鮑敏

[摘要] 目的 分析一次性和二次性完成乳牙根管治療術(shù)后近期內(nèi)疼痛的情況。方法 方便選自2017年1月—2019年11月于該院接收乳牙根管治療術(shù)的患兒59例，隨機(jī)分為對(duì)照組和治療組，對(duì)照組29例，治療組30例。對(duì)照組患兒采用二次性乳牙根管治療術(shù)治療，治療組采用一次性乳牙根管治療術(shù)治療，觀察兩組患兒術(shù)后的疼痛情況。結(jié)果 治療組疼痛發(fā)生率為43.33%明顯低于對(duì)照組72.41%，差異有統(tǒng)計(jì)學(xué)意義（χ2=5.107，P<0.05）。經(jīng)治療后兩組不同時(shí)間疼痛評(píng)分對(duì)比，差異無(wú)統(tǒng)計(jì)學(xué)意義（P>0.05）。 結(jié)論 ?一次性乳牙根管治療療效顯著，在術(shù)后患兒近期內(nèi)疼痛發(fā)生率較低，減少患兒就診時(shí)間和復(fù)診次數(shù)以及節(jié)省部分醫(yī)療費(fèi)用，值得在臨床上借鑒。

[關(guān)鍵詞] 一次性乳牙根管治療;二次性乳牙根管治療;近期疼痛

[中圖分類號(hào)] R781 ? ? ? ? ?[文獻(xiàn)標(biāo)識(shí)碼] A ? ? ? ? ?[文章編號(hào)] 1674-0742（2020）11（a）-0078-03

Comparison of Pain in the Short Term after One-time and Two-time Root Canal Treatment of Deciduous Teeth

BAO Min

Department of Stomatology， Municipal oriental Hospital， Lianyungang， Jiangsu Province， 222042 China

[Abstract] Objective To analyze the short-term pain after one-time and two-time root canal treatment of deciduous teeth. Methods A total of 59 children who received root canal therapy for deciduous teeth in the hospital from January 2017 to November 2019 were randomly divided into control group and treatment group， 29 cases in control group and 30 cases in treatment group. Children in the control group were treated with secondary root canal therapy for deciduous teeth， and the treatment group was treated with one-time root canal therapy for deciduous teeth. The postoperative pain of the two groups was observed. Results The incidence of pain in the treatment group was 43.33% was significantly lower than 72.41% in the control group，the difference was statistically significant（χ2=5.107，P<0.05）. After treatment， there was no statistically significant difference in pain scores between the two groups at different times（P>0.05）. Conclusion One-time root canal treatment for deciduous teeth is effective， and the incidence of pain in children is low in the short term after surgery. It can reduce the time of patient visits and the number of follow-up visits and save some medical expenses. It is worthy of clinical reference.

[Key words] One-time root canal treatment of deciduous teeth; Secondary root canal treatment of deciduous teeth; Recent pain

兒童乳牙疾病的發(fā)生原因，有大概以下幾種情況：①兒童不太注意口腔衛(wèi)生及保健;②沒(méi)有養(yǎng)成良好的飲食習(xí)慣;③易食甜性食物，家長(zhǎng)又沒(méi)有及時(shí)讓兒童漱口等情況[1-3]。臨床上常見(jiàn)的乳牙疾病大致分為牙髓炎及根尖周炎，是乳牙早失的主要原因，嚴(yán)重的可導(dǎo)致乳牙咀嚼功能失衡，也可導(dǎo)致恒牙未能按照正常順序萌出[4-5]。隨著現(xiàn)代醫(yī)學(xué)技術(shù)的發(fā)展，對(duì)患兒乳牙應(yīng)采取根管治療術(shù)，乳牙根管治療可分為一次性、二次性，還有傳統(tǒng)多次性。將根管預(yù)備、根管消毒、根管充填在一次治療中完成稱為一次性根管治療;在根管充填術(shù)前給予一次根管封藥，確保根管預(yù)備后，根管充填前有一個(gè)癥狀緩解期，被稱為二次性根管預(yù)備。根管治療后的近期內(nèi)發(fā)生的疼痛是口腔科醫(yī)生十分關(guān)注的問(wèn)題，該文于2017年1月—2019年11月方便選取該院接收乳牙根管治療術(shù)的患兒59例，就一次性和二次性完成根管治療術(shù)后近期內(nèi)疼痛情況分析，報(bào)道如下。

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（收稿日期：2020-08-08）