拔牙术后应用含漱液与抗菌药物控制感染效果观察

发布时间：2018-04-08 19:04

本文选题：第三磨牙　切入点：阻生牙拔除术　出处：《中华医院感染学杂志》2014年05期

【摘要】：目的比较局部应用金栀含漱液与全身应用抗菌药物在预防阻生第三磨牙拔除后感染的效果。方法选择2012年3月-2013年3月医院门诊行第三磨牙阻生牙拔除术的患者共153例,患牙336颗,按照术后处理方式不同分为A组(拔牙后全身应用抗菌药物)、B组(拔牙后局部应用含漱液)和C组(拔牙后未用药物对照组),每组各51例;Excel建立数据库,采用SPSS18.0统计软件分析。结果阻生第三磨牙拔出后采用抗菌药物的A组患者仅1例有感染发生,有效率为98.04%,而采用含漱液的B组患者中发生感染的有7例,有效率为86.27%,未服用药物的C组患者发生术后感染的有11例,有效率为78.43%;按照阻生牙拔除术相关操作拔除阻生的第三磨牙后A组患者给予阿莫西林,B组患者给予金栀含漱液,C组患者术后不作任何处理,所有患者一周后复诊,观察拔牙创愈合情况以及患者自行感觉情况。结论预防阻生第三磨牙拔出术后感染局部应用含漱液的效果,尚不能完全替代全身性应用抗菌药物。
[Abstract]:Objective to compare the effect of local application of Jinzhi gargle and systemic application of antimicrobial agents on the prevention of infection after extraction of impacted third molar.Methods from March 2012 to March 2013, a total of 153 patients with 336 teeth were selected.The patients were divided into two groups: group A (after extraction) and group C (with gargle after extraction) and group C (with 51 cases in each group). The data base of each group was analyzed by SPSS18.0 software.Results only one patient in group A who was treated with antimicrobial agents after extraction of impacted third molars had infection, the effective rate was 98.04 and 7 patients in group B were infected with gargle.The effective rate was 86.27, and 11 patients in group C who had not taken drugs had postoperative infection.The effective rate was 78.43. The patients in group A were given amoxicillin and gargle C without any treatment after the third molars were extracted according to the operation related to the extraction of impacted teeth, and all the patients were followed up one week later.The wound healing of tooth extraction and the self-feeling of the patients were observed.Conclusion the effect of local use of gargle in prevention of infection after extraction of impacted third molar is not a complete substitute for systemic use of antimicrobial agents.
【作者单位】：浙江中医药大学附属第三医院口腔科;
【基金】：浙江卫生厅基金资助项目(2013KYB166)
【分类号】：R782.11

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