药物的使用在症状不可逆转的脉炎的管理:一个基于社区的队列研究
David Edwards1, Sabrina Rasaiah1, Lise-Lotte Kirkevang2
1School of Dental Sciences, Newcastle University, Newcastle upon Tyne, UK.
International endodontic journal
|January 12, 2024
概括
脉冲切除和脉冲切除的成功率与不可逆转的脉冲切除的成功率相似. 抗生素/皮质类固醇糊在紧急牙科护理环境中提供了最小的额外益处,这表明需要进一步研究疼痛管理.
科学领域:
- 牙科 牙科是指牙科的专业.
- 牙周内科医院 牙周内科医院 牙周内科医院
- 主要的牙科护理是指初级牙科护理.
背景情况:
- 症状不可逆转的牙炎需要在紧急初级牙科护理中进行有效的管理.
- 脉冲切除和脉冲切除是常见的治疗选择.
- 抗生素/皮质类固醇糊在这些程序中的作用尚未完全确定.
研究的目的:
- 为了比较患者的结局脉冲切除与脉冲切除的症状不可逆转的脉冲.
- 评估抗生素/皮质类固醇糊在紧急牙科环境中对治疗成功的影响.
主要方法:
- 一项前性研究,涉及在英国初级保健机构中患有症状不可逆转的脉炎的患者.
- 收集的数据包括手术前和后的疼痛评分 (NRS),止痛药的使用和生活质量 (OHIP-14).
- 治疗成功的定义是综合得分,包括疼痛减轻,全球评分和恢复工作.
主要成果:
- 整体治疗成功率为57%,在脉冲切除和脉冲切除之间没有显著差异 (p=0.645).
- 患者报告使用抗生素/皮质类固醇带对全球变化评级 (p=0.015) 的改善更大.
- 25%的参与者由于疼痛缓解不足而需要进一步治疗.
结论:
- 有限的证据表明,抗生素/皮质类固醇敷料在紧急牙科护理中不会显著改善症状不可逆转的胸膜炎的结果.
- 需要进一步的研究,以确定这些面粉在除肉质组织切除之外的疼痛缓解方面的特定益处.
相关概念视频
Peptic Ulcer Disease IV: Management
94
Medical treatment strategies for peptic ulcers encompass various methods. The primary goal of treatment is to diminish gastric acidity and strengthen mucosal defense mechanisms.
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
94
Tonsillitis II: Management
114
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
114
Inflammatory Bowel Disease IV: Pharmacological Management
127
Upon diagnosis, managing Inflammatory Bowel Disease (IBD) involves addressing several crucial aspects. The primary goals include resting the bowel, correcting malnutrition, and providing symptomatic relief. Resting the bowel may consist of medications to reduce inflammation and promote healing. Correcting malnutrition is essential, often requiring dietary adjustments and nutritional supplements. Symptomatic relief aims to ease pain, diarrhea, and other discomforts in IBD.
Pharmacologic...
Pharmacologic...
127
Analgesia and Pain Management
625
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
625
Gastritis III: Clinical Manifestations and Management
263
The clinical manifestations of gastritis can vary depending on the cause and type of gastritis, but some common symptoms may include the following.
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
263
Peptic Ulcer Disease V: Surgical Management and Nursing Care
306
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
306


