一次性根管与常规根管治疗急性牙髓炎的效果比较

Comparison of the effect of one-time root canal therapy and conventional root canal therapy on acute pulpitis

目的探讨比较一次性根管治疗与常规根管治疗急性牙髓炎的临床效果。方法回顾性分析2019年3月~2020年3月于武夷山市立医院收治的90例急性牙髓炎患者的临床资料。按照治疗方案的不同分为对照组(45例)和观察组(45例)。对照组采取常规根管治疗,观察组采取一次性根管治疗,比较两组患者的临床疗效、疼痛改善情况、预后效果及生活质量。结果两组的治疗总有效率比较,差异无统计学意义(P>0.05);观察组治疗后的疼痛视觉模拟评分法(VAS)评分低于对照组,差异有统计学意义(P<0.05);观察组的并发症总发生率及复发率低于对照组,差异有统计学意义(P<0.05);两组治疗前的生活质量(SF-36)评分比较,差异无统计学意义(P>0.05);两组治疗后的SF-36评分高于治疗前,且观察组SF-36评分高于对照组,差异有统计学意义(P<0.05)。结论在急性牙髓炎的临床治疗中,一次性根管治疗与常规根管治疗均具有显著的治疗效果,但一次性根管治疗能更好地改善预后效果及生活质量,具有更为积极的应用价值。

Objective To compare the clinical effect of one-time root canal therapy and conventional root canal therapy for acute pulpitis.Methods The clinical data of 90 patients with acute pulpitis who were admitted to Wuyishan Municipal Hospital from March 2019 to March 2020 were retrospectively reviewed.Patients were divided into the control group(n=45)and the observation group(n=45)according to the different treatment protocol.The control group received conventional root canal therapy,while the observation group implemented one-time root canal therapy to compare the clinical efficacy,pain improvement,prognostic effect and quality of life between the two groups.Results There was no significant difference in the total treatment response rate between the two groups(P>0.05).The visual analog scale(VAS)score of pain after treatment in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The total complication rate and recurrence rate of the observation group were lower than those of the control group,with statistically significant differences(P<0.05).There was no significant difference in quality of life(SF-36)scores between the two groups before treatment(P>0.05).The scores of SF-36 in the two groups after treatment were higher than those before treatment,and the scores of SF-36 in the observation group was higher than those in the control group,with statistically significant differences(P<0.05).Conclusion In the clinical treatment of acute pulpitis,both one-time root canal treatment and conventional root canal treatment have significant therapeutic effects,but one-time root canal treatment has a more active application in improving its prognosis and quality of life value.