田河 林玉祥
[摘要] 目的 對比常規(guī)療法與氫氧化鈣制劑在牙體牙髓疾病中的臨床治療效果差異。方法 選擇2018年1—6月期間于該院進行臨床治療的牙體牙髓疾病患者64例,將其平均分成對照組(32例,采用常規(guī)治療)與觀察組(32例,采用氫氧化鈣制劑治療)后分別實施不同臨床治療方案,并對比其治療差異。結(jié)果 觀察組治療后牙齦附著指數(shù)、牙齦溝出血指數(shù)、菌斑指數(shù)明顯低于對照組,差異有統(tǒng)計學(xué)意義(P<0.05);觀察組治療總有效率明顯高于對照組(96.88%>81.25%),差異有統(tǒng)計學(xué)意義(χ2=4.010,P<0.05);觀察組治療滿意度明顯高于對照組(93.75%>71.88%),差異有統(tǒng)計學(xué)意義(χ2=5.380,P<0.05)。 結(jié)論 采用氫氧化鈣制劑治療牙體牙髓疾病,可有效改善患者臨床癥狀,提升其療效與滿意度。
[關(guān)鍵詞] 氫氧化鈣制劑;牙體牙髓;牙齦附著指數(shù);牙齦溝出血指數(shù);菌斑指數(shù)
[中圖分類號] R5 ? ? ? ? ?[文獻標(biāo)識碼] A ? ? ? ? ?[文章編號] 1674-0742(2019)11(a)-0064-03
Therapeutic Effect of Calcium Hydroxide Preparation in Dental Pulp Disease
TIAN He, LIN Yu-xiang
Department of Endodontics, Affiliated Stomatological Hospital of Xiamen Medical College, Xiamen, Fujian Province, 361000 China
[Abstract] Objective To compare the clinical effects of conventional therapy and calcium hydroxide preparation in dental pulp disease. Methods A total of 64 patients with dental pulp disease who underwent clinical treatment from January to June 2018 were Conveniently selected into the Study enrolled. The patients were divided into control group (32 cases, routine treatment) and observation group (32 cases, adopted the treatment of calcium hydroxide preparations), different clinical treatment plans were implemented and the treatment differences were compared. Results The gingival adhesion index, gingival sulcus index and plaque index of the observation group were significantly lower than the control group, the difference was statistically significant(P<0.05). The total effective rate of the observation group was significantly higher than that of the control group (96.88%>81.25%). ,the difference was statistically significant(χ2=4.010,P<0.05) ; the treatment satisfaction of the observation group was significantly higher than that of the control group (93.75%>71.88%),the difference was statistically significant(χ2=5.380, P<0.05). Conclusion The treatment of dental pulp disease with calcium hydroxide preparation is effective. Improve patients' clinical symptoms and improve their efficacy and satisfaction.
[Key words] Calcium hydroxide preparation; Dental pulp; Gingival adhesion index; Gingival sulcus bleeding index; Plaque index
牙體牙髓疾病是臨床口腔科疾病常見疾病,在當(dāng)前人們生活節(jié)奏與飲食習(xí)慣不斷轉(zhuǎn)變的時代背景下,該疾病發(fā)病率也顯著提升。從疾病類型上說,根尖周病、齲齒、牙齒感覺過敏、牙髓病等均屬于牙體牙髓病范疇[1-2]。從病因上說,微生物細菌感染是誘發(fā)該疾病的主要原因。盡管牙體牙髓疾病不屬于嚴(yán)重臟器性疾病,但是,由于該疾病會對患者日常飲食、生活、睡眠情況均產(chǎn)生不同程度的影響,導(dǎo)致患者生活質(zhì)量顯著下降,故而牙體牙髓疾病的及時、科學(xué)治療也越來越受到廣大人民群眾與臨床醫(yī)學(xué)界的關(guān)注與重視[3-4]。在該研究中,方便選擇2018年1—6月期間于該院進行臨床治的64例牙體牙髓疾病患者展開對照分析,現(xiàn)報道如下。
綜上所述,牙體牙髓疾病患者采用氫氧化鈣制劑進行臨床治療,可顯著改善其牙齦溝出血指數(shù)、菌斑指數(shù)、附著指數(shù)等臨床情況,對于提升患者臨床療效及對于臨床治療工作的滿意程度方面具有極其顯著的作用。
[參考文獻]
[1] ?汪靜.牙體牙髓病應(yīng)用不同根管治療方式的預(yù)后情況與并發(fā)癥發(fā)生率分析[J].中國醫(yī)藥指南,2019,17(2):136-137.
[2] ?李民.探討復(fù)方阿替卡因在兒童牙體牙髓無痛治療中的臨床效果[J].當(dāng)代醫(yī)學(xué),2018,24(35):180-183.
[3] ?薛潔梅.替硝唑片聯(lián)合鹽酸米諾環(huán)素軟膏輔助根管治療牙周-牙髓聯(lián)合病變的臨床療效[J].中國醫(yī)藥指南,2018,16(35):3-4.
[4] ?蔣繼華.氫氧化鈣制劑在牙體牙髓疾病治療中的應(yīng)用分析[J].全科口腔醫(yī)學(xué)電子雜志,2018,5(35):42-44.
[5] ?盛小麗.米諾環(huán)素聯(lián)合奧硝唑經(jīng)根管給藥治療牙周牙髓綜合征的效果觀察[J].全科口腔醫(yī)學(xué)電子雜志,2018,5(34):58.
[6] ?陳曉東.氫氧化鈣制劑在牙體牙髓疾病治療中的效果[J].全科口腔醫(yī)學(xué)電子雜志,2018,5(31):73-74.
[7] ?顧月輝.氫氧化鈣制劑用于牙體牙髓疾病患者治療中的臨床效果[J].臨床醫(yī)藥文獻電子雜志,2017,4(7):1330.
[8] ?劉光華.分析氫氧化鈣制劑在牙體牙髓疾病治療中的臨床應(yīng)用效果[J].全科口腔醫(yī)學(xué)電子雜志,2016,3(12):30-31,33.
[9] ?楊金國.氫氧化鈣制劑在牙體牙髓疾病治療中的臨床應(yīng)用效果分析[J].中國醫(yī)藥指南,2016,14(16):183-184.
[10] ?黃軼.氫氧化鈣制劑在牙體牙髓疾病治療中的應(yīng)用療效[J].全科口腔醫(yī)學(xué)電子雜志,2015,2(8):119-120.
[11] ?羅燕.為行根管治療的牙體牙髓病患者應(yīng)用替硝唑合劑和氫氧化鈣進行暫封處理的效果[J].當(dāng)代醫(yī)藥論叢,2015, 13(14):206-207.
[12] ?李琪.氫氧化鈣制劑在牙體牙髓疾病治療中的臨床應(yīng)用效果分析[J].海峽藥學(xué),2015,27(6):181-182.
[13] ?韓淑娟.氫氧化鈣制劑在牙體牙髓疾病治療中的臨床應(yīng)用效果分析[J].中國醫(yī)藥指南,2018,16(9):45-46.
(收稿日期:2019-08-02)