比较一次性与多次根管治疗对根尖周炎患者的临床效果

Comparing the clinical Effects of one-time and multiple Root Canal Treatments on Patients with periapical Periodontitis

目的比较根尖周炎患者采用一次性与多次根管治疗的有效性及安全性,为其治疗提供临床指导。方法选取南阳医学高等专科学校第一附属医院2021年5月至2022年4月期间接受治疗的根尖周炎患者共计106例,以随机数字表法分组,分为研究组(n=53,一次性根管治疗)与对照组(n=53,多次根管治疗),对两组临床疗效、手术相关指标、根尖周指数(PAI)、疼痛程度及并发症进行比较。结果研究组治疗有效率(96.23%)较对照组(83.02%)更高,差异具有统计学意义(P<0.05);研究组手术时间较对照组更短,手术费用较对照组更低,差异均有统计学意义(P<0.05);研究组术后1周、术后6周、术后12周PAI指数较对照组更低,差异均有统计学意义(P<0.05);两组治疗后咬合疼痛及自发性疼痛评分降低,研究组评分较对照组更低,差异均有统计学意义(P<0.05);研究组并发症发生率(1.89%)较对照组(15.09%)更低,差异具有统计学意义(P<0.05)。结论根尖周炎患者采用一次性根管治疗,可提高临床疗效,促进手术时间缩短及手术费用减少,改善PAI指数及疼痛程度,减少并发症发生。

Objective To compare the effectiveness and safety of one-time and multiple root canal treatments in patients with periapical periodontitis,and provide clinical guidance for their treatment.Methods A total of 106 patients with periapical periodontitis who received treatment at the First Affiliated Hospital of Nanyang Medical College from May 2021 to April 2022 were selected.They were randomly divided into study group(n=53,one-time root canal treatment)and control group(n=53,multiple root canal treatments)using a random number table method.The clinical efficacy,surgical related indicators,periapical index(PAI),degree of pain,and complications of the two groups were compared.Results The treatment effectiveness rate of the study group(96.23%)was higher than that of the control group(83.02%),and the difference was statistically significant(P<0.05);The study group had shorter surgical time and lower surgical costs compared to the control group,and the differences were statistically significant(P<0.05);The PAI index of the study group was lower than that of the control group at 1 week,6 weeks,and 12 weeks after surgery,and the differences were statistically significant(P<0.05);After treatment,the scores of occlusal pain and spontaneous pain decreased in both groups,and the scores in the study group were lower than those in the control group,with statistical significance(P<0.05);The incidence of complications in the study group(1.89%)was lower than that in the control group(15.09%),and the difference was statistically significant(P<0.05).Conclusion The use of one-time root canal therapy in patients with periapical periodontitis can improve clinical efficacy,shorten surgical time and reduce surgical costs,improve PAI index and pain level,and reduce the occurrence of complications.