使用冷灌对术后内牙痛和物质P水平的影响:一项随机临床试验
Reem Mohammed Amr Sharaf1, Tariq Yehia Abdelrahman1, Maram Farouk Obeid2
1Department of Endodontics, Faculty of Dentistry, Ain Shams University, Cairo, Egypt.
Odontology
|June 18, 2025
概括
在内治疗期间,用低酸冷灌有效降低术后内疼痛 (POP) 和物质P (SP) 水平. 这种冷治疗方法提供了一种简单的方法来缓解疼痛,并减少患者的止痛药使用.
科学领域:
- 牙周内科医院 牙周内科医院 牙周内科医院
- 疼痛管理 疼痛管理
- 生物化学 生物化学
背景情况:
- 手术后内牙疼痛 (POP) 是牙科手术后的一个常见并发症.
- 低温疗法在管理POP方面显示出潜力.
- 实物P (SP) 是一种神经,与疼痛传播有关.
研究的目的:
- 评估化学机械制备过程中冷化 (NaOCl) 灌在降低POP和SP水平方面的有效性.
- 为了将冷灌与标准灌和冷治疗组进行比较.
主要方法:
- 随机临床试验,涉及患有不可逆转的胸腔炎和有症状的上性牙周炎的患者.
- 三组:冷/Irr (整个冷NaOCl灌),冷 (冷盐水最后冲洗) 和控制 (室温灌).
- 使用视觉模拟尺度 (VAS) 测量POP,通过ELISA从顶部液体样本中测量SP水平.
主要成果:
- 与其他组相比,对照组的VAS得分和止痛药摄入量显著更高.
- 感冒/Irr 组表现出SP水平的显著降低.
- 在SP水平和疼痛强度之间发现了强烈的正相关性.
结论:
- 低温治疗技术,特别是冷NaOCl灌,在降低POP和SP水平方面是有效的.
- 这种方法简化了疼痛管理,并减少了在接受内牙治疗的患者对止痛药的需求.
- 在化工机械准备过程中冷灌是缓解疼痛的有希望的策略.
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