云南白药联合明胶海绵用于拔牙后出血的临床效果观察  

Effect of Yunnanbaiyao combined with gelatin sponge on wound healing after tooth extraction

作　　者：赵国强 施更生 林海升 童永青 梁涛 

机构地区：[1]台州恩泽医疗中心(集团)浙江省台州医院口腔科,浙江省台州317000

出　　处：《中国基层医药》2017年第23期3579-3582,共4页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的 观察云南白药联合明胶海绵用于拔牙后出血的临床效果.方法 选取拔牙术患者72例,采用随机数字表法分为观察组（云南白药＋明胶海绵）与对照组（明胶海绵）.对比两组患者治疗后止血情况及塞治后12 h、24h后疼痛改善情况,并于治疗7d后观察两组患者创面愈合情况.结果 治疗1h后,观察组止血总有效率为91.67％,对照组总有效率为69.44％,观察组止血有效率显著高于对照组（x^2=7.32,P=0.007）.观察组塞治12 h（t =23.44,P=0.000）及24 h（t =22.86,P=0.000）后VAS评分均降低,对照组塞治12 h（t=19.87,P=0.000）及24 h（t=18.47,P=0.000）后VAS评分均降低;组间比较,塞治12 h（t =7.03,P=0.000）及24 h（t =5.03,P=0.000）后,观察组VAS评分均低于对照组,差异均有统计学意义（均P＜0.05）.观察组治疗7 d（t =8.12,P=0.00）后创面愈合情况好转,对照组治疗7 d（t =5.39,P=0.000）后创面愈合情况好转;组间比较,治疗7d后,观察组创面愈合情况优于对照组,差异有统计学意义（t =2.88,P=0.005）.结论 云南白药联合明胶海绵能够缓解拔牙术后出血症状,促进创伤局部愈合,降低患者痛感.Objective To observe the effect of Yunnanbaiyao combined with gelatin sponge on wound healing in patients with post-extraction hemorrhage.Methods 72 patients received dental extraction were selected,and they were divided into observation group （Yunnanbaiyao ＋ gelatin sponge） and control group （gelatin） according to the digital table,each group in 36cases.The hemostasis after treatment and the improvement of pain after 12h and 24h after treatment were observed.The wound healing was observed in the two groups after 7 days of treatment.Results After treatment,the total effective rate was 91.67% in the observation group and 69.44% in the control group.The effective rate of hemostasis in the observation group was significantly higher than that of the control group（x^2 =7.32,P =0.007）.The VAS scores of the observation group at 12 h （t =23.44,P =0.000） and 24h （t =22.86,P =0.000） after pack treatment obviously decreased;The VAS scores of the control group at 12h（t =19.87,P =0.000） and 24h （t =18.47,P =0.000） after pack treatment obviously decreased;The VAS scores of the observation group at 12h and 24h after pack treatment was lower than those of the control group,the differences were statistically significant（t =7.03,5.03,all P =0.000）.The wound healing of the observation group was improved after 7d treatment（t =8.12,P =0.00）;The wound healing of the control group was improved after 7d treatment（t =5.39,P =0.00）;The wound healing of the observation group was better than that of the control group,the differences were statistically significant （t =2.88,P =0.005）.Conclusion Yunnanbaiyao combined with gelatin sponge can relieve the bleeding symptoms after tooth extraction,promote wound healing,reduce the patients＇ pain.

关 键 词：拔牙 止血 镇痛 云南白药 明胶海绵 

分 类 号：R782.11[医药卫生—口腔医学]