60例妊娠期牙髓炎过渡性治疗的疗效评价

Clinical evaluations of transitional treatment of pulpitis during pregnancy in 60 female patients

目的 :探讨妊娠期牙髓炎过渡性治疗的疗效。方法 :60例妊娠期牙髓炎患者分成孕早、中、晚3组,在心理干预下行STA无痛麻醉、一次性根管预备及Vitapex糊剂根管充填,观察整个妊娠期间的临床反应,产后再行常规根管充填治疗,评估患牙疗效、妊娠结局及新生儿健康状况。采用SPSS 20.0软件包对数据进行t检验和χ~2检验。结果:60例患者治疗24 h后牙髓炎症状均显著改善,有效率为96.7%。治疗前、后VAS值对比,差异显著(P<0.05)。患者至妊娠终止均未再出现不适症状,产后评估除1例因牙折拔除外,其余患牙59例治疗成功,成功率为98.3%。在孕早、中、晚期治疗均未出现流产等不良妊娠结局,新生儿健康情况均良好,出生胎龄、体重、畸形、新生儿并发症在3个治疗时期无显著差异(P>0.05)。结论:妊娠期牙髓炎过渡性治疗是一种安全、有效的治疗方法,值得推广。

PURPOSE： The present study was aimed to clinically evaluate transitional treatment of pulpitis during pregnancy. METHODS： Sixty pregnant women with pulpitis were divided into the first, second and third trimester. They were anesthetized locally using STA system combined with psychological intervention during treatment. The teeth were given one-appointment root canal preparation and filled with vitapex pasta. Normal obturation of the root canal was conducted after delivery. The effects of dental treatment, pregnancy outcomes and neonatal health status were observed.Data of the survey were analyzed by SPSS 20.0 software package, including Student,s t test and chi-square test.RESULTS： The symptoms of pulpitis were significantly improved 24 h after treatment,and the effective rate was 96.7%.The difference of VAS before and after treatment was statistically significant（P〈0.05）. Patients had no discomfort till the end of pregnancy,and the success rate was 98.3%. No adverse pregnancy outcomes were observed after treatment during different periods of pregnancy. Neonatal health was good. Significant differences were not found in birth gestational age,body weight, malformations, and neonatal complications between three treatment periods（ P 〉0.05）. CONCLUSIONS：Transitional treatment of pulpitis during pregnancy is a safe and effective procedure and worthy of wide use clinically.