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目的就急性牙髓炎应急治疗体会及急诊方案评价进行探讨。方法收集2009年3月～2012年3月期间在我科收治的500例急性牙髓炎患者,患牙均为智齿和前磨牙发作,对其进行相应的手术治疗。结果本组资料中270例采用局麻开髓-冠髓去除-引流术,占所有患者的54%,治疗后成功率为93.75%;130例采用局麻开髓-冠髓去除-失活术,占所有患者的26%,治疗后成功率为77.69%;100例采用局麻开髓-冠髓去除-失活术,占所有患者的20%,治疗后成功率为76.86%。局麻开髓-冠髓去除-失活术治疗的复杂程度要略高于局麻开髓-冠髓去除-引流术,局麻开髓-冠髓根髓去除术是三种方法中最为复杂的方法,相对较少地应用在急诊治疗中。结论治疗过程中,应根据患者后续治疗需要、患者就诊数量、引流物多寡、根髓感染深度、牙髓炎症状等元素来选择采用何种方案。
Objective To explore the emergency treatment of acute pulpitis and emergency program evaluation. Methods A total of 500 patients with acute pulpitis who were treated in our department from March 2009 to March 2012 were enrolled in this study. Results In this study, 270 cases were treated with local anesthesia with pulp - crown removal and drainage, accounting for 54% of all patients. The success rate after treatment was 93.75%. 130 cases were treated with local anesthesia with pulp - , Accounting for 26% of all patients. The success rate after treatment was 77.69%. 100 cases were treated with local anesthesia with pulp-crown removal-inactivation, accounting for 20% of all patients. The success rate after treatment was 76.86%. The complications of local anesthesia-crown-pulp removal-inactivation are slightly more complicated than that of local anesthesia-crown-pulp removal-drainage, and local anesthesia-crown-pulp radical-pulp removal is the most complicated of the three methods Method, relatively less used in emergency treatment. Conclusions The course of treatment should be based on the follow-up treatment needs of patients, the number of patient visits, the amount of drainage, root marrow infection depth, pulpitis symptoms and other elements to choose what kind of program.