上海市髓病治疗方法临床应用现状调查

目的：了解上海市髓病治疗方法临床应用现状。方法：对上海市3个类别共计42所医院、136位医生对干髓术、塑化术和根管治疗术治疗成人恒牙的临床应用情况进行问卷调查，主要内容包括3种方法的临床应用范围及比例、适应证的选择、疗效评价以及应用前景。采用SAS6．04软件进行卡方检验以及Kruskal—Wallis检验。结果：（1）干髓术与根管治疗共存并占有一定比例，塑化术几乎不被采用，3个类别的医院采用干髓术的比例有显著差异（P〈0．001）：（2）干髓术主要被用于急或慢性牙髓炎，尤其是活髓磨牙的牙髓病治疗；（3）远期疗效是医生选择治疗方法的首要考虑因素：（4）根管治疗的良好疗效得到充分肯定，干髓术用于急或慢性牙髓炎的疗效不定。结论：上海市髓病治疗方法与国际上还存在一定差距。但总体而言，根管治疗将进一步推广普及，干髓术将逐步淘汰。

Investigation of the current situation on clinical application of endodontic treatments in Shanghai municipality

PURPOSE: To investigate the present state of endodontic treatments applied in Shanghai municipality. METHODS: A questionnaire survey about clinic application of three endodontic treatments including pulp mummification (PM), resinifying therapy(RT) and root canal therapy(RCT) was conducted by 136 dentists of 42 hospitals selected from three different types of hospitals in Shanghai. The questionnaire concerned the proportion and the scale of three treatments used clinically , the indications, the evaluation of the curative effect and the prospective application in future. SAS6.04 statistical software was used for Chi square test and Kruskal-Wallis test. RESULTS: (1) PM and RCT were applied widely, RT was seldom used. There was significant difference in the proportion using PM among three different types of hospitals(P<0.001). (2) PM was primarily applied to the teeth suffering from acute or chronic pulpitis , especially molars with vital pulp. (3)Good long-term curative effect was the primary factor affecting dentists to chose endodontic treatment. (4) Most dentists affirm that the best curative effect would be obtained for RCT, however, the effect was uncertain for PM to treat acute or chronic pulpitis. CONCLUSION: The current situation of clinical use of endodontic therapeutic methods in Shanghai falls some short of the concepts accepted internationally. But in general, RCT should be popularized while PM should be eliminated gradually.