确定术后疼痛控制的最佳灌激活或激动技术:临床试验的网络元回归
Fatma Pertek Hatipoğlu1, Merve Çoban Öksüzer2, Mohmed Isaqali Karobari3
1Department of Endodontics, Recep Tayyip Erdoğan University, Türkiye.
The Japanese dental science review
|January 9, 2026
概括
与手动动态灌相比,激光激活灌显著减少了根管治疗后的第一天术后疼痛. 其他技术,如多声和负压灌也显示出良好的结果,但手动动态灌导致最高的疼痛得分.
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
- 牙科技术 牙科技术
背景情况:
- 手术后的疼痛是根管治疗后的一个常见问题.
- 尽管取得了进展,但有效的疼痛管理仍然是一个临床挑战.
研究的目的:
- 为了比较七种灌激活/激动技术在减少第1天手术后疼痛的有效性.
- 根据根管疗法后治疗疼痛的有效性来对这些技术进行排名.
主要方法:
- 进行了贝叶斯系统审查和网络元回归.
- 搜索了主要的数据库,直到2024年12月,包括57个试验和2595名患者.
- 分析了0-10级的疼痛评分,考虑了症状状况,并使用Sucra值进行排名.
主要成果:
- 激光激活灌 (LAI) 显示了最低的Day-1疼痛,显示了临床上比手动动态灌 (MDI) 有显著优势.
- 此外,LAI的性能也超过了正压和超声波灌,尽管效果较小.
- 多声波和负压灌排名有利,而MDI始终显示出最高的疼痛分数.
结论:
- 在根管治疗后,LAI似乎是减轻手术后立即疼痛的最有效的技术.
- 基线症状状态显著影响疼痛水平,无论使用的灌技术如何.
- 由于大多数比较的信心低至非常低,研究结果应谨慎解释,需要进一步进行高质量的研究.
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