摘要
目的探讨下颌中低位阻生牙拔除术后盐酸米诺环素软膏明胶海绵填塞的临床效果。方法选取2017年6月至2019年6月在我院诊治的下颌阻生牙患者120例作为研究对象,按时间先后顺序分为两组,2017年6月至2018年6月入组患者为对照组,2018年7月至2019年6月入组患者为试验组,试验组患者拔除下颌中低位阻生牙后拔牙窝予填塞盐酸米诺环素软膏明胶海绵,对照组患者则拔除下颌中低位阻生牙后拔牙窝予填塞碘仿明胶海绵。比较两组手术时间、疼痛值(VAS)、拔牙前、后张口度与面部肿胀度。结果两组手术时间比较,差异无统计学意义(P>0.05);拔牙术后疼痛值试验组低于对照组,差异有统计学意义(P<0.05);术后第3天,两组张口受限度比较,差异无统计学意义(P>0.05),术后第7天,两组差异有统计学意义(P<0.05);术后第3天,两组面部肿胀度比较,差异无统计学意义(P>0.05),术后第7天,两组面部肿胀度比较,差异无统计学意义(P>0.05)。结论下颌中低位阻生牙拔除术后拔牙创的两种填塞物质均有利于拔牙创口的恢复,但盐酸米诺环素软膏明胶海绵更有利于术后患者张口受限的恢复,明显减轻患者疼痛,值得临床推广使用。
Objective To investigate the clinical efficacy of applying gelatin sponge filled with minocycline hydrochloride ointment after extraction of mandibular impacted teeth in a middle-lower position.Methods A total of 120 patients with mandibular impacted teeth treated in our hospital from June 2017 to June 2019 were selected as the study subjects and divided into two groups in chronological order.Patients enrolled from June 2017 to June 2018 were the control group and patients enrolled from July 2018 to June 2019 were the experimental group.The extraction sockets of the patients in the experimental group were filled with gelatin sponge with minocycline hydrochloride ointment after the extraction of mandibular impacted teeth in a middle-lower position,while the extraction sockets of the patients in the control group were filled with iodoform gelatin sponge after the extraction of mandibular impacted teeth in a middle-lower position.The operative time,VAS,pre-extraction and post-extraction mouth opening and facial swelling of the two groups were measured.Results There was no significant difference in the operative time between the two groups(P>0.05).The postoperative pain value of the minocycline hydrochloride ointment group was lower than that of the iodoform group(P<0.05).There was no statistically significant difference between the mouth opening limitation of two groups on the third day after surgery(P>0.05),while the difference between the two groups was statistically significant on the seventh day after surgery(P<0.05).The facial swelling was compared between the two groups,and there was no statistically significant difference between the two groups on the third day after surgery(P>0.05).Meanwhile,there was no statistically significant difference in facial swelling between the two groups on the seventh day after surgery(P<0.05).Conclusion Both filling substances for extraction wounds after the extraction of mandibular impacted teeth in a middle-lower position are beneficial to the recovery of extraction wounds.How
作者
王文雅
郑升标
WANG Wenya;ZHENG Shengbiao(Department of Stomatology,Yihui Fund Hospital of Shanwei City,Shanwei Second People's Hospital,Guangdong,Shanwei 516600,China)
出处
《中国医药科学》
2021年第15期204-207,共4页
China Medicine And Pharmacy
基金
广东省汕尾市科技计划项目(2017C010)。
关键词
下颌阻生牙
盐酸米诺环素软膏
碘仿
明胶海绵
Mandibular impacted teeth
Minocycline hydrochloride ointment
Iodoform
Gelatin sponge
