3种根充糊剂对伴有糖尿病的老年牙髓炎患者疗效观察

目的：比较不同根充糊剂对伴有糖尿病的老年牙髓炎患者的治疗效果。方法选取因牙髓炎就诊的150例糖尿病患者，随机分为3组，每组50例。采用一次性根管治疗术。I组用Cortisomol+牙胶尖根管充填；II组用Vitapex+牙胶尖根管充填；III组用氧化锌丁香油糊剂+牙胶尖根管充填。观察不同组别术后1周内疼痛程度及2年的成功率。结果根管充填1周内，I、II、III组患者无疼痛人数分别为40、34、18；轻度疼痛人数分别为7、8、15；中度疼痛人数分别为2、6、10；重度疼痛人数分别为1、2、7，3组间差异具有统计学意义（P<0.05）。根管充填术2年后，I、II、III组患者根管充填术成功率分别为88%、94%、78%，II组成功率优于III组（P<0.05）。结论伴有糖尿病的老年牙髓炎患者根充糊剂选择Cortisomol可有效降低术后疼痛反应，选择氧化锌丁香油糊剂2年成功率较低。

Clinical observation on efficacy of three kinds of root canal sealers in elderly patients with pulpitis and diabetes

ObjectiveTo observe the clinical efficacy of three kinds of root canal sealers in elderly patients with pulpitis and diabetes.MethodsOne hundred andfifty elderly patients with pulpitis and diabetes were selected as the research objets and were randomly divided into three groups with 50 patients of each group. One root canal therapy were adopted. The teeth in group I was adopted root canal treatment by Cortisomol plus gutta percha, and the teeth group II was adopted root canal treatment by Vitapex plus gutta percha, and the teeth in group III was adopted root canal treatment by zinc oxide eugenol plus gutta percha obtueation of the root canal. The degree of pain postoperation one week and the success rate of 2 years in three groups were observed.Results After one week, the number of patients who felt no pain was 40,34 and 18 for group I, II and III respectively, and the number of patients who felt mild pain was 7, 8 and 15 respectively, and the number of patients who felt moderate pain was 2,6 and 10 respectively, and the number of patients who felt moderate pain was 1, 2 and 7 respectively. There was statistically significant difference among the three groups(P<0.05). After two years , the success rate of the three groups were 88%,94% and 78% for group I, II and III respectively, the success rate of group II was higher than group III(P<0.05).ConclusionsCortisomol could effectively reduce the pain of elderly patients with pulpitis and diabetes after root canalfilling, while the success rate of root canal therapy with zinc oxide as root canalfilling materials was rather low.