| 郝兴科,王锦秀,蒙文蕊,韩密艳,张 彬.高速涡轮机微创拔牙联合超声骨刀治疗复杂阻生牙的治疗效果
及对疼痛介质、炎性因子水平影响[J].,2024,(23):4519-4521 |
| 高速涡轮机微创拔牙联合超声骨刀治疗复杂阻生牙的治疗效果
及对疼痛介质、炎性因子水平影响 |
| Therapeutic Effect of Minimally Invasive Extraction with High-speed Turbine Combined with Ultrasonic Bone Knife in the Treatment of Complex Obstructed Teeth and Its Effect on the Level of Pain Mediatorsand Inflammatory Factors |
| 投稿时间：2024-06-12 修订日期：2024-07-10 |
| DOI：10.13241/j.cnki.pmb.2024.23.032 |
| 中文关键词: 复杂阻生牙 高速涡轮机 疼痛介质 炎性因子 |
| 英文关键词: Complex blocked teeth High-speed turbine Pain mediator Inflammatory factor |
| 基金项目:陕西省科学技术厅高校联合项目-重点项目（2021GXLH-Z-030） |
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| 中文摘要: |
| 摘要 目的：探讨复杂阻生牙应用超声骨刀联合高速涡轮机微创拔牙的治疗效果及对疼痛介质、炎性因子水平影响。方法：共纳入200例在医院（2023年1月~2024年1月）接受治疗的复杂阻生牙患者作为研究对象，分为研究组（101例）和对照组（99例），采用的分组方法为随机数字表法。对照组给予高速涡轮机微创拔牙，在对照组基础上研究组联合超声骨刀治疗，比较两组相关指标。结果：与对照组相比，研究组术后最大张口度大，术中手术时间短，出血量低（P<0.05）；两组术后3 d的血清P物质（SP）、5-羟色胺（5-HT）水平血清肿瘤坏死因子（TNF-α）、抗牙龈叶琳菌抗体（PgigG）水平均高于术前，而研究组低于对照组（P<0.05）；研究期间两组总并发症发生率相比无差异（P>0.05）。结论：复杂阻生牙应用超声骨刀联合高速涡轮机微创拔牙治疗，可减少患者术中出血量，改善张口受限度，减轻疼痛症状与机体炎症反应，且不增加患者并发症发生风险。 |
| 英文摘要: |
| ABSTRACT Objective: To explore the therapeutic effect of ultrasonic bone knife combined with high-speed turbine minimally invasive tooth extraction and its effect on the level of pain mediators and inflammatory factors. Methods: A total of 200 patients with complex impacted teeth treated in hospital (January 2023 to January 2024) were included as the study objects, divided into study group (101 cases) and control group (99 cases). The grouping method was random number table. The control group was given high-speed turbine minimally invasive tooth extraction, and in the control group, the study group was combined with ultrasonic bone knife to compare the relevant indicators of the two groups. Results: Compared with the control group, the study group had high maximum mouth opening, short operation time and low intraoperative bleeding (P<0.05); the serum substance P (SP), serotonin (5-HT) levels of serum tumor necrosis factor (TNF-α), and anti-gingival antibody (PgG) were higher than the preoperative levels, while the study group was lower than the control group (P<0.05); there was no difference during the study period (P>0.05). Conclusion: The application of ultrasonic bone knife combined with high-speed turbine minimally invasive tooth extraction treatment for complex impacted teeth can reduce the intraoperative blood loss, improve the limit of mouth opening, reduce the pain symptoms and inflammatory reaction, and do not increase the risk of complications. |
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