探讨糖尿病患者在根管治疗过程中发生根管治疗中疼痛(endodontic interappointment pain, EIP)的有关因素。方法 以临床需行根管治疗的79例糖尿病患者和82例非糖尿病患者各86颗患牙为研究对象,按患者血糖控制好坏分组,分析其与正常组EIP发生率、疼痛程度及疼痛在术后不同时间发生的相关情况。结果 血糖控制差组EIP发生率、术后不同时间出现疼痛以及疼痛程度严重的比率明显高于控制好组和正常组(P<0•05);而控制好组与正常组之间差异没有统计学意义(P>0•05),但3组内不同疼痛分级的发生率均随其程度加重而减小。结论 糖尿病患者根管预备术后7 d内都有可能发生疼痛,良好地控制血糖有利于减少EIP发生率和减轻疼痛程度。
中图法分类号:R587. 1;R780. 2;R781. 33 文献标识码:A
Correlation of diabetesmellitus and endodontic interappointment pain
YANG Guang-yu,QING Shang-lan,CHEN Ying(Department of Stomatology,The Third People’s Hospital of Chongqing,Chongqing 400014,China)
Abstract:Objective To investigate the correlation of diabetesmellitus(DM)and endodontic interappointmentpain(EIP)in root canal therapy(RCT).Methods Seventy-nine DM patients and 82 patientswithoutDM were recruited,86 teeth requiredRCT in each group. DM patientswere subdivided into two groupsby the level of fasting plasma glucose(FPG):poorly controlled group ifFPG>9. 0 mmol/L,and well controlled group ifFPG<7. 8mmol/L. The correlation ofEIP incidence rate,algesic degree and algesic time afterRCTwas statistically analyzed.Results TheEIP incidence r
