天津医药

天津医药 ›› 2014, Vol. 42 ›› Issue (12): 1240-1242.doi: 10.3969/j.issn.0253-9896.2014.12.025

• 药物临床观察 • 上一篇    下一篇

地塞米松局部应用对阻生智齿拔除术后生活质量的影响

乔峰1,马恒香2,董瑞2,张健2   

  1. 1. 天津医科大学口腔医院颌面外科
    2. 天津医科大学口腔医院
  • 收稿日期:2014-01-21 修回日期:2014-07-21 出版日期:2014-12-15 发布日期:2014-12-15
  • 通讯作者: 乔峰 E-mail:qiaofng@gmail.com

Evaluate the effect of topical application of dexamethasone on postoperative quality of life of extraction impacted wisdom teeth

QIAO Feng ,MA Hengxiang ,DONG Rui ,ZHANG Jian   

  1. The Stomatology Hosiptal of Tianjin Medical University, Tianjin 300070, China
  • Received:2014-01-21 Revised:2014-07-21 Published:2014-12-15 Online:2014-12-15
  • Contact: QIAO Feng E-mail:qiaofng@gmail.com

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摘要：

【摘要】 目的 评价地塞米松（DXM）加入阻滞麻醉中对阻生智齿拔除术后患者生活质量的影响。 方法 选取 120 例下颌阻生智齿拔除患者， 采用随机数字表法将患者分为试验组和对照组， 每组 60 例。 其中试验组术前将 2% 利多卡因 4 mL+地塞米松 1 mL(5 mg)混合后将其中的 3 mL 行局部麻醉注射阻滞牙槽神经。 对照组术前单独使用 2%利多卡因 3 mL 行下牙槽神经阻滞麻醉。 2 组患者术后生活质量由智齿拔除术后症状严重度量表（PoSSe 量表）评价， 分析并比较 2 组得分。 结果 试验组的 PoSSe 量表总得分为 18.059 1±13.210 9， 低于对照组的 27.819 3±15.716 9 （P＜ 0.05）。 试验组饮食、语言、肿胀、疼痛及日常生活积分均低于对照组（P＜ 0.05）。 结论 下颌阻生智齿拔除前加入地塞米松在局部阻滞麻醉中可降低患者术后不良反应， 提高了患者的生活质量。

关键词: 拔牙, 磨牙, 第三, 牙, 阻生, 地塞米松, 生活质量, 评价研究

Abstract:

[Abstract] Objective To investigate the effect of dexamethasone addition in block anesthesia before surgery on postoperative quality of life after extraction of impacted mandibular wisdom teeth. Methods Using a random number table, 120 cases of patients were divided into experimental and control groups, each group contains 60 cases whose mandibular wis? dom tooth will be extracted. Before the surgery, the experimental group patients perform local block anesthetic injection with 3 mL out of 5 mL mixture of 2% lidocaine 4 mL + dexamethasone 1 mL (5 mg) to block nerve. The control group was given block anesthesia of inferior alveolar nerve with 3 mL of 2% lidocaine block anesthesia alone. Improved postoperative symp? toms severity scale (PoSSe) was used to evaluate patients’ quality of life after tooth extraction comprehensively and quantita? tively by analysis and comparison of the two sets of scores. Results The experimental group’ s PoSSe scores were 18.059 1 ± 13.210 9, which was lower compared with control group (27.819 3 ± 15.716 9). In experimental group, diet, language, swelling, pain and daily points were lower than the control group (P＜ 0.05). Conclusion Topical application of dexamethasone in mandibular wisdom tooth extraction reduces postoperative adverse reactions in a certain degree and im? prove postoperative quality of life.

Key words: tooth extraction, molar, third, tooth, impacted, dexamethasone, quality of life, evaluation studies