氟化物涂膜与激光联合治疗牙本质过敏症临床研究(1)
【摘 要】目的：分析氟化物涂膜与激光联合治疗牙本质过敏症的效果。方法：以2016年1月-2017年12月在我院接受治疗的61例(172颗患牙)牙本质过敏症患者为研究对象，按照入院先后分为对照组1、对照组2、试验组，分别予以氟化物涂膜、激光、两者联合治疗，综合对比评价三种方案的治疗效果。采用、t检验对数据进行统计分析。结果：试验组患者治疗后即刻、治疗后6个月的视觉模拟(VAS)评分和吹气刺激敏感值(BST)均明显低于对照组1、对照组2，差异有统计学意义(P<0.05);对照组间各时刻VAS、BST评分对比无明显差异(P>0.05)。试验组患者治疗后6个月总有效率为95.24%(20/21)，均明显高于对照组1的70.00%(14/20)、对照组2的65.00%(13/20)，差异有统计学意义(P<0.05);对照组间治疗总有效率对比无明显差异(P>0.05)。结论：氟化物涂膜与激光联合治疗牙本质过敏症可有效改善疼痛、刺激敏感度，优化疗效，效果更为可靠，可于临床中推广应用。
【关键词】氟化物涂膜;激光;牙本质过敏症
Abstract：Objective To analyze the effect of fluoride film combined with laser in the treatment of dentin hypersensitivity. Methods： 61 patients with dentin hypersensitivity (172 teeth) received treatment in our hospital from January 2016 to December 2017 were divided into control group (n = 1)， control group (n = 2) and experimental group (n = 2). Laser， combined therapy and comprehensive evaluation of the efficacy of the three schemes. The data were statistically analyzed by χ 2 t test. Results： the visual analogue (VAS) score and air irritation sensitivity value (BST) were measured immediately after treatment and 6 months after treatment in the trial group. Compared with control group (1) and control group (2)， the difference was statistically significant (P < 0. 05)， and there was no significant difference in VAS，BST score between control group and control group (P > 0. 05). The total effective rate in the test group was 95.24% (20 / 21) at 6 months after treatment， which was significantly higher than that in the control group (70.00%， 14 / 20) and the control group (65.00%， 13 / 20) (P < 0.05). There was no significant difference in the total effective rate between the control group and the control group (P > 0.05). Conclusion： fluoride film combined with laser in the treatment of dentin hypersensitivity. It can effectively improve pain， stimulate sensitivity， optimize curative effect， the effect is more reliable， and can be popularized in clinic.
Key words： Fluoride film; laser; dentin hypersensitivity
【中图分类号】R78 【文献标识码】A 【文章编号】1005-0019(2019)10-0-01
牙本质过敏症(Dentin hypersensitivity，DH)，为外界刺激导致暴露的牙本质发生尖锐、短暂性质的疼痛，且能够明确排除其他牙体病变或牙体损伤引发的疼痛[1]。予以患者有效治疗可取得良好临床治疗效果，改善患者生活质量，本次研究通过对比单纯氟化物涂膜、单纯激光、两者联合的临床治疗效果，分析各种治疗方案的临床应用价值。
1 资料与方法
1.1 一般资料 选取61例(172颗患牙)2016年1月-2017年12月在我院接受治疗的DH患者，以入院先后顺序为依据分为对照组1、对照组2、试验组。对照组1：共20例、54颗患牙;男11例，女9例;年龄20-65岁，平均(39.87±4.75)歲;对照组2：共20例、61颗患牙;男12例，女8例;年龄23-61岁，平均(38.73±5.01)岁;试验组：共21例、57颗患牙;男11例，女10例;年龄22-67岁，平均(39.50±4.95)岁。此次研究所有患者均知情同意。研究中遵循自愿、尊重患者原则符合医学伦理。, http://www.100md.com(林振北)
【关键词】氟化物涂膜;激光;牙本质过敏症
Abstract：Objective To analyze the effect of fluoride film combined with laser in the treatment of dentin hypersensitivity. Methods： 61 patients with dentin hypersensitivity (172 teeth) received treatment in our hospital from January 2016 to December 2017 were divided into control group (n = 1)， control group (n = 2) and experimental group (n = 2). Laser， combined therapy and comprehensive evaluation of the efficacy of the three schemes. The data were statistically analyzed by χ 2 t test. Results： the visual analogue (VAS) score and air irritation sensitivity value (BST) were measured immediately after treatment and 6 months after treatment in the trial group. Compared with control group (1) and control group (2)， the difference was statistically significant (P < 0. 05)， and there was no significant difference in VAS，BST score between control group and control group (P > 0. 05). The total effective rate in the test group was 95.24% (20 / 21) at 6 months after treatment， which was significantly higher than that in the control group (70.00%， 14 / 20) and the control group (65.00%， 13 / 20) (P < 0.05). There was no significant difference in the total effective rate between the control group and the control group (P > 0.05). Conclusion： fluoride film combined with laser in the treatment of dentin hypersensitivity. It can effectively improve pain， stimulate sensitivity， optimize curative effect， the effect is more reliable， and can be popularized in clinic.
Key words： Fluoride film; laser; dentin hypersensitivity
【中图分类号】R78 【文献标识码】A 【文章编号】1005-0019(2019)10-0-01
牙本质过敏症(Dentin hypersensitivity，DH)，为外界刺激导致暴露的牙本质发生尖锐、短暂性质的疼痛，且能够明确排除其他牙体病变或牙体损伤引发的疼痛[1]。予以患者有效治疗可取得良好临床治疗效果，改善患者生活质量，本次研究通过对比单纯氟化物涂膜、单纯激光、两者联合的临床治疗效果，分析各种治疗方案的临床应用价值。
1 资料与方法
1.1 一般资料 选取61例(172颗患牙)2016年1月-2017年12月在我院接受治疗的DH患者，以入院先后顺序为依据分为对照组1、对照组2、试验组。对照组1：共20例、54颗患牙;男11例，女9例;年龄20-65岁，平均(39.87±4.75)歲;对照组2：共20例、61颗患牙;男12例，女8例;年龄23-61岁，平均(38.73±5.01)岁;试验组：共21例、57颗患牙;男11例，女10例;年龄22-67岁，平均(39.50±4.95)岁。此次研究所有患者均知情同意。研究中遵循自愿、尊重患者原则符合医学伦理。, http://www.100md.com(林振北)