根尖周炎患者根管治疗手术期间分别应用氢氧化钙根管和樟脑苯酚进行消毒的效果比较

Comparison of Disinfection Effects of Calcium Hydroxide Root Canal and Camphor Phenol During Root Canal Therapy in Patients with Periapical Periodontitis

目的:探讨氢氧化钙根管消毒对根尖周炎患者术后疼痛程度及不良事件的影响。方法:选取2020年1月—2022年10月我院收治的100例根尖周炎手术患者作为研究对象,随机分为对照组和观察组,每组50例。对照组术中应用樟脑苯酚消毒与填充,观察组术中应用氢氧化钙根管消毒填充。比较两组治疗效果、疼痛程度及不良事件发生风险。结果:观察组治疗后7 d和治疗后6个月治疗有效率高于对照组(P<0.05);观察组术后1周、2周与1个月VAS评分均低于对照组(P<0.05);观察组术后生活质量各维度评分高于对照组(P<0.05);观察组不良反应总发生率为6.0%,低于对照组的24.0%(P<0.05)。结论:氢氧化钙根管消毒在根尖周炎手术患者治疗中的应用效果较好,可有效降低患者疼痛反应,且不良反应风险较低,应用价值较高。

Objective:To investigate the effect of calcium hydroxide root canal disinfection on postoperative pain and adverse events in patients with periapical periodontitis.Methods:From January 2020 to October 2022,100 patients with periapical periodontitis treated in our hospital were randomly divided into control group and observation group,with 50 patients in each group.The control group was disinfected and filled with camphor phenol during operation,and the observation group was disinfected and filled with calcium hydroxide root canal during operation.The therapeutic effect,pain degree and risk of adverse events were compared between the two groups.Results:The effective rate of the observation group was higher than that of the control group at 7 days and 6 months after treatment(P<0.05).The VAS scores of the observation group at 1 week,2 weeks and 1 month after operation were lower than those of the control group(P<0.05).The scores of each dimension of quality of life in the observation group were higher than those in the control group(P<0.05).The total incidence of adverse reactions in the observation group was 6.0%,which was lower than 24.0%in the control group(P<0.05).Conclusion:Calcium hydroxide root canal disinfection has a good application effect in the treatment of patients with periapical surgery,which can effectively reduce the pain response of patients,and the risk of adverse reactions is low,and the application value is high.