中药外敷促进无痛拔牙术后患者康复临床研究  

Clinical Study of the External Application of Chinese Medicine in Promoting Rehabilitation of Patients After Painless Tooth Extraction

作　　者：刘银华 马伟斌 LIU Yinhua;MA Weibin

机构地区：[1]金昌市第一人民医院,甘肃金昌737000

出　　处：《新中医》2018年第7期160-162,共3页New Chinese Medicine

摘　　要：目的:观察中药外敷促进无痛拔牙术后患者康复的疗效。方法:收集于本院口腔科进行阻生智齿拔除术的90例患者,随机分为治疗组和对照组各45例。2组均采取靶控输注泵静脉滴注丙泊酚注射液,完成拔牙,对照组于拔牙术后1天口服头孢克肟片、替硝唑片,连续3天;治疗组在对照组用药基础上于拔完牙后2 h用中药外敷(金银花、菊花、连翘、板蓝根、大青叶、赤芍、败酱草),连续7天。比较2组拔牙术后患者的生活质量[应用术后症状严重程度量表(PoSSe)]、疼痛强度[应用疼痛视觉模拟评分法(VAS)],统计不良反应发生情况。结果:术后3天,治疗组VAS评分低于对照组(P<0.01);术后7天,2组VAS评分比较,差异无统计学意义(P>0.05)。术后7天,治疗组言语、饮食、肿胀及日常生活积分均低于对照组(P<0.01)。治疗组不良反应发生率17.78%,低于对照组的33.33%,差异有统计学意义(P<0.01)。结论:中药外敷对无痛拔牙术后患者有提高生活质量、明显减轻疼痛的效果,且安全性较好。Objective：To observe the curative effect of the external application of Chinese medicine in promoting rehabilitation of patients after painless tooth extraction. Methods：Collected 90 cases of patients who received the extraction of impacted wisdom tooth in our department of dentistry,and divided them into the treatment group and the control group randomly,45 cases in each group. Both groups pumped intravenous propofol injection so as to extract the tooth by applying the target-controlled infusion. The control group was given cefixime tablets and tinidazole tablets orally and continuously for three days after tooth extraction, while the treatment group additionally received the external application of Chinese medicine continuously for seven days after two hours of the tooth extraction（honeysuckle,chrysanthemum,weeping forsythia,isatis root,dyers woad leaf,red peony root,patrinia）. Compared the quality of life of patients after tooth extraction [applied postoperative symptoms severity scale（Po SSe）] and pain intensity[applied pain visual analogue scale（VAS）] in the two groups,and counted the incidence of adverse reaction. Results：After three days of treatment,the VAS score in the treatment group was lower than that in the control group（P〈0.01）. After seven days of treatment, there was no significant difference being found in the comparison of VAS scores in the two groups（P〉0.05）. After seven days of treatment,scores of speech,diet, swelling and daily life in the treatment group were lower than those in the control group（P〈0.01）. The incidence of adverse reaction was 17.78% in the treatment group,being higher than that of 33.33% in the control group,difference being significant（P〈0.01）. Conclusion：The external application of Chinese medicine has an effect of improving quality of life and obviously reducing pain of patients after painless tooth extraction and its safety is significant.

关 键 词：拔牙 中西医结合疗法 中药外敷 术后症状严重程度量表(PoSSe) 疼痛视觉模拟评分法(VAS) 生活质量 不良反应 

分 类 号：R78[医药卫生—口腔医学]