论文部分内容阅读
目的 探讨持续术后镇痛疗法预防干槽症 (DS)的临床意义。方法 选择 313例下颌阻生齿、下后牙死髓劈裂牙患者分为三组 ,A组 (术后镇痛组 )术后口服凯扶兰 2 5mg ,每 8小时 1次 (n =12 6 ) ;B组 (术后抗菌组 )术后口服克林霉素 ,0 .3g ,每日 3次 (n =10 0 ) ;C组 (对照组 )不用任何药物 (n =87)。观察凯扶兰、克林霉素对DS的预防效果。结果 重度疼痛率比较 ,A组明显低于B组和C组 ,差异显著 (P <0 .0 1) ;VAS评分比较 ,A组与B、C两组差异显著 (P <0 .0 1)。DS发生率比较 ,A组明显低于C组 ,差异显著 (P <0 .0 1)。结论 持续术后镇痛疗法可预防DS发生。其安全性和效果优于预防性应用抗生素。
Objective To investigate the clinical significance of continuous postoperative analgesia in preventing dry mouth syndrome (DS). Methods A total of 313 patients with mandibular impacted teeth and the lower posterior teeth were divided into three groups. Group A (postoperative analgesia group) received oral cheyenamil 25mg once every 8 hours (n = 12 6); Group B (antibacterial group after operation) was orally given clindamycin 0.3g three times a day (n = 10 0); group C (control group) did not use any drug (n = 87). To observe the preventive effects of trifluopectin and clindamycin on DS. Results Severe pain rate was significantly lower in group A than in group B and C (P <0.01). There was significant difference between group A and group B and C (P <0.01) . The incidence of DS was significantly lower in group A than in group C (P <0.01). Conclusions Postoperative analgesic therapy can prevent the occurrence of DS. Its safety and effectiveness is superior to prophylactic antibiotics.