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糖尿病与牙髓病根尖周病关系的研究发展(1)
http://www.100md.com 2016年3月1日 糖尿病新世界 2016年第3期
     [摘要] 目的 通过对比糖尿病与非糖尿病牙髓病根尖周病行根管治疗的临床疗效,以探讨糖尿病与牙髓病根尖周病的关系。 方法 于2014年1—12月该市口腔医院收治的牙髓病根尖周病患者中,随机选取200例糖尿病牙髓病根尖周病患者和200例非糖尿病牙髓病根尖周病患者进行对比研究,分别将其设置为糖尿病组和非糖尿病组。所有患者均进行一次性根管治疗,治疗结束后,采用VAS疼痛评分对两组患者的疼痛程度进行评价;于治疗半年后对患者进行随访和复查,对比糖尿病与非糖尿病牙髓病根尖周病患者行根管治疗的临床疗效。 结果 糖尿病组的VAS评分较之非糖尿病组明显更高(P<0.05)。治疗半年后对患者进行随访、复查发现,糖尿病组患者的治疗成功率为86%,明显低于非糖尿病组患者的94%(P<0.05)。 结论 糖尿病与牙髓病根尖周病存在着密切的关系,糖尿病牙髓病根尖周病患者的病变范围和程度均较非糖尿病牙髓病根尖周病更为严重,因此,糖尿病牙髓病根尖周病患者的预后效果较之非糖尿病患者明显更差,在临床治疗糖尿病牙髓病根尖周病的过程中,应注意对患者的血糖进行有效的控制。

    [关键词] 糖尿病;牙髓病根尖周病;根管治疗

    [中图分类号] R587.1 [文献标识码] A [文章编号] 1672-4062(2016)02(a)-0082-03

    The Relationship Between Diabetes and Dental Pulp Disease Periapical Disease Research and Development

    SONG Yan

    Mudanjiang Stomatological Hospital oral Medicine,Mudanjiang, Heilongjiang Province, 157000 China

    [Abstract] Objective By comparing the diabetic and non-diabetic dental pulp disease periapical disease the clinical efficacy of root canal treatment, to discuss diabetes relations with dental pulp disease periapical disease. Methods From January 2014 to December of dental pulp disease admitted in the oral cavity hospital in zhuhai on periapical disease, dental pulp disease periapical randomly selected 200 cases of diabetes patients and 200 cases of diabetes dental pulp disease periapical disease comparison research, respectively, set it to diabetes and non-diabetic group. All patients for disposable root canal treatment, after treatment, the VAS pain score of two groups of patients to evaluate the degree of pain; In half a year after treatment for the patient follow-up and review, compare the diabetic and non-diabetic dental pulp disease periapical disease line the clinical curative effect of root canal treatment. Results The VAS score of diabetic group compared with non-diabetic group significantly higher (P < 0.05). Treatment after six months of follow-up, in patients with the review found that the success rate of the treatment of patients with diabetes mellitus group was 86%, significantly less than 94% of the group of patients without diabetes (P < 0.05). Conclusion Diabetes and dental pulp disease periapical disease there is close relationship, the pathological changes of diabetes, dental pulp disease periapical disease range and extent than non-diabetic dental pulp disease periapical disease is more serious, as a result, the prognosis of dental pulp disease periapical disease diabetes compared with non-diabetic patients effect worse, in the clinical treatment of diabetes in the process of dental pulp disease periapical disease, patients should pay attention to the effective control of blood sugar., 百拇医药(宋岩)
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