不同冲洗方式对下颌阻生智齿拔除术后生活质量的影响

摘要

Patients underwent impacted mandibular wisdom tooth removal were randomly divided into 3 groups before operation.Patients in group A (n =41) were given pericoronal rinsing with 3 ％ H2O2 and saline before operation and irrigation once with povidone-iodine after tooth removal.Those in group B (n =43) were given irrigation with saline before and after tooth removal.47 patients in group C were given no irrigation as the controls.There was no significant difference in postoperative pain 3 days after operation among the 3 groups.Significant difference was found in postoperative pain 7 days after operation and mouth-opening 3 and 7 days after operation.There was significant difference in PoSSe scores among 3 groups but no difference between group A and B.It could be concluded that irrigation in pre-and post-operation can reduce the influence of teeth removal on life quality of the patients.%选取颌面外科拔除下颌阻生智齿患者随机分为3组,A组(41例)术前冠周予3％ H2O2、生理盐水冲洗,牙齿拔除后予碘伏冲洗1次,B组(43例)均予拔牙前后生理盐水冲洗,C组(47例)不冲洗.术后完成评价对结果统计.3种冲洗方式的差异对术后第3天疼痛无意义,对第7天疼痛及第3、7天开口度有意义,3组PoSSe量表总分存在差异,A、B组优于C组,A、B组间无差异.结果表明术前冠周冲洗与术后拔牙创冲洗可缓解术后并发症对生活质量的影响.