粘膜下透与静脉注射德克萨米他在减少第三手术后的术后炎症后果 - - 一项比较研究
Vinayak Gourish Naik1, M N Ravi Shankar1, Rashmi Agarwal2
1Department of Oral and Maxillofacial Surgery, Bapuji Dental College and Hospital, Davanagere, Karnataka, India.
Annals of maxillofacial surgery
|February 17, 2025
概括
静脉注射和下甲松都能有效地减少下第三手术后的疼痛和胀. 下粘膜路提供了明显的优势,为治疗术后炎症提供了有价值的替代方案.
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.
- 疼痛管理 疼痛管理
背景情况:
- 下面的第三骨提取是一种常见的外科手术程序,与患者的重大压力有关.
- 手术后的炎症后续,包括疼痛和胀,是常见的并发症.
- 德克萨米他是一种用于控制炎症的皮质类固醇.
研究的目的:
- 为了比较静脉注射 (IV) 与粘膜下 (SM) 摄入德克萨梅他的疗效,以减少手术后的疼痛和下第三移除后的胀.
- 评估德克萨米他在管理炎症反应中的作用.
主要方法:
- 一项随机研究涉及60名接受下第三牙切除手术的患者.
- 患者被分为两组:一组接受8毫克德克萨梅他下粘膜,另一组接受8毫克静脉注射,手术前5分钟.
- 手术后的脸部胀和疼痛在第二,第四和第7天被评估.
主要成果:
- 静脉注射和SM德克萨米他的使用都有效控制手术后的疼痛和胀.
- 与SM路线相比,IV路线在减少炎症后续的效率略高.
- 然而,在IV和SM组之间,疼痛和胀减轻的评级在IV和SM组之间是相同的.
结论:
- 静脉和SM甲 (8毫克) 两种药物在第三手术后治疗术后疼痛和胀方面都有效.
- 粘膜下途径提供了一个有价值的替代IV给药,因为其特殊的好处.
- 对于术后炎症管理,需要进一步考虑下线路.
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