ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2018, Vol. 10 ›› Issue (6): 520-523.doi: 10.3969/j.issn.1674-3865.2018.06.019

• 临床研究 • 上一篇    下一篇

伢典微创凝胶治疗小儿龋齿的临床疗效观察

杨鸯   

  1. 410007 长沙，湖南省儿童医院口腔科
  • 出版日期:2018-12-25 发布日期:2019-03-25
  • 作者简介:杨鸯（1984-），女，医学硕士，主治医师。研究方向：儿童龋齿、牙髓炎、根尖炎的诊治，E-mail：Zeng_Qingm@126.com

Clinical observation of Ya-iodine minimally invasive gel in the treatment of dental caries in children

YANG Yang   

  1. Department of Stomatology, Hunan Children's Hospital，Changsha 410007, China
  • Online:2018-12-25 Published:2019-03-25

PDF (PC)

138

摘要：
目的
探究伢典微创凝胶治疗小儿龋齿的临床效果、并发症及对咀嚼功能评价影响。
方法
选取2017年1月至12月湖南省儿童医院口腔科收治的龋齿患儿128例为研究对象，随机分为观察组和对照组各64例。对照组应用常规的牙钻磨牙法予以治疗，观察组采取伢碘微创凝胶法予以治疗，对比两组患儿的疼痛程度、临床治疗效果、生活质量、并发症及咀嚼功能。
结果
观察组疼痛度低于对照组，差异有统计学意义(P<0.05)。经过治疗观察组患儿总有效率为95.31%（61/64），显著高于对照组67.19%（43/64），差异有统计学意义（P<0.05）。治疗护理后，观察组生活质量（社会、认知、角色、躯体4项）功能评分显著优于对照组，差异有统计学意义(P<0.05)。通过治疗后6个月的随访和复查结果表明，观察组并发症发生率为4.69%（3/64），显著低于对照组18.75%（12/64），差异有统计学意义(P<0.05)。经过治疗，两组患儿咀嚼功能均有所改善，观察组患儿的改善状况显著优于对照组，差异有统计学意义(P<0.05)。
结论
伢碘微创凝胶治疗小儿龋齿的疗效显著，其创伤小、疼痛度低，并发症发生率低，提高患儿的生活质量，咀嚼功能有所改善。

关键词: 龋齿, 伢典微创凝胶, 临床效果, 并发症, 咀嚼功能, 儿童

Abstract:
Objective
To explore the clinical effects and complications of Ya-iodine minimally invasive gel in the treatment of dental caries in children and make evaluation of the masticatory function.
Methods
Totally 128 children with dental caries admitted to Department of Stomatology, Hunan Children's Hospital, from January to December 2017 were selected as the research subjects, and they were randomly divided into observation group and control group with 64 cases in each group. The control group was treated with the conventional dental drill molar method, while the observation group was treated with the method of Ya-iodine minimally invasive gel. The pain degree, clinical effect, quality of life, complications and masticatory function of the two groups were compared.
Results
The pain degree in the observation group was lower than that in the control group, and the difference was statistically significant(P<0.05). After treatment, the total effective rate of the observation group was 95.31%(61/64), which was significantly higher than that of the control group(67.19%,43/64), the difference being statistically significant(P<0.05). After treatment and nursing, the function score of the quality of life (society, cognition, role, body) of the observation group was significantly better than that of the control group, with statistical significance(P<0.05). After 6 months of followup and re-examination, the incidence of complications in the observation group was 4.69%(3/64), significantly lower than that in the control group(18.75%,12/64), the difference being statistically significant(P<0.05). After treatment, the masticatory function of the two groups was improved, and the improvement of the observation group was significantly better than that of the control group, and the difference was statistically significant(P<0.05).
ConclusionThe treatment for children with dental caries with Ya-iodine minimally invasive gel is effective, with little trauma, less pain and low complication rate, which can improve the quality of life and improve the masticatory function of children.

Key words: Dental caries Ya-iodine minimally invasive gel, Clinical effects, Complications, Masticatory function, Children