第36卷第3期2023年6月华夏医学ActaMedicinaeSinicaVol.36No.3Jun.2023DOI:10.19296/j.cnki.1008-2409.2023-03-021·临床研究··CLINICALRESEARCH·AHPLus与Endomethasone根管充填剂治疗牙髓炎的效果高静①(漯河市郾城区中医院口腔科,河南漯河462000)摘要目的:探讨AHPLus与Endomethasone根管充填剂对牙髓炎患者根管治疗效果的影响。方法:将82名牙髓炎患者按照根管填充剂类型分为AHPlus组和Endomethasone组,每组41例,两组分别采用不同根管填充剂给予一次性根管治疗。比较两组的疼痛程度(VAS评分)、超敏C反应蛋白(hs-CRP)、白介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)、菌斑指数(PLI)、出血指数(BI)、牙龈指数(GI)、临床疗效和不良反应。结果:Endomethasone组治疗有效率97.56%高于AHPLus组85.37%,差异有统计学意义(P<0.05)。治疗3d及治疗7d后,Endomethasone组VAS评分均低于AHPLus组,hs-CRP、IL-6、TNF-α水平均低于AHPLus组,PLI、BI、GI评分均低于AHPLus组,差异均有统计学意义(P<0.05)。结论:与AHPLus根管充填剂相比,Endomethasone根管充填剂进行根管治疗牙髓炎效果更加确切。关键词:AHPLus;Endomethasone;牙髓炎;根管治疗中图分类号:R781.31文献标志码:A文章编号:1008-2409(2023)03-0106-05EffectsofAHPLusandEndomethasoneonrootcanaltherapyinpulpitisGAOJing①(Dept.ofStomatology,YanchengDistrictHospitalofTraditionalChineseMedicine,Luohe462000,China)AbstractObjective:ToexploretheeffectsofAHPLusandEndomethasoneonrootcanaltherapyinpulpitis.Methods:Accordingtodifferenttypesofrootcanalsealers,82patientswithpulpitisweredividedintotheAHPLusgroupandEndomethasonegroup,with41casesineachgroup.Twogroupsweretreatedwithdifferentrootcanalfillersforonce-timerootcanaltherapy.Thepainresponse(VASscore),high-sensitivityC-reactiveprotein(hs-CRP),interleukin-6(IL-6),tumornecrosisfactor-α(TNF-α),plaqueindex(PLI),bleedingindex(BI)andgingivalindex(GI),clinicalcurativeeffectandadversereactionswerecompared.Results:TheeffectiverateoftreatmentintheEndomethasonegroupwas97.56%higherthanthatintheAHPLusgroup(85.37%),withstatisticallysignificantdifference(P<0.05).Afterthreeandsevendaysoftreatment,VASscoresintheEndomethasonegroupwerelowerthanthoseintheAH·601·①作者简介:高静,本科,主治医师,研...
