下颌阻生智齿拔除术后药物治疗期间应用持续性冷敷的干预效果
Intervention Effect of Continuous Cold Compress During Drug Treatment After Mandibular Impacted Wisdom Teeth Extraction
张燕 1魏士刚 1刘纪雷 1谢志文 1竹永仲1
作者信息
- 1. 河南中医药大学第一附属医院口腔科,河南 郑州 450000
- 折叠
摘要
目的:探讨持续性冷敷联合局部注射地塞米松对下颌阻生智齿拔出术后肿胀、疼痛及并发症的影响.方法:将我院 2022 年 3 月—2023 年 3 月收治的 92 例下颌阻生智齿患者,随机分为对照组和观察组,每组 46 例.两组均予以局部注射地塞米松治疗,在此基础上,对照组予以常规护理干预,观察组在对照组基础上予以持续性冷敷.比较两组术后肿胀、疼痛情况、张口受限程度、生活质量及术后并发症情况.结果:术后12 h、24 h,观察组面部肿胀程度低于对照组(P<0.05);术后 6 h、12 h、24 h,观察组视觉模拟评分(VAS)均低于对照组(P<0.05);术后 7 d,观察组张口受限程度低于对照组(P<0.05);观察组术后症状严重程度量表(PoSSe)各项评分均低于对照组(P<0.05);观察组术后并发症发生率为4.35%,低于对照组的 15.22%(P<0.05).结论:持续性冷敷联合局部注射地塞米松可降低下颌阻生智齿拔除术后肿胀,减轻疼痛感,改善张口受限程度与生活质量,降低术后并发症发生率.
Abstract
Objective:To investigate the effects of continuous cold compress combined with local dexamethasone injection on swelling,pain and complications after mandibularimpacted wisdom teeth extraction.Methods:A total of 92 patients with impacted mandibular impacted wisdom teeth admitted to our hospital from March 2022 to March 2023 were randomly divided into control group and observation group,with 46 patients in each group.Both groups were treated with local injection of dexamethasone.On this basis,the control group was given routine nursing intervention,and the observation group was given continuous cold compress on the basis of the control group.The postoperative swelling,pain,limitation of mouth opening,quality of life and postoperative complications were compared between the two groups.Results:At 12 h and 24 h after operation,the degree of facial swelling in the observation group was lower than that in the control group(P<0.05).At 6 h,12 h and 24 h after operation,the visual analogue score(VAS)of the observation group was lower than that of the control group(P<0.05).At 7 days after operation,the degree of limitation of mouth opening in the observation group was lower than that in the control group(P<0.05).The scores of Postoperative Symptom Severity Scale(PoSSe)in the observation group were lower than those in the control group(P<0.05).The incidence of postoperative complications in the observation group was 4.35%,which was lower than 15.22%in the control group(P<0.05).Conclusion:Continuous cold compress combined with local injection of dexamethasone can reduce the swelling after extraction of mandibular impacted wisdom teeth,relieve pain,improve the degree of mouth opening limitation and quality of life,and reduce the incidence of postoperative complications.
关键词
持续性冷敷/下颌阻生智齿/术后肿胀Key words
Continuous cold compress/Mandibular impacted wisdom teeth/Postoperative swelling/complications引用本文复制引用
基金项目
2021年河南省卫生健康委国家中医临床研究基地科研专项(2021JDZY024)
出版年
2024
NETL
NSTL
万方数据