四种不同的灌溶液在手术后的后果中对接受第三下手术的患者的有效性进行比较:一项前性研究
Goutham Vijayakumar1, Gidean A Sundaram1, Santhosh P Kumar1
1Oral and Maxillofacial Surgery, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IND.
Cureus
|January 22, 2024
概括
在受影响的第三底手术后,美特罗尼达灌显著减少了疼痛,胀和膜骨炎. 赫西丁也显示出好处,而波维和正常盐水具有相似的结果. 手术后的三症不受灌溶液的影响.
科学领域:
- 口腔和牙面部外科手术
- 手术牙科 手术牙科
- 药理学 药理学是指药理学的学科.
背景情况:
- 手术切除受冲击的下第三是常见的.
- 术后并发症,如疼痛,胀,三,和膜骨质炎可能会发生.
- 选择灌溶液可能会影响这些结果.
研究的目的:
- 为了比较波维-,美特罗尼达,素酸盐 (CHX) 和普通盐水作为灌溶液的疗效.
- 为了评估它们对手术后疼痛,三风,胀和膜骨炎的影响,在受影响的下第三骨提取后.
- 确定最佳的灌解决方案,以尽量减少并发症.
主要方法:
- 一项随机对照试验涉及112名参与者接受了受冲击的下第三骨提取.
- 参与者被分为四组,每个组都接受不同的灌溶液 (povidone-iodine,metronidazole,CHX或正常盐水).
- 在手术后的疼痛,胀,三症和气泡骨炎在第1天和第7天被评估.
主要成果:
- 与其他组相比,甲尼达组的疼痛和胀明显减少 (p<0.05).
- 在甲尼达组中没有报告膜骨炎的病例.
- 在所有组中都没有观察到三症的统计学上显著差异.
结论:
- 在下第三手术后,美特罗尼达灌最有效地减少疼痛,胀和膜骨炎.
- 赫西丁葡萄糖酸盐 (CHX) 也表现出有益的作用.
- 波维-和正常盐水显示了可比的结果,而三症是独立于使用的灌溶液.
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