摘要
目的评价冠周注射地塞米松对下颌阻生智齿拔除术后面部肿胀和张口受限的疗效。方法将216例下颌阻生智齿患者随机分成试验组和对照组,各108例。对照组患者予2%利多卡因2 m L,试验组患者在拔牙前给予醋酸地塞米松5 mg行冠周注射,其他处理与对照组相同,在术后第2天和第5天观察并比较两组患者面部肿胀和张口受限情况。结果术后第2天和第5天,试验组患者面部肿胀和张口受限程度均显著低于对照组(P<0.01)。结论冠周注射地塞米松可有效降低下颌阻生智齿拔除术后的张口受限和面部肿胀程度,值得临床推广。
Objective To evaluate the effect of injecting dexametbasone in the periodontal tissue on postoperative facial swelling and trismus after mandibular impacted wisdom teeth being extracted. Methods 216 patients with mandibular impacted wisdom teeth were randomly divided into the experimental group and the contorl group,108 cases in each group. The control group was given 2 mL of 2% lidocaine, and the experimental group was injected dexamethasone of 5 mg before tooth extracted. After 2, 5 d, the patients＇ facial swelling and mouth opening limits were recorded for statistical analysis. Results The complications of tooth extracted in the experimen- tal group are significantly lower than the control group at 2,5 d after the operation（ P 〈 0.01）. Conclusion Intravenous injection of dexamethasone can effectively reduce the degree of facial swelling and mouth opening limit after mandibular impacted wisdom teeth, which is worth of clinical promotion.
出处
《中国药业》
CAS
2017年第6期43-45,共3页
China Pharmaceuticals
关键词
阻生智齿
拔牙术
醋酸地塞米松
张口受限
肿胀
mandibular impacted wisdom teeth
tooth extraction
dexamethasone acetate
mouth opening limit
swelling
