J Endod:牙髓医疗事故中根管冲洗和药物扮演的角色:一项全国范围的纵向观察

2018-02-28 lishiting MedSci原创

这篇研究的目的是为了评估在芬兰已确诊的牙髓损伤中根管冲洗和药物所扮演的角色,并随着时间的推移检测此类事件的发生率。

这篇研究的目的是为了评估在芬兰已确诊的牙髓损伤中根管冲洗和药物所扮演的角色,并随着时间的推移检测此类事件的发生率。

研究的素材来源于2002年至2006年间(n = 521)以及2011年至2013年间(n = 449)患者保险中心确诊的所有牙髓损伤病例。数据由2名牙髓病学专家对患者病例案卷详查后获取,包括患者和牙医的性别、年龄和服务内容。研究记录根管冲洗和药物的使用,每项均一分为二。另外,研究也按照根管冲洗/药物引起的损伤以及其他损伤的不同一分为二。并且还按照可避免(通过较好的临床操作避免)或不可避免(正常治疗相关的风险)区分。使用chi-square检验和t检验进行统计评估,采用逻辑回归计算比值比(ORs)。

结果显示,确诊的损伤(N = 970)包含635例(65%)可避免的和335例(35%)不可避免的。根管冲洗/药物引起损伤的数量为69例,占所有确诊损伤的7.1%,并且所有结果所涉及的是次氯酸钠和氢氧化钙,87%为可避免的。每年100,000个牙髓病患者中有4.3例的损伤是由次氯酸钠和氢氧化钙造成。与其他损伤相比,次氯酸钠和氢氧化钙引起的损伤更有可能避免(OR = 3.8),并且在2011至2013间的发生率几乎是2002至2006年间的5倍(OR = 5.6)

结论:在对根管使用次氯酸钠和氢氧化钙时应给予更多的关注以避免增加有害后果。

原始出处:

Swanljung O, Vehkalahti MM. Root Canal Irrigants and Medicaments in Endodontic Malpractice Cases: A Nationwide Longitudinal Observation. J Endod. 2018 Feb 16. pii: S0099-2399(18)30016-5. doi: 10.1016/j.joen.2018.01.003.

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    2018-06-13 jxrzshh
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