首页|rhEGF联合利多卡因与维生素E治疗儿童复发性口腔溃疡的效果

rhEGF联合利多卡因与维生素E治疗儿童复发性口腔溃疡的效果

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目的 探讨重组人表皮生长因子(rhEGF)联合利多卡因与维生素E治疗儿童复发性口腔溃疡(ROU)的临床效果.方法 选取 2022 年7 月—2023年 6 月期间南阳医学高等专科学校第一附属医院口腔科收治的 94 例ROU患儿为研究对象,采用随机数字表法分为对照组及观察组,每组 47 例.对照组采用维生素E联合利多卡因治疗,观察组在此基础上采用rhEGF治疗.比较两组患儿的症状改善情况、疼痛评分、溃疡面积、炎症指标及总有效率.结果 观察组的疼痛缓解时间、溃疡愈合时间、进食改善时间分别为(3.16±1.06)d,(4.37±0.92)d,(3.49±1.04)d,均短于对照组,组间差异有统计学意义(P﹤0.05).治疗 3d后,观察组的疼痛评分、白细胞介素-8、肿瘤坏死因子-α水平均低于对照组,溃疡面积小于对照组,组间差异有统计学意义(P﹤0.05).观察组的治疗总有效率为 97.87%,高于对照组的 82.98%,差异有统计学意义(P﹤0.05).两组的用药相关不良反应总发生率比较,差异无统计学意义(P﹥0.05).结论 采用rhEGF联合利多卡因与维生素E治疗儿童ROU的效果理想,能促进临床症状消退,降低患儿炎症指标水平,且在加速溃疡愈合及改善其口腔状况方面也有积极作用.
Efficacy of RhEGF Combined with Lidocaine and Vitamin E in the Treatment of Recurrent Oral Ulcers in Children
Objective To investigate the clinical effect of recombinant human epidermal growth factor(rhEGF)combined with lidocaine and vitamin E in the treatment of recurrent oral ulcer(ROU)in children.Methods 94 ROU children admitted to the department of stomatology in the first affiliated hospital of Nanyang medical college from July 2022 to June 2023 were selected as the research objects and were divided into a control group and an observation group by random number table method,with 47 cases in each group.The control group was treated with vitamin E combined with lidocaine,and the observation group was treated with rhEGF on this basis.The symptom improvement,pain score,ulcer area,inflammation indexes and total effective rate were compared between the two groups.Results The pain relief time,ulcer healing time and feeding improvement time in the observation group were(3.16±1.06)d,(4.37±0.92)d and(3.49±1.04)d,respectively,which were shorter than those in the control group,and the differences between the groups were statistically significant(P﹤0.05).After 3 days of treatment,the pain score,ulcer area,interleukin-8 and tumor necrosis factor-α levels in the observation group were lower than those in the control group,and the differences between the groups were statistically significant(P﹤0.05).The total effective rate of the observation group was 97.87%,higher than 82.98% of the control group,and the difference was statistically significant(P﹤0.05).There was no significant difference in the total incidence of drug-related adverse reactions between the two groups(P﹥0.05).Conclusion rhEGF combined with lidocaine and vitamin E has an ideal effect in the treatment of ROU in children,which can promote the regression of clinical symptoms,reduce the level of inflammatory indicators,and accelerate the healing of ulcer and improve the oral status of children.

Recurrent oral ulcersChildrenRecombinant human epidermal growth factorLidocaineVitamin EClinical

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南阳医学高等专科学校口腔系,河南南阳 473000

复发性口腔溃疡 儿童 重组人表皮生长因子 利多卡因 维生素E 临床症状

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(1)
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