铒激光联合钕激光在妊娠期智齿冠周炎治疗中的应用  

Application effect of Er∶YAG laser and Nd∶YAG laser in the treatment on pericoronitis of wisdom tooth during pregnancy

作　　者：于冬梅[1] 邢媛[2] 周晓萍[2] 袁在兴 姚望 YU Dong-mei;XING Yuan;ZHOU Xiao-ping;YUAN Zai-xing;YAO Wang(Jilin Province Maternal and Child Health Hospital Physical Examination Center,Changchun,Jilinl30021,China)

机构地区：[1]吉林省妇幼保健院体检中心,吉林长春130021 [2]吉林省妇幼保健院口腔科 [3]吉林省妇幼保健院儿科

出　　处：《中国妇幼保健》2023年第15期2721-2725,共5页Maternal and Child Health Care of China

基　　金：吉林省财政厅课题(2021.01.05)。

摘　　要：目的 探讨铒(Erbium-aloped∶Yttrium Aluminium Garnet,Er∶YAG)激光联合钕(Neodymium∶Yttrium Aluminum Garnet,Nd∶YAG)激光在妊娠期智齿冠周炎治疗中的应用。方法 选取2021年2月—2022年10月就诊于吉林省妇幼保健院的98例全妊娠期智齿冠周炎患者,分为观察组和对照组,每组49例。治疗周期为5 d。观察组的治疗方式为3%双氧水冲洗后联合Er∶YAG激光和Nd∶YAG激光治疗,对照组治疗方式为3%双氧水冲洗后涂碘甘油。对两组患者治疗前及治疗中的张口度、疼痛程度(NPRS)及牙龈指数(GI)进行评估;比较分析治疗前后两组患者牙科畏惧症(DF)人数、总有效率及妊娠结局。结果 张口度比较:治疗1 d后,观察组张口度改善程度好于对照组,两组比较差异有统计学意义(Z=-1.990,P<0.05);治疗5 d后,观察组正常张口度人数为45例,重度张口受限人数0例;对照组正常张口度人数为32例,重度张口受限人数为2例,两组比较差异有统计学意义(Z=-3.320,P<0.01)。疼痛程度比较:治疗1 d后,观察组疼痛程度减轻略好于对照组,两组比较差异无统计学意义(Z=-1.649,P>0.05);治疗5 d后,观察组无疼痛人数为40例,重度疼痛人数为0例;对照组无疼痛人数为25例,重度疼痛人数为1例,两组比较差异有统计学意义(Z=-3.414,P<0.01)。牙龈指数比较:治疗1 d后,观察组牙龈指数略好于对照组,两组比较差异无统计学意义(Z=-0.801,P>0.05);治疗5 d后,观察组牙龈指数是0的人数为40例,牙龈指数是3的人数为0例;对照组牙龈指数是0的人数为29例,牙龈指数是3的人数为2例,两组比较差异有统计学意义(Z=-2.624,P<0.05)。DF比较:治疗5 d后,观察组DF人数为2例,对照组DF人数为3例,两组比较差异无统计学意义(χ^(2)=0.000,P>0.05)。总有效率比较:观察组总有效人数为48,对照组总有效人数为41,两组比较差异有统计学意义(χ^(2)=4.404,P<0.05)。所有孕妇无不良妊娠结局,产后42 d复查婴儿各项�Objective To explore the effect of Er∶YAG laser and Nd∶YAG laser of treating wisdom tooth pericoronitis during pregnancy.Methods A total of 98 patients with wisdom tooth pericoronitis in pregnant women in Jilin Province Maternal and Child Health Hospital from February 2021 to October 2022 were collected and randomly divided into 2 groups(n=49).The treatment period was 5 days.After conventional pericoronal rinsing,the Observation group(the laser group)treated with Er∶YAG laser and Nd∶YAG laser and the control group was given 3% iodine glycerine in periodontal pocket in 5 days.Mouth opening,The pain degree(NPRS),GI,DF number,total efective rate and pregnancy outcome were compared between two groups.Results Mouth opening:1 day later,the mouth opening degree of the laser group improved better than the control group,there was statistically difference between two groups(Z=-1.990,P<0.05).After 5 days,the NO.of normal mouth opening was 45 and no patient with severe mouth opening limitation in the laser group,in the control group,the NO.was 32 and 2,there was statistically difference between two groups(Z=-3.320,P<0.01).Pain degree:1day later,the pain degree of the laser group improved a little better than the control group,but there was no statistically difference between two groups(Z=-1.649,P>0.05).After 5 days,40 patients was painful and no patient with severe pain in the laser group,in the control group,the NO.was 25 and 1,there was statistically difference in NPRS after 5 days between two groups(Z=-3.414 P<0.01).GI:1 day later,GI of the laser group improved a little better than the control group,there was no statistically difference in GI between two groups(Z=-0.801,P>0.05).After 5 days,there was 40 patients with a 0 GI,and no patient with a 3 GI in the laser group,29 and 2 in the control group,there was statistically difference in GI between two groups(Z=-2.624,P<0.05).DF:After 5 days,the DF No.in 2 groups was 2 and 3 respectively,there was no statistically difference in the DF num before and 5 days after tre

关 键 词：铒激光 钕激光 妊娠期智齿冠周炎 

分 类 号：R781.4[医药卫生—口腔医学]