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论文摘要

急性牙髓炎疼痛定位准确性的临床调查

Clinical investigation of the positioning accuracy of acute pulpitis pain

作者:王津 孙伟 姬爱平

Author:Wang Jin, Sun Wei, Ji Aiping.

收稿日期:2012-08-14          年卷(期)页码:2013,31(5):483-483-486

期刊名称:华西口腔医学杂志

Journal Name:West China Journal of Stomatology

关键字:急性牙髓炎,疼痛,定位准确性,

Key words:acute pulpitis,pain,positioning accuracy,

基金项目:

中文摘要

目的 通过调查表的形式,分析急性牙髓炎疼痛的定位准确性及可能的影响因素。方法 收集3 432例急性牙髓炎病例,详细记录患者临床症状和检查体征,包括年龄、性别、牙位、感染来源、疼痛史、急性发作时间、疼痛持续时间、疼痛性质、疼痛频率、放散痛,以及叩痛检查、温度测试结果和牙髓出血情况和定位的准确性。对数据整理后,进行单因素和多因素逐步回归分析。结果 急性牙髓炎疼痛定位准确性可以达到39.1%,当出现放散痛时会降低定位准确性(P0.05)。结论 部分急性牙髓炎病例的疼痛可以准确定位,与是否出现放散痛和感染来源有一定关系,确切原因有待进一步研究。

英文摘要

Objective This study aims to investigate the positioning accuracy of acute pulpitis pain and its possible factors.Methods The clinical symptoms and physical signs of 3 432 cases of acute pulpitis were recorded and analyzed by using questionnaire forms, which included age, gender, tooth position, infection origin, pain history, time of acute attack, duration and nature of pain, pain frequency, referred pain areas, percussion examination, temperature pulp test, pulp bleeding, and positioning accuracy. Univariate analysis and multivariate stepwise regression analysis were used for data processing.Results Pain location was accurately identified by 39.1% of the patients with acute pulpitis. Referred pain could reduce the positioning accuracy of pain (P0.05).Conclusion Some cases of acute pulpitis pain can be located accura-tely. Referred pain and periodontium infection origin are related to the positioning accuracy of acute pulpitis pain. The exact cause of this correlation needs further study.

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