清热止痛中药方治疗可复性急性牙髓炎临床研究
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R781.31

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Clinical Study of Qingre Zhitong Chinese Medical Prescription for Reversible Acute Pulpitis
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    摘要:

    目的:观察运用清热止痛中药方治疗可复性急性牙髓炎的临床疗效。方法:将本院口腔内科收治的90例风火型可复性急性牙髓炎患者,随机分为对照组与观察组各45例。对照组给予丁香油棉球龋洞内暂封2周后永久填充治疗;观察组在对照组治疗方案的基础上联合清热止痛中药治疗。观察2组临床疗效、相关生化指标、疼痛缓解效果及不良反应情况。结果:2组临床疗效比较,差异有统计学意义(P<0.05),观察组优于对照组。观察组治疗后疼痛视觉模拟评分(VAS)低于对照组,差异有统计学意义(P<0.05)。治疗后,2组血白细胞计数(WBC)均有明显下降,且组间比较,差异均有统计学意义(P<0.05)。治疗后,2组谷丙转氨酶(ALT)、肌酐(Cr)水平分别与治疗前比较,且组间比较,差异均无统计学意义(P>0.05),提示2组尿常规、肝肾功能检查等均无异常改变。结论:清热止痛中药可有效减轻风火型急性牙髓炎患者牙髓炎症,去除和缓解疼痛,且安全性较好,临床疗效显著。

    Abstract:

    To observe the clinical effect of Qingre Zhitong Chinese medical prescription for reversible acute pulpitis.Methods:Enrolled 90 cases of patients with reversible acute pulpitis of wind-fire type in the department of oral medicine in our hospital and divided them,into the control group and the observation group randomly,with 45 cases in each group.The control group was given a permanent filling treatment after temporarily sealing carious holes by clove oil cotton balls for two weeks.The observation group was additionally treated with the combined application of Qingre Zhitong Chinese medicine.Observed the clinical effect,correlated biochemical indexes,pain relief effect and adverse reactions in the two groups.Results:There was significant difference being found in the comparison of the clinical effect in the two groups(P <0.05)and the observation group was better than the control group.The visual analogue scale(VAS)of pain after treatment in the observation group was lower than that in the control group,difference being significant(P < 0.05).After treatment,white blood cell counts(WBC)in both groups were decreased evidently,significant differences being found in the comparison between the two groups(P < 0.05).After treatment,compared the levels of alanine aminotransferase(ALT)and creatinine(Cr)in the two groups with those before treatment,no significant differences was found in the comparison between the two groups(P > 0.05),which suggests that there were no abnormal changes in urine routine and liver and kidney function tests in the two groups.Conclusion:The application of Qingre Zhitong Chinese medicine can effectively relieve dental pulpitis and pain in patients with acute pulpitis of wind-fire type.

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范承媛.清热止痛中药方治疗可复性急性牙髓炎临床研究[J].新中医,2019,51(10):221-223

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  • 在线发布日期: 2019-10-11
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