在骨骨折中局部注射的德克萨米他与没有维生素C的比较评估:一项随机对照试验
Anuja Chincholkar1, B M Rudagi1, Sneha Setiya2
1Department of Oral and Maxillofacial Surgery, Dr. D. Y. Patil Dental College and Hospital, Dr. D. Y. Patil Vidyapeeth, Pimpri, Pune, Maharashtra 411018 India.
Journal of maxillofacial and oral surgery
|October 7, 2025
概括
在下骨骨折手术后,在甲注射下下添加维生素C显著改善了软组织伤口愈合. 这种组合疗法提供了一种有希望的方法来减少并发症,并加强面创伤患者的康复.
科学领域:
- 口腔和牙面部外科手术
- 创伤管理 创伤管理
- 伤口治愈研究研究 伤口治愈研究
背景情况:
- 面创伤,特别是下副骨折,在印度是一个越来越大的挑战.
- 标准的开放缩减和内部固定可能会导致并发症.
- 局部皮质类固醇注射 (德甲) 可以减少术后,但有软组织脱落的风险;维生素C作为下替代品正在探索.
研究的目的:
- 为了评估和比较术后的伤口愈合,胀和疼痛.
- 评估单独使用德克萨米他松与使用德克萨米他松和维生素C组合治疗下副骨折的结果.
主要方法:
- 一项随机研究涉及30名下副骨折患者.
- 第1组接受了手术内肌肉内注射德克萨米他到头脑肌肉中.
- 第二组在线附近接受了膜下维生素C注射,同时接受了德克萨米他.
主要成果:
- 两组人都显著减少了面部胀和手术后疼痛.
- 与德克萨米他一起进行下维生素C的使用,与单独使用德克萨米他相比,导致软组织的伤口愈合更好.
结论:
- 维生素C增强了原蛋白的合成,抵消了德克萨的潜在软组织降解作用.
- 德克萨米他和维生素C的组合建议用于管理下副骨折,以改善伤口愈合和减少并发症.
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