围术期抗菌药物对控制多颗阻生第三磨牙拔除术后并发症的研究  

Application of antibiotics during perioperative period to prevent postoperative complications following the extraction of multiple impacted third molar

作　　者：张瑞[1] 张建华[1] ZHANG Rui;ZHANG Jian-hua(Department of Stomatology,Nanjing First Hospital,Nanjing Medical University,Jiangsu Nanjing 210000,China)

机构地区：[1]南京医科大学附属南京医院(南京市第一医院)口腔科,江苏南京210000

出　　处：《临床口腔医学杂志》2018年第12期744-746,共3页Journal of Clinical Stomatology

基　　金：南京市医学科技发展项目(YKK14093)

摘　　要：目的:探讨多颗阻生第三磨牙拔除术围术期抗菌药物合理有效的使用方法。方法:选取拔除阻生第三磨牙患者126例,按照围术期术前30 min^1 h静脉输注1次抗菌药物为A组(63例),术后静脉输注抗菌药物2 d为B组(63例)。术后第2、7 d随访观察2组患者在干槽症,术创感染,面颊部肿胀,张口度,术后疼痛方面的发生情况。结果:A、B两组患者在干槽症,术创感染,面颊部肿胀,张口度,术后疼痛方面,差异均无统计学意义(P> 0. 05)。结论:多颗阻生第三磨牙拔除术术后使用2 d抗菌药物并不能有效减少术后并发症。Objective: To investigate the rational and effective method of antibiotics on the postoperative complications of multiple impacted third molar extraction. Methods: Totally 126 patients were treated in group A( 63 cases) by intravenous infusion from 30 minutes to 1 hour before operation and group B( 63 cases) with postoperative intravenous infusion of antibiotic 2 days. Postoperative complications including alveolar osteitis( AO) , surgical site infection( SSI) , cheek swelling,trismus and postoperative pain were recorded 2 and 7 d after the surgery respectively. Results: There was no significant difference in AO,SSI,cheek swelling,trismus and postoperative pain between two groups( P > 0. 05) . Conclusion: The multidose use of antibiotics 2 days cannot effectively reduce the postoperative complications after extraction of multiple impacted third molar.

关 键 词：阻生第三磨牙 牙拔除术 围术期 抗菌药物 

分 类 号：R782.11[医药卫生—口腔医学]