牙周炎病史对口腔种植患者术中疼痛反应及术后疼痛持续时间的影响  

The influence of periodontitis history on intraoperative pain response and postoperative pain duration in patients with oral implants

作　　者：王蓓[1] 甄红 张枭[1] 聂溶冰[3] WANG Bei;ZHEN Hong;ZHANG Xiao;NIE Rongbin(Department of Dental Implantology,Ninth People′s Hospital Affiliated to School of Medicine of Shanghai Jiao Tong University,Stomatology College of Shanghai Jiao Tong University,Shanghai,200011;Clinical Research Center,Ninth People′s Hospital Affiliated to School of Medicine of Shanghai Jiao Tong University,Shanghai,200011;Department of Prosthodontics,Ninth People′s Hospital Affiliated to School of Medicine of Shanghai Jiao Tong University,College of Stomatology of Shanghai Jiao Tong University,Shanghai,200011)

机构地区：[1]上海交通大学医学院附属第九人民医院/上海交通大学口腔医学院口腔种植科,上海200011 [2]上海交通大学医学院附属第九人民医院临床研究中心,上海200011 [3]上海交通大学医学院附属第九人民医院/上海交通大学口腔医学院口腔修复科,上海200011

出　　处：《实用临床医药杂志》2021年第12期99-101,共3页Journal of Clinical Medicine in Practice

基　　金：上海交通大学文理交叉研究项目(17JCYA17);中国医学科学院医学与健康科技创新工程项目资助(2019-I2M-5-037)。

摘　　要：目的探讨牙周炎病史对口腔种植患者术中疼痛反应及术后疼痛持续时间的影响。方法选取行口腔种植手术患者499例为研究对象,以牙周炎病史为暴露因素,将患者分为暴露组88例与非暴露组411例。比较2组患者术中疼痛情况[视觉模拟评分法(VAS)]及术后疼痛持续时间。结果2组术中疼痛反应比较,差异无统计学意义(P>0.05)。暴露组术后疼痛时间中位数为3 d[四分位间距(IQR):2.5~5.5],非暴露组术后疼痛时间中位数为2 d(IQR:1~4)。Wilcoxon秩和检验显示,2组术后疼痛反应时间比较,差异有统计学意义(P<0.01)。多因素Logistic回归分析显示,牙周炎病史是口腔种植术后疼痛的独立影响因素(OR=2.59,95%CI:1.58~4.23)。结论牙周炎病史患者口腔种植术后的疼痛持续时间显著延长,临床需提高重视程度。Objective To investigate the effects of periodontitis history on intraoperative pain response and postoperative pain duration in patients with oral implants.Methods A total of 499 patients undergoing oral implant surgery were selected as study subjects.Based on the history of periodontitis as the exposure factor,the patients were divided into exposed group(n=88)and non-exposed group(n=411).The intraoperative pain[Visual Analogue Scale(VAS)]and the postoperative pain duration were compared between the two groups.Results There was no significant difference in intraoperative pain response between the two groups(P>0.05).The median duration of postoperative pain in the exposed group was three days[Interval of Quartiles(IQR):2.5 to 5.5],and was two days in the non-exposed group(IQR:1 to 4).Wilcoxon rank sum test showed that there was significant difference in postoperative pain response time between the two groups(P<0.01).Multivariate Logistic regression analysis showed that the history of periodontitis was an independent influencing factor for postoperative pain after oral implantation(OR=2.59,95%CI,1.58 to 4.23).Conclusion The pain duration of patients with a history of periodontitis after oral implantation is significantly prolonged,which should be paid more attention to clinically.

关 键 词：牙周炎 疼痛 口腔种植 队列研究 暴露因素 视觉模拟评分法 

分 类 号：R781.4[医药卫生—口腔医学] R782.12[医药卫生—临床医学]