下颌骨磨牙区囊肿刮除术对味觉影响的临床研究

发布时间：2018-01-03 15:34

本文关键词：下颌骨磨牙区囊肿刮除术对味觉影响的临床研究　出处：《山东大学》2017年硕士论文　论文类型：学位论文

【摘要】：研究目的检测下颌骨磨牙区囊肿刮除术前后的舌前2/3咸味味觉变化。研究方法1.采用囊肿刮除术进行治疗17名下颌磨牙区的含牙囊肿病人,分别在术前、术后1月、术后6月行浓度梯度试验、位点咸味检测试验和简易嗅觉检测。术后1月和术后6月行问卷调查。2.简易嗅觉检测:本检测方法用相同外包装的小瓶装载嗅剂,其中测试嗅剂为香烟、茶叶、肥皂、樟脑,对照嗅剂为生理盐水。检测时先让病人闭上眼睛,使用同侧手堵住同侧鼻孔,使用对侧的鼻孔进行嗅别,鼻孔的位置在瓶口上方约5cm处。然后请病人说出所嗅嗅剂的名称,同时做好记录。简易嗅觉检查期间为防止嗅觉疲劳,不同嗅剂之间可有时间间隔。嗅觉正常的标准是所有嗅剂全部识别正确。3.浓度梯度试验:用无菌棉棒沾取不同浓度梯度的氯化钠(浓度分别为0.005mol/L、0.01 mol/L、0.02 mol/L、0.04 mol/L、0.08 mol/L)自前向后涂在测试区域(约 0.025ml被涂在受试区域)。测试从最低浓度开始,并逐级升高,直到味道能被感觉出并判断出是咸味。4.位点咸味试验:受试者需判断1.0M氯化钠味觉刺激的强度,并在从0(没有味觉)到9(非常强烈)的等间距量表上打分。测试时用无菌棉棒沾取试剂自前向后涂在测试区域(约0.025ml被涂在受试区域)。5.统计方法:所有实验结果数据采用SPSS22.0统计学软件分析,p小于0.05被认定具有统计学意义。研究结果1.所有参与本实验的病人每次都可通过简易嗅觉检测。2.下颌骨磨牙区刮除术后1个月病人手术测舌前2/3的浓度梯度试验得分较术前减低(P0.05),术后6个月的得分与术前无明显统计学差异(P0.05)。而非手术侧无明显变化(P0.05)。3.下颌骨磨牙区刮除术后1个月和6个月病人手术侧和非手术侧舌前2/3的位点咸味试验的得分无明显统计学差异(P0.05)。4.所有参与本实验的病人术后自觉味觉无明显变化。结论1.下颌骨磨牙区囊肿刮除术会提高病人手术测舌前2/3的咸味阈,且6个月后会恢复,但不影响阚值上的咸味味觉功能。2.下颌骨磨牙区囊肿刮除术对病人的嗅觉不会造成明显的影响。3.下颌骨磨牙区囊肿刮除术后病人没有感知到自身味觉功能的改变。
[Abstract]:Objective to detect the changes of 2/3 salty taste in front of tongue before and after mandibular molar cyst curettage. Methods 1. 17 patients with dental cyst in mandibular molar region were treated by cyst curettage. The concentration gradient test was performed before operation, January after operation and June after operation. Site salt detection test and simple olfactory test. Questionnaire survey was performed on January and June. 2. Simple olfactory detection: this method was carried out with the same package of small bottles loaded with olfactory agents, in which cigarettes were tested. Tea, soap, camphor, control olfactory agent is normal saline. When testing, let the patient close eyes, use the same side of the hand to block the same side nostril, use the opposite side of the nostril to sniff off. The nostrils are located about 5 cm above the mouth of the bottle. Then ask the patient to name the sniff and keep a record of it. To prevent olfactory fatigue during the simple olfactory examination. There can be time intervals between different olfactory agents. The standard for normal olfaction is that all olfactory agents are correctly identified. 3. Concentration gradient test: use sterile cotton rods to extract different concentrations of sodium chloride (. The concentration was 0.005 mol / L, respectively. 0.01 mol/L,0.02 mol/L,0.04 mol/L. 0.08 mol / L was applied to the test area from the front to the back (about 0.025 ml was applied to the test area). The test began with the lowest concentration and increased step by step. Until the taste could be sensed and judged to be saltwater. 4. Site salt test: participants were asked to determine the intensity of the 1.0m sodium chloride taste stimuli. And scored on a scale of equal spacing from 0 (no taste) to 9 (very strong). The test was carried out with a sterile cotton stick stain from the front to the back of the test area (about 0.025ml was coated in the test area). Statistical method: all experimental data were analyzed by SPSS22.0 software. P < 0.05 is considered to be statistically significant. 1. All the patients involved in this study can pass the simple olfactory test. 2. 1 month after the mandibular molar area curettage, the first 2 of the tongue can be measured. 2. The score of the concentration gradient test of 3 / 3 was lower than that of the pre-operation (. P0.05). There was no significant difference in the scores at 6 months after operation between the two groups (P 0.05), but there was no significant change in the non-operative side (P 0.05). 3.There was no significant difference in the score of salt taste test between the operative side and the non-operative side of the tongue in the patients with mandibular molar area curettage 1 and 6 months after curettage (P 0.05). All the patients who participated in this study had no obvious changes in taste after operation. Conclusion 1. Curettage of mandibular molars cyst can increase the taste threshold of 2/3 before tongue. 2. And will recover in 6 months. However, it does not affect the salty taste function of the mandibular molar region. 2. The effect of mandibular molar cyst curettage on the patient's olfactory ability is not obvious. 3. The patient after mandibular molar area cyst curettage does not feel his own taste function. A change in energy.
【学位授予单位】：山东大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R782

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