黄芩苷在急性深龋盖髓术中的应用

The clinical application of bacailin in pulp capping in acute deep caries

目的：观察黄芩苷用于急性深龋患牙盖髓术的临床疗效。方法：将8—32岁152例患者的175个急性深龋患牙，分为两组，治疗组以黄芩苷盖髓，对照组以氢氧化钙盖髓。6个月、1年后分别复查并进行临床评价，观察两组盖髓术后的临床症状、牙髓活力、X线摄片情况。结果：6个月后复查，两组盖髓作用的差别有统计学意义（P〈0．05），但1年后盖髓作用的差别无统计学意义（P〉0．05）。其中，黄芩苷用于直接盖髓的作用优于氢氧化钙（P〈0．05）。结论：黄芩苷可作为盖髓剂应用于临床急性深龋治疗。

Aim： To observe the clinical effects of bacailin when used pulp capping agents to cure acute deep caries. Methods： 175 acute deep caries teeth in 152 patients between 8 and 32 years old were randomly divided into two groups. The pulps in treated group were capped with bacailin, while the pulps in controlled group were capped with calcium hydroxide. Clinical symptoms, pulp vitality, and radiological characteristics of all teeth were evaluated after 6 months and 1 year respectively. Results： When sixth month after capping, curative effects of capping between two groups had significant difference （ P 〈 0. 05 ）. Then, the survival rate of the pulps in bacailin group was not better than that in calcium hydroxide group after 1 year（ P 〉 0. 05）. Moreover, the effect of direct pulp capping in bacailin group was better than that in calcium hydroxide group（ P 〈 0. 05 ）. Conclusion：Using bacailin as pulp agent is effective and acceptable. It has great clinical potential for treating acute deep caries.