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时间:2020-05-14
《老年人前牙慢性根尖炎一次法根管治疗术的疗效观察.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、第40卷第3期贵阳医学院学报Vo1.40NO.32015年3月JOURNALOFGUIYANGMEDICALCoLLEGE2015.3老年人前牙慢性根尖炎一次法根管治疗术的疗效观察冰宫丹,陶杰,闫玉东,刘艳洁。一(1.秦皇岛市第四医院口腔科,河北秦皇岛066000;2.秦皇岛市海港医院1:1腔科,河北秦皇岛066000;3.贵阳医学院病理学教研室,贵州贵阳550004)【摘要J目的:观察一次法根管治疗术对老年人前牙慢性根尖炎的疗效。方法:前牙慢性根尖炎老年患者80例,40例采用一次法根管治疗术治疗,40例采用传统多次法根管
2、治疗术治疗,记录两组术后(多次法为第一次术后)24h、第7天患牙疼痛发生率、同时采集患者上述两时点静脉血2mL,采用Sysmex全自动血球分析仪检测白细胞(WBC)计数,散射比浊法测定血清C.反应蛋白(CRP),观察患牙疼痛发生率、WBC计数、CRP变化及1年后患牙临床疗效。结果:两组患者术后24h、第7天患牙疼痛发生率、WBC计数、CRP检测比较,差异无统计学意义(P>0.05),1年后临床疗效的评定两组比较,差异无统计学意义(P>0.05)。结论:一次法根管治疗术在老年人前牙慢性根尖炎手术治疗效果与传统多次法相当,值得
3、临床推广。[关键词]老年人;慢性根尖炎;根管治疗术,一次法,多次法;白细胞计数;C反应蛋白[中图分类号]R781.34[文献标识码]A[文章编号]1000-2707(2015)03-0277-04TheCurativeEffectofSingleVisitRootCanalTherapyinElderlyChronicPeriapicalInflammationofAnteriorTeethGONGDan,TAOJie,YANYudong,LIUYanjie(J.DepartmentofStomatology,theFou
4、rthHospitalofQinhuangdaoCity,Qinhuangdao066000,Hebei,China;2.DepartmentofStomatology,HarborHospitalofQinhuangdaoCity,Qinhuangdao066000,Hebei,China;3.DepartmentofPathology,GuiyangMedicalCollege,Gu~hou550004,Guiyang,China)[Abstract]Objective:Toobservethecurativeeffe
5、ctofsinglevisitrootcanaltherapyintheelderlychronicperiapicalinflammationofanteriorteeth.Methods:Anteriorteethwithchronicapicalperi—odontitisof80elderlypatients,40casesweregivenonetimerootcanaltherapy(groupS),40casesweretreatedwithtraditionalmultiplerootcanaltherap
6、y(groupM),theincidenceofdentalpain,whitebloodcellcounts,C—reactionprotein(CRP)levelsinthetwogroupswereobserved(afterthefirstoperationingroupM)in24hand7daysafteroperation,andclinicaleficacywasassessedafter1year.Results:Nosignificantdifferencewasfoundintheincidenceo
7、fdentalpain,whitebloodcellcount,CRPlevelsin24hand7daysafteroperationandclinicaleficacybetweenthetwogroups(P>0.05).Conclusions:Onevisitrootcanaltherapyhasequivalenteficacywithmultiplerootcanalther-apyinthetreatmentofelderlychronicapicalperiodontitisofanteriorteeth.
8、andisworththeclinicalpromotion.[Keywords]elderly;chronicperiapicalperiodontitis;rootcanaltherapy,singlemethod,multiplemethod;whitebloodcel1count;Creacti
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