微型钛板坚固内固定联合牵引钉或牙弓夹板治疗颌骨骨折的效果及经济性评价  

Effectiveness and Economic Evaluation of Mini-titanium Plate Rigid Internal Fixation Combined with Traction Nail or Dental Arch Splint in the Treatment of Jaw Fractures

作　　者：郑义稳[1] ZHENG Yiwen(Lingshan People’s Hospital,Lingshan 535400,China)

机构地区：[1]灵山县人民医院,广西灵山535400

出　　处：《中外医学研究》2022年第13期29-33,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:分析微型钛板坚固内固定联合牵引钉或牙弓夹板治疗颌骨骨折的经济性与临床效果。方法:选取2019年1月-2020年10月灵山县人民医院收治40例颌骨骨折患者作为研究对象,采用随机数字表格法分组,各20例,两组均行微型钛板坚固内固定,对照组使用牙弓夹板治疗,研究组使用牵引钉治疗,对比两组牙周情况、咬合关系、咀嚼功能、生活质量。结果:术前两组患者牙龈、软垢、菌斑指数对比,差异无统计学意义(P>0.05);术后3个月两组牙龈、软垢、菌斑等指数均升高,与术前对比,差异有统计学意义(P<0.05);研究组术后3个月牙龈、软垢、菌斑指数低于对照组,差异有统计学意义(P<0.05)。研究组患者术前咀嚼功能与对照组比较,差异无统计学意义(P>0.05);术后3个月两组咀嚼功能评分均下降,与术前对比,差异有统计学意义(P<0.05);术后3个月研究组咀嚼功能评分低于对照组,差异有统计学意义(P<0.05),研究组医疗费用高于对照组,差异有统计学意义(P<0.05)。两组患者咬合关系优良率均为100%,比较差异无统计学意义(P>0.05);研究组术后舒适度优良率为100%、高于对照组30.00%,差异有统计学意义(P<0.05)。两组患者术前生活质量SF-36评分对比,差异无统计学意义(P>0.05);术后3个月两组评分均明显升高,与术前对比,差异有统计学意义(P<0.05);术后3个月研究组生活质量SF-36评分高于对照组,差异有统计学意义(P<0.05)。结论:颌骨骨折患者使用微型钛板坚固内固定治疗联合牙弓夹板或牵引钉治疗均可获得良好咬合关系,但后者有助于更好地改善患者牙周情况,提高患者咀嚼功能、口腔舒适度,改善患者生活质量,值得推广;但该方法价格偏高,经济性方面有待改善。Objective:To analyze the economic and clinical effects of mini-titanium plate rigid internal fixation combined with traction nails or dental arch splints in the treatment of jaw fractures.Method:From January 2019 to October 2020,40 patients with jaw fractures in Lingshan People’s Hospital were selected as the research objects.They were divided into two groups by random number table method,20 cases in each group.Both groups received rigid internal fixation with mini-titanium plates,and patients in the control group were treated with dental arch splint treatment,patients in the study group were treated with traction nails.The periodontal condition,occlusal relationship,masticatory function,and quality of life were compared between the two groups.Result:The comparison of gingival,silt,and plaque index between the two groups of patients before operation were not statistically significant(P>0.05);after 3 months of operation,the indexes of gingival,silt,and plaque increased in the two groups,which were compared with those before operation,the differences were statistically significant(P<0.05);the index of gingival,soft scale,and plaque in the study group after 3 months of operation were lower than those in the control group,the differences were statistically significant(P<0.05).There were no significant differences in masticatory function between the study group and the control group before operation(P>0.05).After 3 months of operation,the masticatory function of the two groups decreased than those before operation,and the differences were statistically significant(P<0.05).After 3 months of operation,the masticatory function score of the study group was lower than that of the control group(P<0.05).The medical expenses in the study group was significantly higher than that in the control group(P<0.05).The excellent and good rate of occlusal relationship between the two groups of patients was 100%,and there was no statistically significant difference(P>0.05);the excellent rate of postoperative comfort in the study group

关 键 词：颌骨骨折 牙弓夹板 咬合关系 牵引钉 

分 类 号：R782.4[医药卫生—口腔医学]