德克萨米他在经受影响的第三牙手术后的术后后果减少方面是否比牙内注射更好? :一个随机临床研究
Arpit Gupta1, Sujata Mohanty1, Pankaj Sharma1
1Department of Oral and Maxillofacial Surgery, Maulana Azad Institute of Dental Sciences, MAMC Campus, Bahadur Shah Zafar Marg, New Delhi, 110002 India.
Journal of maxillofacial and oral surgery
|October 8, 2024
概括
预防性德克萨米他注射有效地减少了第三手术后的疼痛和胀. 局部注射到体肌肉中提供了优越的结果,相比于deltoid管理手术后的后续管理的管理.
科学领域:
- 口腔和牙面部外科手术
- 药理学 药理学是指药理学的学科.
- 临床研究 临床研究
背景情况:
- 在第三手术提取后的术后后果显著影响患者的发病率.
- 德克萨米他是一种强大的抗炎药物,因其治疗效益而受到广泛研究.
研究的目的:
- 为了比较以患者为中心的结果,包括疼痛,面部胀和口腔开口,在预防性肌内德克萨米他注射到按摩器和肌肌肉后.
- 评价局部与远程德克萨米他的疗效,以缓解下第三取出的术后并发症.
主要方法:
- 一项随机临床研究,涉及两组接受受影响下第三骨提取的患者.
- 第1组接受了甲和安慰剂注射;第2组接受了安慰剂注射和甲注射,两者都是在手术前2小时.
- 包括疼痛 (VAS评分),面部胀和口腔开口在内的结果在术后第1,3和第7天被评估.
主要成果:
- 接受德克萨米他注射到按摩器肌肉 (1组) 的患者在1,3和7天报告了统计学上显著的疼痛减少.
- 第1组在第1和第3天的脸部胀也显著减少,第1和第3天的口腔开口限制减少.
- 两处注射部位都显示德克萨米他有助于减少手术后的后果.
结论:
- 预防性肌内德克萨米他,无论是注射到体肌肉还是体肌肉,都有效地减少了下第三提取手术后的后果.
- 与deltoid注射相比,局部将德克萨米他注入masseter肌肉产生了优异的结果,可以缓解手术后的直接后果.
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