急性智齿冠周炎患者采用早期拔牙方法治疗的效果  

Effect of early tooth extraction treatment on acute permitonitis of wisdom tooth

作　　者：张雯雯[1] 于学垠[1] 张姝[1] Zhang Wenwen;Yu Xueyin;Zhang Shu(Department of Stomatology,Shenyang Seventh People's Hospital,Shenyang,Liaoning,110000,China)

机构地区：[1]沈阳市第七人民医院口腔科,辽宁沈阳110000

出　　处：《当代医学》2020年第27期59-61,共3页Contemporary Medicine

摘　　要：目的探讨急性智齿冠周炎患者采用早期拔牙方法治疗的效果。方法选取2017年9月至2019年9月本院收治的100例急性智齿冠周炎患者,按照随机数字表法分为对照组和观察组,每组50例。观察组患者采取早期拔牙方法治疗,术后给予抗感染处理,对照组患者先进行抗感染治疗,患者压痛症状缓解后再进行拔牙,观察两组治疗效果。结果观察组总有效率高于对照组,差异具有统计学意义(P<0.05);两组拔牙时间比较差异无统计学意义;观察组术后出血时间、用药时间、VAS评分均低于对照组,差异具有统计学意义(P<0.05);观察组肿胀程度、张口受限程度、并发症发生率均低于对照组,差异具有统计学意义(P<0.05)。结论急性智齿冠周炎患者采用早期拔牙方法治疗,可有效缩短手术时间、用药时间、术后出血时间,降低肿胀率、张口受限率、并发症发生率,且疼痛程度较低,临床效果确切。Objective To investigate the effect of early tooth extraction treatment in patients with acute pericoronitis of wisdom teeth.Methods From September 2017 to September 2019 of our hospital,100 cases of acute wisdom tooth pericoronitis patients,according to random number table method were divided into control group and observation group,with 50 cases in each group.Observation group treated with early tooth extraction methods,postoperative gives anti-infection treatment,the control group were treated with anti infective therapy,and then extracted teeth after the relief of tenderness,observed two groups of treatment effect.Results The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).There was no significant difference in tooth extraction time between the two groups.Postoperative bleeding time,medication duration and VAS scores in the observation group were all lower than in the control group(P<0.05).The degree of swelling,limitation of mouth opening and incidence of complications in the observation group were lower than those in the control group,with statistically significant difference(P<0.05).Conclusion Early tooth extraction treatment for acute pericoronitis of wisdom teeth can effectively shorten the operation time,medication time,postoperative bleeding time,reduce the rate of swelling,limited rate of mouth opening,incidence of complications,and the pain degree is low,the clinical effect is accurate.

关 键 词：急性智齿冠周炎 早期拔牙 疼痛 并发症 

分 类 号：R782.31[医药卫生—口腔医学]