负压吸引治疗急性根尖周炎的临床疗效分析

J4 ›› 2011, Vol. 37 ›› Issue (2): 327-330.

负压吸引治疗急性根尖周炎的临床疗效分析

刘影|李春艳|邵海峰|梁爽

1.吉林省吉林市口腔医院口腔内科|吉林吉林 132011；2.吉林大学口腔医院种植中心|吉林长春 130021；3.吉林大学口腔医院颌面外科|吉林长春 130021；4.吉林大学口腔医院修复科|吉林长春 130021

收稿日期:2010-11-22 出版日期:2011-03-28 发布日期:2011-03-28
通讯作者: 李春艳（Tel:0431-88796025,E-mail:83593745@qq.com） E-mail:83593745@qq.com
作者简介:刘影（1976-）|女|吉林省吉林市人|主治医师|医学学士,主要从事口腔内科临床工作和研究。
基金资助:
吉林省科技厅科研基金资助课题（200705349）

Analysis clinical effect of negative pressure |drainage in treatment of acute periapical periodontitis

LIU Ying|LI Chun-yan|SHAO Hai-feng|LIANG Shuang

1.Department of Oral Medicine |Stomatology Hospital of Jilin City|Jlin 132011|China;2.Implant Center| Stomatology Hospital|Jilin University| Changchun 130021, China;3.Department of Oral and Maxillofacial Surgery|Stomatology Hospital|Jilin University|Changchun 130021, China;4.Department of Prosthodontics| Stomatology Hospital|Jilin University| Changchun 130021, China

Received:2010-11-22 Online:2011-03-28 Published:2011-03-28

摘要/Abstract

摘要：

［摘要］目的：观察急性根尖周炎常规开髓引流后进行负压引流以减轻临床症状的疗效。方法：将本院收治的急性根尖周炎的患者142例，随机分为实验组（72颗患牙，负压吸引引流）和对照组（70颗患牙，常规开髓引流）。比较两组患者临床症状的缓解情况以及根管内白细胞介素1β(IL-1β)、前列腺素E2(PGE2)及C反应蛋白(CRP)水平的变化。结果：两组数字化疼痛评判法（VAS）差值比较差异具有统计学意义（P<0.05）。实验组IL-1β、PGE2和CRP变化的差值大于对照组（P<0.05），实验组的治疗有效率高于对照组（P<0.05）。结论：应用负压引流等一系列处置缓解急性根尖周炎的症状，愈后良好。

关键词: 急性根尖周炎；负压吸引；白细胞介素1β；前列腺素E2 ；C反应蛋白

Abstract:

Abstract:Objective To observe the incidence of pain after treatment of acute periapical periodontitis using negative pressure following opening drainage. Methods 142 patients with acute periapical periodontitis were randomly divided into experimental group(72 teeth) and control group(70 teeth).The patients in experimental group were treated with negative pressure drainage;the patients in control group were treated with conventional opening drainage. The incidence and degree of pain after root canal preparation and the changes of IL-1β,PGE2 and CRP levels intwo groups were recorded. Results There was significant difference of VAS difference value between two groups（P<0.05）.The changes of IL-1β, PGE2 and CRP levels in ex
perimental group were larger than those in control group（P<0.05）.The effective rate of treatment in experimental group was higher than that in control group (P<0.05). Conclusion The negative pressure drainage can effectively prevent and reduce the pain during root canal therapy of acute periapical periodontitis.

Key words: acute periapical periodontitis；negative pressure drainage；interleukin-1；prostaglandinum E2；C-reactive protein

中图分类号:

R781.34

刘影|李春艳|邵海峰|梁爽. 负压吸引治疗急性根尖周炎的临床疗效分析[J]. J4, 2011, 37(2): 327-330.

LIU Ying|LI Chun-yan|SHAO Hai-feng|LIANG Shuang. Analysis clinical effect of negative pressure |drainage in treatment of acute periapical periodontitis[J]. J4, 2011, 37(2): 327-330.