临床误诊误治2024,Vol.37Issue(2) :82-86.DOI:10.3969/j.issn.1002-3429.2024.02.015

铒激光治疗对颌骨囊肿患者疗效、疼痛、舒适度、疼痛介质的影响

Effect of Erbium Laser Therapy on Efficacy,Pain,Comfort,and Pain Mediators in Patients with Jaw Cysts

李士辉 何志良 马慧颖 岳琳 曹雷
临床误诊误治2024,Vol.37Issue(2) :82-86.DOI:10.3969/j.issn.1002-3429.2024.02.015

铒激光治疗对颌骨囊肿患者疗效、疼痛、舒适度、疼痛介质的影响

Effect of Erbium Laser Therapy on Efficacy,Pain,Comfort,and Pain Mediators in Patients with Jaw Cysts

李士辉 1何志良 1马慧颖 1岳琳 1曹雷1
扫码查看

作者信息

  • 1. 067000 河北 承德,承德市中心医院口腔科
  • 折叠

摘要

目的 观察比较铒激光、传统方法对颌骨囊肿患者疗效、疼痛、舒适度、疼痛介质的影响.方法 选取2018 年10 月—2022 年10 月收治的300 例颌骨囊肿,根据手术方案分为铒激光组150 例和传统组150 例,分别采取铒激光治疗、传统刮治术治疗.统计2 组围术期情况,治疗前后疼痛介质、口腔微生物群菌落数,以及术后舒适度、临床疗效、术后并发症.结果 铒激光组术后24h疼痛程度轻于传统组,术中出血量少于传统组,舒适度优于传统组(P<0.01);术后12h铒激光组血清P物质、前列腺素E2、神经肽Y水平低于传统组(P<0.05);术后3 个月、6 个月铒激光组双歧杆菌菌落数高于传统组,放线杆菌、牙龈卟啉单胞菌菌落数低于传统组(P<0.05);术后 6 个月 2 组治疗总有效率、术后并发症比较差异无统计学意义(P>0.05).结论 铒激光、传统方法在颌骨囊肿患者治疗中效果相当,铒激光治疗可减少患者术中出血量,缓解疼痛程度,维持口腔微生物群平衡,提高舒适度,减轻应激反应.

Abstract

Objective To investigate the effects of erbium laser therapy and traditional methods on pain,comfort and pain mediators in patients with jaw cyst.Methods A total of 300 patients with jaw cyst treated from October 2018 to October 2022 were selected and divided into erbium laser group(n =150)and traditional group(n =150)according to the surgical plan.The perioperative situation,pain mediators and number of oral microbiota before and after treatment,comfort level,clinical efficacy and complications after operation of the two groups were analyzed.Results The pain degree of erbium laser group at 24 h after operation was better than that of traditional group,the amount of intraoperative blood loss was less than that of traditional group,and the comfort level was better than that of traditional group(P<0.01).Serum levels of substance P,prostaglandin E2 and neuropeptide Y in erbium laser group at 12 h after operation were lower than those in traditional group(P<0.05).At 3 months and 6 months after operation,the number of bifidobacterium colonies in erbium laser group was higher than that in traditional group,and the number of actinobacterium and porphyrin gingival monocellular bacteria colonies was lower than that in traditional group(P<0.05).There was no significant difference in the total effective rate and postoper-ative complications between the two groups at 6 months after surgery(P>0.05).Conclusion Erbium laser and traditional methods have comparable results in the treatment of patients with jaw cyst.Erbium laser treatment reduces the amount of intra-operative blood loss in patients,relieves the pain degree,maintains balance of oral microbiota,improves comfort,and has fe-wer impacts on the pain mediators.

关键词

颌骨囊肿/铒激光/疼痛/术中出血量/舒适度/前列腺素E2/神经肽Y/手术后并发症

Key words

Jaw cyst/Erbium laser/Pain/Intraoperative blood loss/Comfort level/Prostaglandin E2/Neuropeptide Y/Postoperative complication

引用本文复制引用

基金项目

承德市科技支撑计划(202006A018)

出版年

2024
临床误诊误治
解放军白求恩国际和平医院

临床误诊误治

CSTPCD
影响因子:0.914
ISSN:1002-3429
参考文献量23
段落导航相关论文