同步根测预备法结合超声荡洗在糖尿病患者根管治疗中的临床疗效评价

doi:10.13591/j.cnki.kqyx.2023.08.008

Abstract

Abstract:

Objective To observe and analyze the clinical effect of simultaneous root canal preparation combined with ultrasonic washing in root canal treatment of diabetic patients. Methods A total of 80 patients with type 2 diabetes requiring root canal treatment from October 2020 to September 2021 in the General Department of Hefei Stomatology Hospital were selected and randomly divided into study group and control group, with 40 cases in each group. Patients in the study group received root canal treatment with VDW Gold Reciproc root canal motor (controlling the working length during root canal preparation) combined with ultrasonic washing, while the control group received conventional root canal motor combined with syringe irrigation for root canal therapy. Serum interleukin (IL) -6 (IL-6), IL-8, and tumor necrosis factor-α (TNF-α) levels were compared before and 1 week after treatment by IMMULITE1000 Siemens chemiluminescence analyzer. Visual analogue scale (VAS) of pain before treatment and 6, 12, 24, 48 and 72 h after treatment were compared between the two groups. The total effective rate of root canal treatment was evaluated one year after operation. Results One week after completion of treatment, the levels of IL-6, IL-8 and TNF-α were decreased in both groups, and the study group was significantly lower than the control group (P<0.05). The VAS in the study group was lower than that in the control group at different time points after operation, but the difference was statistically significant only at 6 and 12 h after operation (P<0.05). The total effective rate was 95% in the study group and 90% in the control group, which was higher in the study group than in the control group without significant difference (P>0.05). Conclusion Simultaneous root canal preparation combined with ultrasonic washing can effectively reduce postoperative pain and control inflammation in patients with diabetes, which is recommended in clinical practice.

Key words: root canal preparation, ultrasonic washing, postoperative pain

CLC Number:

R781.3

XIE Yuqing, ZHANG Yang, WANG Lei. Clinical efficacy evaluation of simultaneous root canal preparation combined with ultrasonic washing in root canal treatment of diabetic patients[J]. Stomatology, 2023, 43(8): 711-716.

Figures/Tables 6

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References 23

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组别	IL-6/(pg/mL)		P	IL-8/(pg/mL)		P	TNF-α/(pg/mL)		P
组别	治疗前	治疗后	P	治疗前	治疗后	P	治疗前	治疗后	P
研究组	4.82±1.72	2.12±0.28	0.01	15.64±4.57	8.53±4.49	0.00	6.24±1.63	2.19±1.17	0.00
对照组	4.65±1.16	3.24±0.14	0.02	16.19±3.60	10.48±3.10	0.00	6.12±2.01	4.45±1.09	0.01
t	1.89	18.01		0.21	8.51		0.16	4.41
P	0.13	0.00		0.84	0.00		0.87	0.00

时间	研究组		对照组		χ²	P
时间	无疼痛	疼痛	无疼痛	疼痛	χ²	P
术后6 h	15(37.50)	25(62.50)	7(17.50)	33(82.50)	4.01	0.04
术后12 h	19(47.50)	21(52.50)	9(22.50)	31(77.50)	5.49	0.02
术后24 h	23(57.50)	17(42.50)	16(40.00)	24(60.00)	2.45	0.12
术后48 h	29(72.50)	11(27.50)	28(70.00)	12(30.00)	0.06	0.80
术后72 h	36(90.00)	4(10.00)	34(85.00)	6(15.00)	0.46	0.50

时间	研究组	对照组	P
术前	45.93±24.46	45.50±21.67	0.98
术后6 h	36.83±19.70	40.35±19.28	0.00
术后12 h	24.62±16.58	37.73±17.64	0.00
术后24 h	20.07±21.05	25.89±14.81	0.86
术后48 h	11.31±10.87	12.55±12.26	0.90
术后72 h	2.61±1.80	4.58±2.06	0.29

疗效	研究组	对照组
治愈	32(80.00)	28(70.00)
显效	6(15.00)	8(20.00)
无效	2(5.00)	4(10.00)
χ²	0.72
P	0.40

Clinical efficacy evaluation of simultaneous root canal preparation combined with ultrasonic washing in root canal treatment of diabetic patients

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