根管治疗期间急性疼痛的临床分析

目的:分析根管治疗期间急性疼痛(endodontic interappointment emergencies,EIE)发生率及相关因素。方法:分析2010年-2014年进行根管治疗的1676例患者的临床资料,探讨急性疼痛(EIE)发生的相关因素。结果急性疼痛(EIE)发生率为9.12%。随患者年龄增长,急性疼痛(EIE)发生率逐渐升高,70岁以上患者发生率最高,20岁以下最低。健康状况自我评价良好者急性疼痛(EIE)发生率低于健康状况自我评价较差者;下颌牙急性疼痛(EIE)发生率高于上颌牙;术前症状明显者急性疼痛(EIE)发生率高于症状不明显者;有牙髓和根尖周组织病变者急性疼痛(EIE)发生率高于无病变者。结论:根管治疗期间急性疼痛(EIE)的发生与年龄、牙位、术前叩痛及牙髓状况等有关。

Objective: To analyze the incidence and the relevant factors of endodontic interappointment emergency (EIE). Methods:Totally 1676 patients for EIE treatment from the year of 2010 to 2014 were collected and analyzed about the incidence and relevant factors of endodontic interappointment emergency. Results: The overall incidence of EIE was 9.12%. The incidence of EIE increased gradually with the increase of patient age, and it reached the highest for those who were 70 years old and above while the lowest for those who were 20 years old and below. It was lower for those with better health status by self-evaluation compared with those with worse health status; higher for the lower arch than the upper arch; higher for those with obvious preoperative percussion pain than those without; and higher for those with pulp status. Conclusion: EIE is significantly associated with some host factors such as patient age, tooth location, preoperative percussion pain and pulp status.