不同漱口液预防拔牙后口腔感染的临床疗效分析

发布时间：2018-06-15 04:03

本文选题：漱口水 + 口腔感染　；参考：《中华医院感染学杂志》2014年04期

【摘要】：目的探讨不同种类的漱口液预防拔牙后口腔感染的疗效,为临床治疗提供帮助。方法对2012年3月-2013年6月口腔科拔牙的192例患者术后使用漱口液情况进行比较,将全部患者随机分为4组,每组各48例;观察口腔感染发生率,分析聚维酮碘漱口液、复方氯己定漱口液、过氧化氢漱口液和盐水4种不同漱口液对预防感染的疗效,并记录拔牙前和1周后的口腔菌落计数。结果 192例患者拔牙后口腔感染14例,感染率为7.29%;对4组患者进行对比研究发现,4种漱口液对细菌均有不同程度的抑制作用,且不同漱口液对细菌抑制效果不同,差异有统计学意义(P0.05);含聚维酮碘漱口液对各种细菌的抑制优于其他3组,使用后口腔感染率为0,菌落数仅为(2.01±1.32)CFU/ml,差异有统计学意义(P0.05)。结论含聚维酮碘漱口液的抗菌谱较广,有较好的抑菌效果,对预防拔牙后口腔感染有很好的疗效,建议在拔牙后口腔护理时,合理的有针对性的选择漱口液,以提高口腔的健康水平,降低口腔感染。
[Abstract]:Objective to investigate the effect of different kinds of gargle on oral infection after tooth extraction. Methods 192 cases of tooth extraction from March 2012 to June 2013 were divided into 4 groups randomly, 48 cases in each group, the incidence of oral infection was observed, and the povidone iodine gargle was analyzed. The efficacy of compound chlorhexidine gargle hydrogen peroxide gargle and saltwater gargle on the prevention of infection and the count of oral colonies before and after tooth extraction were recorded. Results there were 14 cases of oral infection after tooth extraction, the infection rate was 7.29.The comparative study showed that the four kinds of gargle had different inhibitory effects on bacteria, and different gargles had different inhibitory effects on bacteria. There was significant difference in the inhibition of various bacteria in povidone iodine gargle, the oral infection rate was 0, and the colony number was only 2.01 卤1.32 CFU / ml, the difference was statistically significant (P 0.05). Conclusion povidone iodine gargle has a wide antibacterial spectrum and a good bacteriostatic effect, which has a good effect on the prevention of oral infection after tooth extraction. It is suggested that a reasonable and targeted mouthwash should be selected in oral nursing care after tooth extraction. In order to improve oral health level, reduce oral infection.
【作者单位】：首都医科大学附属北京世纪坛医院口腔科;北京大学口腔医学院交叉学科实验室;
【基金】：国家自然科学基金资助项目(30973317)
【分类号】：R782.11

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