地塞米松联合低能量激光治疗对正畸拔牙术后软组织肿胀的预防效果  

Preventive Effect of Dexamethasone Combined with Low-energy Laser Treatment for Soft Tissue Swelling after Orthodontic Tooth Extraction Surgery

作　　者：卢洪清 LU Hongqing(Huizhou Stomatological Hospital,Huizhou 516000,China)

机构地区：[1]惠州口腔医院,广东惠州516000

出　　处：《中外医学研究》2025年第10期109-112,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨地塞米松联合低能量激光治疗对正畸拔牙术后软组织肿胀的预防效果。方法:选取2022年11月—2023年12月惠州口腔医院收治的186例正畸拔牙患者作为研究对象,以随机数表法分为研究组(n=93)与对照组(n=93)。对照组给予阿莫西林治疗,研究组在对照组基础上给予地塞米松联合低能量激光治疗,比较两组开口度、肿胀程度、疼痛程度及生活质量。结果:术后3 d、7 d,两组开口度较术前减小,但研究组较对照组更大,差异有统计学意义(P<0.05);研究组术后1 d、3 d、5 d、7 d肿胀程度、数字评分法(NRS)评分较对照组更低,差异有统计学意义(P<0.05);术后3 d、7 d,两组口腔健康影响程度量表(OHIP-14)评分较术前升高,但研究组较对照组更低,差异有统计学意义(P<0.05)。结论:正畸拔牙术后给予地塞米松联合低能量激光治疗,能有效改善术后开口度、软组织肿胀程度,减轻患者疼痛,提高生活质量。Objective:To explore the preventive effect of Dexamethasone combined with low-energy laser treatment for soft tissue swelling after orthodontic tooth extraction surgery.Method:A total of 186 patients who underwent orthodontic tooth extraction in Huizhou Stomatological Hospital from November 2022 to December 2023 were selected as the research objects,they were divided into the study group(n=93)and the control group(n=93)by random number table method.The control group was given Amoxicillin treatment,the study group was given Dexamethasone combined with low-energy laser treatment on the basis of the control group,the mouth opening,swelling,pain and quality of life were compared between two group.Result:At 3 d and 7 d after operation,the mouth opening of two groups were smaller than those before operation,but those in the study group were larger than those in the control group,and the differences were statistically significant(P<0.05);the swelling degree and numerical rating scale(NRS)scores of the study group at 1 d,3 d,5 d and 7 d after operation were lower than those of the control group,and the differences were statistically significant(P<0.05);at 3 d and 7 d after operation,the oral health impact scale(OHIP-14)scores of two groups were increased compared with those before operation,but those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:Dexamethasone combined with low-energy laser treatment after orthodontic tooth extraction surgery can effectively improve postoperative opening and soft tissue swelling,alleviate pain,and improve quality of life.

关 键 词：正畸 拔牙 地塞米松 低能量激光 软组织肿胀 

分 类 号：R783.5[医药卫生—口腔医学]