儿童恒前牙冠折露髓不良预后的危险因素研究
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摘要
目的:探讨儿童恒前牙冠折露髓患儿不良预后的危险因素。方法:选取2014年1月-2017年12月本院收治的恒前牙冠折露髓患儿82例。按照预后结果将其分为预后良好组(n=67)与预后不良组(n=15)。患儿均采用行活髓切断术治疗,分析患儿不良预后的影响因素。结果:预后良好组露髓孔直径>1 mm、口腔溃疡、牙髓暴露时间>24 h、牙龈炎及牙周炎例数与预后不良组比较,差异均有统计学意义(χ~2=9.160、6.200、11.260、6.090、5.690,P=0.003、0.013、0.000、0.014、0.017);多因素分析显示,牙髓暴露时间>24 h、牙龈炎及牙周炎均是患儿不良预后的影响因素(P=0.001、0.000、0.000)。结论:牙髓的暴露时间及口腔疾病是儿童恒前牙冠折露髓出现不良预后的危险因素。
Objective:To investigate the risk factors of poor prognosis in children dental pulp exposure after constant anterior crown fracture.Method:A total of 82 children dental pulp exposure after constant anterior crown fracture who treated in our hospital from January 2014 to December 2017 were selected.According to the outcome of the prognosis,they were divided into good prognosis group(n=67) and poor prognosis group(n=15).All children were treated with pulpectomy,and the factors affecting the poor prognosis of children were analyzed.Result:The diameter of the pulp hole >1 mm,oral ulcers,the time of dental pulp exposure >24 h,gingivitis and periodontitis cases in good prognosis group were compared with poor prognosis group,the difference were statistically significant( χ~2=9.160,6.200,11.260,6.090,5.690,P=0.003,0.013,0.000,0.014,0.017).Multivariate analysis showed that the time of dental pulp exposure >24 h,gingivitis and periodontitis were the risk factors for poor prognosis in children(P=0.001,0.000,0.000).Conclusion:Dental pulp exposure time and oral diseases are the risk factors of unfavorable prognosis of children dental pulp exposure after constant anterior crown fracture
Objective:To investigate the risk factors of poor prognosis in children dental pulp exposure after constant anterior crown fracture.Method:A total of 82 children dental pulp exposure after constant anterior crown fracture who treated in our hospital from January 2014 to December 2017 were selected.According to the outcome of the prognosis,they were divided into good prognosis group(n=67) and poor prognosis group(n=15).All children were treated with pulpectomy,and the factors affecting the poor prognosis of children were analyzed.Result:The diameter of the pulp hole >1 mm,oral ulcers,the time of dental pulp exposure >24 h,gingivitis and periodontitis cases in good prognosis group were compared with poor prognosis group,the difference were statistically significant( χ~2=9.160,6.200,11.260,6.090,5.690,P=0.003,0.013,0.000,0.014,0.017).Multivariate analysis showed that the time of dental pulp exposure >24 h,gingivitis and periodontitis were the risk factors for poor prognosis in children(P=0.001,0.000,0.000).Conclusion:Dental pulp exposure time and oral diseases are the risk factors of unfavorable prognosis of children dental pulp exposure after constant anterior crown fracture
引文
[1]陈思吉,周彬.儿童恒前牙冠折露髓不良预后的危险因素分析[J].中国社区医师,2017,33(36):63-64.
[2]宋晓霞.活髓切断术治疗儿童恒前牙外伤冠折露髓后的临床疗效[J].世界最新医学信息文摘,2015,15(72):64,120.
[3]陈向深.儿童恒前牙外伤冠折露髓后采用活髓切断术的临床观察[J].齐齐哈尔医学院学报,2015,36(30):4593-4594.
[4]刘艳,俞有健,于国霞.儿童恒前牙外伤的临床发生规律及预后影响因素研究[J].检验医学与临床,2016,13(7):947-949.
[5]周淑晶,柳忠豪.儿童恒前牙外伤的临床分析[J/OL].全科口腔医学电子杂志,2016,3(10):7-8.
[6]张江山,章燕珍.活髓切断术在年轻恒前牙冠折中的临床应用[J].浙江医学,2015,37(16):1390-1391.
[7]温宏伟.儿童恒前牙冠折后牙髓活力的保存方法[J].中国医药指南,2017,15(5):169-170.
[8]赵玥,丁元圣,杨清岭,等.学龄儿童年轻恒前牙外伤的临床分析[J].黑龙江医药科学,2015,38(4):53-54.
[9]常发展.活髓切断术治疗年轻恒切牙冠折露髓临床效果观察[J].河南医学研究,2017,26(17):3138-3139.
[10]白新华,徐静.年轻恒前牙外伤冠折的口腔护理探讨[J].中外医学研究,2016,14(34):82-84.
