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目的分析乳牙慢性根尖周炎患儿行一次根管治疗同期的临床护理路径及效果。方法选取该院口腔科门诊2012年8月—2014年6月收治的84例乳牙慢性根尖周炎患儿作为临床研究对象,采用随机数字分组法均分为对照组和观察组,二组患儿均予以一次性根管治疗术式,为强化临床疗效,观察组患儿于根管治疗同期给予临床综合护理模式,对照组患儿给予常规护理路径,对比二组患儿临床疗效差异。结果经不同护理模式干预后,二组患儿乳牙慢性根尖周炎症状均得到了显著改善,但组间对比可知,观察组患儿临床治疗总有效率达95.23%,显著优于对照组患儿83.33%的治疗总有效率(P<0.05)。且二组患儿预后疼痛情况对比,观察组患儿7.14%的疼痛发生率,相应低于对照组患儿26.19%的疼痛发生率,组间差异有统计学意义(P<0.05)。结论针对乳牙慢性根尖周炎患儿一次根管治疗同期,定向给予临床综合护理举措,可有效强化手术效果同时,改善患儿预后生活质量,值得临床进一步应用推广。
Objective To analyze the clinical nursing path and effect of primary root canal therapy in children with primary chronic apical periodontitis. Methods Eighty-four children with chronic periapical periodontitis treated in our department from August 2012 to June 2014 were selected as the clinical study subjects. All the patients were divided into control group and observation group by random number grouping method. Children were given a one-time root canal therapy, to enhance clinical efficacy, the observation group of children in the same period of root canal therapy to give clinical comprehensive care mode, the control group of children given routine care pathways, compared with two groups of children with different clinical efficacy. Results After intervention of different nursing modes, the symptoms of chronic periapical periodontitis of the two groups of children were significantly improved. However, compared with the control group, the total effective rate of the clinical observation group was 95.23%, which was significantly better than that of the control group The total effective rate of 83.33% children (P <0.05). Compared with the prognosis of children in two groups, the incidence of pain in 7.14% of children in observation group was significantly lower than that in control group (26.19%). The difference between the two groups was statistically significant (P <0.05). Conclusions Aiming at the primary root canal therapy of primary chronic apical periodontitis with deciduous teeth, targeted clinical comprehensive nursing measures can effectively strengthen the effect of surgery and improve the prognosis of children with quality of life, which is worth further clinical application.