脉冲钕激光对妊娠期智齿冠周炎的疗效分析及对孕妇牙科焦虑症的影响  

Effect of Pulsed Nd:YAG Laser on Pregnancy-associated Pericoronitis and Dental Anxiety in Pregnant Women

作　　者：贡天远 沈亚峰[1] 张超杰 热依沙·阿布都克依木 徐江[1] GONG Tianyuan;SHEN Yafeng;ZHANG Chaojie;Reisha·Abdukim;XU Jiang(Department of Stomatology, the First Affiliated Hospital of Shihezi University Medical College, Shihezi 832000, China;Department of Maxillofacial Surgery, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830001, China.)

机构地区：[1]石河子大学医学院第一附属医院口腔科,新疆石河子832000 [2]新疆医科大学第一附属医院颌面外科,新疆乌鲁木齐830001

出　　处：《口腔医学研究》2020年第10期942-947,共6页Journal of Oral Science Research

基　　金：国家自然科学基金地区科学基金项目(编号:81560442)。

摘　　要：目的:分析脉冲Nd:YAG激光辅助治疗妊娠期智齿冠周炎的短期疗效及对孕妇牙科焦虑症(DA)的影响,旨在为妊娠期智齿冠周炎提供新的疗法。方法:收集2017年9月~2019年5月就诊于齿槽外科的轻度妊娠期智齿冠周炎患者共68例,按就诊顺序随机分为两组(n=34),治疗周期为1周,非激光组组给予常规冠周冲洗术,激光组给予常规冠周冲洗术联合脉冲Nd:YAG激光辅助治疗。比较两组治疗过程中疼痛程度(NRS)、张口度、牙龈指数(GI)、出血指数(BI)、MDAS评分、总有效率、复发率及妊娠结局。结果:治疗第2~5天激光组张口度、NRS、GI、BI较非激光组均有所改善(P<0.05),第1、7天两组相比差异无统计学意义(P>0.05)。治疗第1次时激光组DA人数较非激光组减少(P<0.01)。1周后激光组总有效率大于非激光组(P<0.05)。6个月后激光组复发率小于非激光组(P<0.05)。68例患者均未见不良妊娠结局。结论:脉冲Nd:YAG激光辅助治疗轻度妊娠期智齿冠周炎短期疗效显著、安全,且能够缓解孕妇牙科焦虑症,值得参考。Objective:To analyze the short-term efficacy of pulsed Nd:YAG laser-assisted treatment on pericoronitis during pregnancy and its effect on dental anxiety in pregnant women.Methods:68 patients with mild pregnancy-associated pericoronitis during the alveolar surgery from September 2017 to May 2019 were collected and randomly divided into two groups(n=34)according to the order of treatment.The treatment period was one week.The non-laser group was given conventional pericoronal irrigation and the laser group was given adjuvant therapy with pulsed Nd:YAG laser.The pain degree(NRS),mouth opening,gingival index(GI),bleeding index(BI),MDAS score,total effective rate,recurrence rate,and pregnancy outcome were compared between two groups.Results:The mouth opening degree,NRS,GI,and BI of the laser group were improved compared with the control group on the 2nd-5th days(P<0.05),however,no difference on the 1st and 7th days(P>0.05).The number of DA in the laser group was lower than that in the non-laser group on the first time of treatment(P<0.01).After 1 week,the total effective rate of the laser group was greater than that of the non-laser group(P<0.05).After 6 months,the recurrence rate in the laser group was lower than that in the non-laser group(P<0.05).None of the 68 patients had adverse pregnancy outcome.Conclusion:Pulsed Nd:YAG laser-assisted treatment has significant short-term efficacy on mild pregnancy-associated pericoronitis.It is safety and can alleviate dental anxiety in pregnant women.

关 键 词：脉冲钕激光 妊娠期女性 智齿冠周炎 牙科焦虑症 临床疗效 

分 类 号：R78[医药卫生—口腔医学]