华西口腔医学杂志

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Gelatamp胶质银止血明胶海绵预防拔牙后并发症的临床研究

蔡永海 卢长寿   

  1. 浙江省苍南县第二人民医院口腔科,浙江苍南325802
  • 收稿日期:2008-10-25 修回日期:2008-10-25 出版日期:2008-10-20 发布日期:2008-10-20
  • 通讯作者: 蔡永海,Tel:13057927028
  • 作者简介:蔡永海(1971-),男,浙江人,副主任医师,学士

A clinical study of Gelatamp colloidal silver gelatin sponge on preventing the complication of teeth extraction

CAI Yong -hai, LU Chang -shou   

  1. Dept. of Stomatology, The Second People′ s Hospital of Cangnan County, Zhejiang 325802, China
  • Received:2008-10-25 Revised:2008-10-25 Online:2008-10-20 Published:2008-10-20
  • Contact: CAI Yong -hai,Tel:13057927028

摘要:

目的研究Gelatamp胶质银止血明胶海绵预防拔牙后并发症的临床效果。方法选择需行牙齿拔除术的608例患者的672颗牙齿为研究对象,以半随机方法分为试验组和对照组,拔牙时均采用局部麻醉,拔除患牙后将牙槽窝搔刮干净,试验组用Gelatamp胶质银止血明胶海绵填塞牙槽窝,对照组除不填塞Gelatamp胶质银止血明胶海绵外,其余同试验组。术后0.5 h、第2天和第7天复诊,判断拔牙后并发症的发生情况,计算发生率。采用双盲法进行研究,比较2组患者并发症发生率的差异。结果试验组拔牙后并发症发生率为7.72%,对照组为24.43%,二者差异有统计学意义(P<0.05),试验组低于对照组;试验组拔牙后出血、感染、疼痛、肿胀、干槽症的发生率均低于对照组,且有统计学意义(P<0.05)。结论Gelatamp胶质银止血明胶海绵预防拔牙后并发症的疗效肯定,值得推广。

关键词: 胶质银, 明胶海绵, 拔牙后并发症

Abstract:

Objective To study the clinical effect of Gelatamp colloidal silver gelatin sponge on preventing the complication of teeth extraction. Methods 672 teeth were divided into experimental group and control group semirandomly. All teeth were extracted after local anesthesia and sockets were cleaned. Gelatamp colloidal silver gelatin sponge was implanted into socket in experimental group and nothing was implanted into alveolar socket in control group. The complication of teeth extraction was observed on 0.5 h, 2 d and 7 d after extraction. The incidence rate of complication was calculated. Results The incidence rate of complication of teeth extraction in experimental group was 7.72%, which was lower than that of control group(24.43%). There was significant difference in the incidence rates of complication between experimental group and control group(P <0.05). The incidence rate of bleeding, infection, pain, swelling and dry socket after teeth extraction in experimental group was lower than those of control group, and the difference between them was statistically significant(P <0.05). Conclusion The results demonstrate that Gelatamp colloidal silver gelatin sponge can prevent the occurrence of complication of teeth extraction, this can be used in clinic.

Key words: colloidal silver, gelatin sponge, complication of teeth extraction