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目的探讨根管治疗期间出现急症反应的原因,并探讨有效的治疗方法。方法对本院收治采用根管治疗期间出现急症反应的120例(135颗牙)患者作为观察组,取同期收治的根管治疗期间未出现急症反应的120例(140颗牙)患者作为参考组,比较两组患者临床资料,采用Logistic回归分析患急症反应发生情况,观察两组患者治疗效果。结果单因素分析显示抗生素使用、根管消毒药物、根尖感染程度、填充次数、糖尿病等是影响根管治疗期间急症反应的重要影响因素(P<0.05);经积极治疗后,两组患者临床治疗效果比较差异无统计学意义(P>0.05)。结论术前患牙牙髓情况、消毒药物使用、抗生素使用、血糖等均是导致根管治疗期间急症反应的相关因素,严格掌握手术适应症,术中严格操作有助于手术的顺利进行。
Objective To investigate the causes of emergent response during root canal therapy and to explore effective treatment. Methods A total of 120 patients (135 teeth) with emergency response during endodontic treatment in our hospital were selected as the observation group and 120 patients (140 teeth) without acute reaction during endodontic treatment were selected as the reference group The clinical data of two groups were compared. Logistic regression analysis was used to analyze the incidence of acute and emergency reactions and the therapeutic effects of the two groups were observed. Results Univariate analysis showed that the use of antibiotics, root canal disinfection drugs, apical infection, the number of filling, diabetes mellitus and so on were the important influencing factors (P <0.05) during acute root canal therapy. After active treatment, There was no significant difference in the treatment effect (P> 0.05). Conclusion Preoperative dental pulp situation, use of disinfectants, antibiotics, blood glucose and other factors are related to emergency response during root canal therapy, strict surgical indications, strict surgical operations help to the smooth operation.