伢典凝胶去腐技术对口腔龋病患儿疼痛程度和并发症的影响

Influence of New Gel Removal Technology on Pain and Complications of Children with Oral Caries

目的:分析伢典凝胶去腐技术对口腔龋病患儿疼痛程度和并发症的影响。方法:选取2022年1—10月郑州市第七人民医院收治的82例口腔龋病患儿作为研究对象,根据治疗方法不同将其分为观察组(n=41)与常规组(n=41)。常规组接受常规机械去腐法,观察组采用伢典凝胶去腐技术。对比两组患儿疼痛程度、炎症因子白细胞介素-6(IL-6)及肿瘤坏死因子-α(TNF-α)水平及并发症,治疗后3个月、6个月的治疗成功率。结果:治疗后,两组患儿视觉模拟评分法(VAS)评分均降低,且观察组低于常规组,差异有统计学意义(t=36.982,P<0.05);两组患儿龈沟液中IL-6、TNF-α水平均升高,但观察组龈沟液中IL-6、TNF-α水平低于常规组,差异有统计学意义(t=13.198、12.571,P<0.05)。观察组并发症总发生率(4.88%)低于常规组(19.51%),差异有统计学意义(t=4.100,P<0.05),治疗后3个月、6个月时,观察组患儿的治疗成功率均高于常规组,差异有统计学意义(t=4.232、4.100,P<0.05)。结论:口腔龋病中应用伢典凝胶去腐技术的效果确切,可改善口腔龋病患儿治疗后疼痛症状,减轻炎症反应,且可降低并发症发生风险。

Objective:To analyze the influence of new gel removal technology on pain and complication of children with oral caries.Methods:A total of 82 children with oral caries admitted to the hospital from January to October 2022 were divided into observation group(n=41)and conventional group(n=41)according to different treatment methods.The general group received the conventional mechanical removal method,and the observation group used the new gel removal technology.The degree of swelling,pain,inflammatory factors interleukin-6(IL-6),tumor necrosis factor-α(TNF-α)and complications were compared between the two groups.The success rate of treatment at 3 months and 6 months after treatment were compared.Results:After treatment,the VAS scores of the two groups were decreased,and VAS of the observation group were lower than those of the conventional group(t=36.982,P<0.05).After treatment,the levels of IL-6 and TNF-αin the gingival crevicular fluid of the two groups increased,but the levels of IL-6 and TNF-αin the observation group were lower than those in the conventional group(t=13.198,12.571;P<0.05).The total complication rate of observation group(4.88%)was lower than that of conventional group(19.51%),with statistically significant difference(t=4.100,P<0.05).The success rate of treatment in observation group was higher than that in conventional group at 3 months and 6 months after treatment(t=4.232,4.100;P<0.05).Conclusion:The new gel removal technology is effective for improving swelling and pain,reducing inflammation,and reducing the risk of complications in children with oral caries.