摘要
目的:探讨改良冰敷法在上颌窦开窗植骨种植修复术中的应用价值。方法:选取2012-08~2015-08我院收治的行上颌窦开窗植骨种植修复术的上颌后牙区牙列缺损患者100例,依据随机数字表法分为对照组和观察组,每组50例。对照组术后24h内依据肿痛位置采用清水冰袋冰敷,观察组依据冰敷时间表采用15%的乙醇冰袋冰敷,比较两组患者术后肿胀疼痛情况。结果:观察组手术时间和术中出血量显著低于对照组(P<0.01),术后1、3、7d的肿胀、疼痛程度均明显低于对照组(P<0.01);两组患者术后1年骨吸收量差异无统计学意义(P>0.05)。所有患者术后均有不同程度的肿胀或疼痛,采用冰敷后逐渐消退。其中观察组出现1例上颌窦炎,1例修复螺丝松动,对照组出现2例上颌窦炎,1例修复螺丝松动,经处理后恢复良好。结论:改良冰敷可缩短上颌窦开窗植骨种植修复术时间,减少术中出血量,降低术后肿胀和疼痛反应,对患者恢复具有促进作用。
Objective：To explore the value of modified cold therapy in maxillary sinus fenestration and maxilla implantation.Methods：A total of 100 patients with maxillary posterior dentition defect were treated with maxillary sinus window implantation in our hospital from August 2012 to August 2015.The patients were divided into observation group and control group according to the method of random number table.The control group were given cold water ice compress within 24 hafter operation on the basis of sore position.The patients in the observation group were treated with 15% ethanol ice packs according to the ice schedule.The postoperative swelling and pain of the two groups were compared.Results：The operation time and blood loss of the observation group were significantly lower than those of the control group（P0.01）.The degree of swelling and pain of the observation group was significantly lower than that of the control group at 1,3 and 7 days after operation（P 0.01）.There was no significant difference in bone resorption between the two groups（P 0.05）.All the patients had different degree of swelling or pain after operation,and gradually subsided after applying ice.One patient had maxillary sinusitis,2 cases of maxillary sinusitis and 1 case of loosening of screws were found in the control group,and recovered well after treatment.Conclusion：Modified ice compress can shorten the maxillary sinus window implantation repair time,reduce the amount of bleeding,reduce postoperative swelling and pain response,to promote the recovery of patients.
出处
《西北国防医学杂志》
CAS
2017年第9期618-621,共4页
Medical Journal of National Defending Forces in Northwest China
关键词
改良冰敷法
上颌窦提升术
modified cold therapy, maxillary sinus augmentation
