中外医疗
中外醫療
중외의료
China Foreign Medical Treatment
2015年
27期
104-105,110
,共3页
地塞米松%替硝唑%下颌阻生齿%局部注射
地塞米鬆%替硝唑%下頜阻生齒%跼部註射
지새미송%체초서%하합조생치%국부주사
Dexamethasone%Tinidazole%Mandibular teeth%Local injection
目的 探讨地塞米松与替硝唑局部注射用于下颌阻生齿拔除手术后的临床效果. 方法 随机选取2012年1月-2014年12月收治的拔除下颌阻生齿手术后的病人共100例,随机分为实验组与常规组,每组有50例. 实验组采用局部注射地塞米松与替硝唑,常规组术后不给予局部注射地塞米松与替硝唑治疗,对比两组病人的临床应用效果,包括张口受限程度与局部肿胀程度. 结果 治疗之后实验组0度张口困难有29例,常规组有12例;II度张口困难的患者在实验组仅仅有1例,而在常规组有13例,实验组患者张口受限程度低于常规组, 差异有统计学意义 (P<0.05). 治疗之后实验组病人的局部肿胀情况有23例轻度病人,常规组有13例轻度病人;实验组的重度病人仅仅有2例,而常规组却有14例的重度病人. 实验组病人的局部肿胀情况低于常规组,差异有统计学意义(P<0.05). 结论 进行下颌阻生齿拔除手术后的病人给予地塞米松联合替硝唑局部注射的临床治疗效果满意,能够显著降低病人的张口困难程度及局部肿胀情况 ,制定临床推广应用.
目的 探討地塞米鬆與替硝唑跼部註射用于下頜阻生齒拔除手術後的臨床效果. 方法 隨機選取2012年1月-2014年12月收治的拔除下頜阻生齒手術後的病人共100例,隨機分為實驗組與常規組,每組有50例. 實驗組採用跼部註射地塞米鬆與替硝唑,常規組術後不給予跼部註射地塞米鬆與替硝唑治療,對比兩組病人的臨床應用效果,包括張口受限程度與跼部腫脹程度. 結果 治療之後實驗組0度張口睏難有29例,常規組有12例;II度張口睏難的患者在實驗組僅僅有1例,而在常規組有13例,實驗組患者張口受限程度低于常規組, 差異有統計學意義 (P<0.05). 治療之後實驗組病人的跼部腫脹情況有23例輕度病人,常規組有13例輕度病人;實驗組的重度病人僅僅有2例,而常規組卻有14例的重度病人. 實驗組病人的跼部腫脹情況低于常規組,差異有統計學意義(P<0.05). 結論 進行下頜阻生齒拔除手術後的病人給予地塞米鬆聯閤替硝唑跼部註射的臨床治療效果滿意,能夠顯著降低病人的張口睏難程度及跼部腫脹情況 ,製定臨床推廣應用.
목적 탐토지새미송여체초서국부주사용우하합조생치발제수술후적림상효과. 방법 수궤선취2012년1월-2014년12월수치적발제하합조생치수술후적병인공100례,수궤분위실험조여상규조,매조유50례. 실험조채용국부주사지새미송여체초서,상규조술후불급여국부주사지새미송여체초서치료,대비량조병인적림상응용효과,포괄장구수한정도여국부종창정도. 결과 치료지후실험조0도장구곤난유29례,상규조유12례;II도장구곤난적환자재실험조부부유1례,이재상규조유13례,실험조환자장구수한정도저우상규조, 차이유통계학의의 (P<0.05). 치료지후실험조병인적국부종창정황유23례경도병인,상규조유13례경도병인;실험조적중도병인부부유2례,이상규조각유14례적중도병인. 실험조병인적국부종창정황저우상규조,차이유통계학의의(P<0.05). 결론 진행하합조생치발제수술후적병인급여지새미송연합체초서국부주사적림상치료효과만의,능구현저강저병인적장구곤난정도급국부종창정황 ,제정림상추엄응용.
Objective To investigate the effect of tinidazole dexamethasone and local injection for clinical effect of mandibular im-pacted tooth extraction after operation. Methods 100 cases of extracting impacted mandibular third molar surgery patients from 2012 January to 2014 December were divided into experimental group and conventional group, each group had 50 cases. Under the premise that the informed consent of patients, the experimental group was treated with local injection of dexamethasone and Tinidazole,) in the routine group not given topical injection of dexamethasone and tinidazole in treatment, the clinical effect of the patients in the two groups were compared, including the limitation of mouth opening and local swelling degree. Results After treat-ment experimental group 0 degrees of difficulty in opening mouth, 29 cases, 12 cases in the control group; II degree of trismus in patients in the experimental group, only 1 case, and in the conventional group have 13 cases. Patients in the experimental group limited mouth opening degree lower than normal group, the difference was statistically significant (P<0.05). The treatment after ex-perimental local swelling in the patient group with 23 cases of patients with mild and routine group has 13 cases of patients with mild; experimental group of severe patients only in 2 cases, and conventional group has 14 cases of severe patients. The local swelling of the patients was lower than that of the conventional group (P<0.05). Conclusion Mandibular impacted tooth extraction surgery patients give the clinical therapeutic effect of local injection of dexamethasone combined with tinidazole is satisfied and can significantly reduce the patient's difficulty in opening mouth extent and local swelling, formulation of clinical application.
