-23 Revised:2017-09-01 Online:2017-12-20 Published:2018-01-09

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摘要： 目的: 对2种夜间急诊处理急性牙髓炎的方法进行比较。方法: 将223例夜间就诊的急性牙髓炎患者（223颗牙）随机分为2组。试验组（107例）开髓后,去冠髓,封甲醛甲酚(FC）2 d;对照组（109例）开髓后,开放引流2 d。2组患者均在术后第2天复诊,了解疼痛缓解的情况。采用SPSS19.0软件包对数据进行统计学分析。结果: 试验组疼痛指数均值为1.23,低于对照组3.58,差异显著（P<0.05）;试验组治疗有效率为93.46%,显著高于对照组的77.98%(P<0.05)。结论: 急性牙髓炎患者在去冠髓后暂封FC,比开放引流处理能更有效地缓解疼痛。

关键词: 急性牙髓炎, 开髓引流, 疗效

Abstract: PURPOSE: To compare the clinical effect of 2 methods for acute pulpitis in the night emergency. METHODS: Two hundred and twenty-three patients with acute pulpitis were randomly divided into experimental group (107 cases) and control group (109 cases). Patients in the experimental group was enclosed formaldehyde cresol (FC) with CAVITON-GC after removal of crown pulp, while patients in the control group was treated with open drainage. Pain releasing effect was evaluated and analyzed 2 days after treatment.The data were analysed by t test and χ2 test with SPSS19.0 software package. RESULTS: The average pain index of the experimental group was 1.23, which was lower than that of the control group (3.58), the difference was significant (P<0.05). The treatment efficiency was 93.46% in the experimental group, significantly higher than that in the control group (77.98% , P<0.05). CONCLUSIONS: Treatment in the experimental group is more effective to relieve pain than simple drainage in the control group.

Key words: Acute pulpitis, Open pulp and drainage, Clinical effect

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