一次性根管治疗联合清胃散口服对牙髓炎的治疗效果及对疼痛程度影响

Effect of One-time Root Canal Therapy Combined with Oral Administration of Qingweisan on the Treatment of Pulpitis and Its Impact on the Degree of Pain

目的:探讨一次性根管治疗联合清胃散口服对牙髓炎的治疗效果及对疼痛程度影响。方法:选取我院2021年1月到2022年12月收治的120例牙髓炎患者,分为观察组与对照组,各60例。对照组患者应用一次性根管治疗,观察组患者应用一次性根管联合清胃散口服治疗,对比两组患者的临床治疗效果,治疗前后咀嚼功能与疼痛程度,白细胞计数(WBC)、降钙素原(PCT)、C反应蛋白(CRP)相关炎症因子水平,并对比两组患者的菌斑指数(PLI),龈沟出血指数(SBI)、龈沟探诊深度(SPD)、牙龈指数(GI)相关牙周健康指标水平。结果:观察组总有效率为93.33%明显高于对照组总有效率80.00%(P<0.05);两组患者治疗前咀嚼功能评分与视觉模拟量表(VAS)评分对比无差异(P>0.05),治疗后咀嚼功能评分均升高,观察组较对照组高,VAS评分降低,观察组较对照组低(P<0.05);两组患者治疗前WBC、PCT、CRP水平对比无差异(P>0.05),治疗后均降低,观察组较对照组低(P<0.05);两组患者治疗前GI、SPD、SBI、PLI水平对比无差异(P>0.05),治疗后均降低,观察组较对照组低(P<0.05)。结论:一次性根管治疗联合清胃散口服能够改善牙髓炎的临床疗效,提升患者咀嚼功能,减轻疼痛程度,降低机体炎症因子水平,同时能够进一步改善患者牙周健康程度,值得临床应用推广。

Objective:To explore the therapeutic effect of one-time root canal therapy combined with oral administration of Qing-weisan on pulpitis and its impact on the degree of pain.Methods:120 patients with pulpitis admitted to our hospital from January 2021 to December 2022 were selected as research subjects.All patients were divided into observation group and matched group using random number table method,with 60 patients in each group.The patients in the matched group were treated with one-time root canal therapy,while the patients in the observation group were treated with one-time root canal therapy combined with Qingweisan orally.The clinical therapeutic effects of the two groups were compared,including masticatory function,pain degree,white blood cell count(WBC),procal-citonin(PCT),and C-reactive protein(CRP)related inflammatory factors before and after treatment.The plaque index(PLI),gingival sulcus bleeding index(SBI),probing depth of gingival sulcus(SPD),and gingival index(GI)related periodontal health indicators were compared between the two groups.Results:The total effective rate of 93.33%in the observation group was higher than that of 80.00%in the matched group(P<0.05);There was no significant difference between the scores of masticatory function and the scores of Visual Sim-ulation Scale(VAS)before treatment between the two groups(P>0.05).Affer treatment,the scores of masticatory function in both groups increased,while the scores of VAS in the observation group were lower than those in the matched group(P<0.05);There was no differ-ence in the levels of WBC,PCT,and CRP between the two groups before treatment(P>0.05).After treatment,the levels in the two groups decreased,and the observation group was lower than the matched group(P<0.05);There was no difference in the levels of GI,SPD,SBI,and PLI between the two groups before treatment(P>0.05).After treatment,the levels in the two groups decreased,and the observation group was lower than the matched group(P<0.05).Conclusion:Disposable root canal therapy combined with oral administration of Qingweisan can improve the clinical efficacy of pulpitis,enhance the masticatory function of patients,alleviate pain,reduce the level of inflammatory factors in the body,and further improve the periodontal health of patients,which is worthy of clinical application and promotion.