[11]屈博.活髓切断术治疗年轻恒切牙冠折露髓临床效果观察[J].中国实用医药,2016,11(21):102-103.
[12]郭雯瑾.两种方法在儿童恒前牙外伤固定治疗中的疗效对比[J].甘肃医药,2016,35(2):124-126.
[13]张政,文春丽.恒前牙外伤冠折后断冠再接对患者口腔卫生状况的影响[J].安徽医药,2015,19(11):2175-2176.
[14]李风玲.活髓切断术治疗年轻恒切牙冠折露髓临床效果观察[J].中国现代药物应用,2016,10(22):71-72.
[15]程琳,刘青梅,王俊,等.牙髓血运重建术在外伤致年轻恒牙牙髓坏死中的临床应用[J].中国药物与临床,2016,16(9):1345-1347.
[16]丁志民.活髓切断术对儿童恒前牙外伤冠折露髓的疗效分析[J].健康之路,2015,14(11):76.
[17]李辛辉.活髓切断术治疗年轻恒牙冠折露髓的疗效观察[J].中国伤残医学,2014,22(17):90-91.
[18]张晓静,及捷.部分活髓切断术治疗年轻恒前牙冠折露髓的疗效观察[J/OL].全科口腔医学电子杂志,2017,4(17):23-24.
[19]陈旭,冯亮群.不同类型盖髓剂用于年轻恒前牙冠折露髓后活髓部分切断术的疗效比较[J].现代中西医结合杂志,2013,22(24):2649-2650.
[20]裴蓉.部分活髓切断术治疗年轻恒前牙冠折露髓的疗效观察[J].中外健康文摘,2013,14(27):245-246.
[2]宋晓霞.活髓切断术治疗儿童恒前牙外伤冠折露髓后的临床疗效[J].世界最新医学信息文摘,2015,15(72):64,120.
[3]陈向深.儿童恒前牙外伤冠折露髓后采用活髓切断术的临床观察[J].齐齐哈尔医学院学报,2015,36(30):4593-4594.
[4]刘艳,俞有健,于国霞.儿童恒前牙外伤的临床发生规律及预后影响因素研究[J].检验医学与临床,2016,13(7):947-949.
[5]周淑晶,柳忠豪.儿童恒前牙外伤的临床分析[J/OL].全科口腔医学电子杂志,2016,3(10):7-8.
[6]张江山,章燕珍.活髓切断术在年轻恒前牙冠折中的临床应用[J].浙江医学,2015,37(16):1390-1391.
[7]温宏伟.儿童恒前牙冠折后牙髓活力的保存方法[J].中国医药指南,2017,15(5):169-170.
[8]赵玥,丁元圣,杨清岭,等.学龄儿童年轻恒前牙外伤的临床分析[J].黑龙江医药科学,2015,38(4):53-54.
[9]常发展.活髓切断术治疗年轻恒切牙冠折露髓临床效果观察[J].河南医学研究,2017,26(17):3138-3139.
[10]白新华,徐静.年轻恒前牙外伤冠折的口腔护理探讨[J].中外医学研究,2016,14(34):82-84.
[11]屈博.活髓切断术治疗年轻恒切牙冠折露髓临床效果观察[J].中国实用医药,2016,11(21):102-103.
[12]郭雯瑾.两种方法在儿童恒前牙外伤固定治疗中的疗效对比[J].甘肃医药,2016,35(2):124-126.
[13]张政,文春丽.恒前牙外伤冠折后断冠再接对患者口腔卫生状况的影响[J].安徽医药,2015,19(11):2175-2176.
[14]李风玲.活髓切断术治疗年轻恒切牙冠折露髓临床效果观察[J].中国现代药物应用,2016,10(22):71-72.
[15]程琳,刘青梅,王俊,等.牙髓血运重建术在外伤致年轻恒牙牙髓坏死中的临床应用[J].中国药物与临床,2016,16(9):1345-1347.
[16]丁志民.活髓切断术对儿童恒前牙外伤冠折露髓的疗效分析[J].健康之路,2015,14(11):76.
[17]李辛辉.活髓切断术治疗年轻恒牙冠折露髓的疗效观察[J].中国伤残医学,2014,22(17):90-91.
[18]张晓静,及捷.部分活髓切断术治疗年轻恒前牙冠折露髓的疗效观察[J/OL].全科口腔医学电子杂志,2017,4(17):23-24.
[19]陈旭,冯亮群.不同类型盖髓剂用于年轻恒前牙冠折露髓后活髓部分切断术的疗效比较[J].现代中西医结合杂志,2013,22(24):2649-2650.
[20]裴蓉.部分活髓切断术治疗年轻恒前牙冠折露髓的疗效观察[J].中外健康文摘,2013,14(27):245-246.