地塞米松加入阻滞麻醉中对阻生智齿拔除术后生活质量的影响

发布时间：2018-08-04 21:55

【摘要】：目的评价地塞米松(DXM)加入阻滞麻醉中对阻生智齿拔除术后患者生活质量的影响。方法选取120例下颌阻生智齿拔除患者,采用随机数字表法将患者分为试验组和对照组,每组60例。其中试验组术前将2%利多卡因4 m L+地塞米松1 m L(5 mg)混合后将其中的3 m L行局部麻醉注射阻滞牙槽神经。对照组术前单独使用2%利多卡因3 m L行下牙槽神经阻滞麻醉。2组患者术后生活质量由智齿拔除术后症状严重度量表(Po SSe量表)评价,分析并比较2组得分。结果试验组的Po SSe量表总得分为18.059 1±13.210 9,低于对照组的27.819 3±15.716 9(P0.05)。试验组饮食、语言、肿胀、疼痛及日常生活积分均低于对照组(P0.05)。结论下颌阻生智齿拔除前加入地塞米松在局部阻滞麻醉中可降低患者术后不良反应,提高了患者的生活质量。
[Abstract]:Objective to evaluate the effect of dexamethasone (DXM) on the quality of life of patients after extraction of impacted wisdom teeth. Methods 120 patients with mandibular impacted wisdom tooth extraction were randomly divided into experimental group and control group with 60 cases in each group. In the experimental group, 2% lidocaine 4 mL dexamethasone (1 m L (5 mg) was mixed before operation. The quality of life (QOL) of 2% lidocaine 3 mL in the control group was evaluated by (Po SSe scale after wisdom tooth extraction. The scores of the two groups were analyzed and compared. Results the total score of Po SSe in the trial group was 18.059 1 卤13.210 9, which was lower than that in the control group (27.819 3 卤15.716 9) (P0.05). The scores of diet, language, swelling, pain and daily life in the experimental group were lower than those in the control group (P0.05). Conclusion adding dexamethasone to mandibular impacted wisdom teeth before extraction can reduce the postoperative adverse reactions and improve the quality of life of the patients.
【作者单位】：天津医科大学口腔医院口腔颌面外科;
【分类号】：R782.11

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