Colorado-Bonnin M, Valmaseda-Castellón E, Berini-Aytés L, Gay-Escoda C
Master of Oral Surgery and Implantology, School of Dentistry of the University of Barcelona, Barcelona, Spain.
Int J Oral Maxillofac Surg. 2006 Apr;35(4):343-7. doi: 10.1016/j.ijom.2005.08.008. Epub 2005 Nov 8.
The objective of this study was to evaluate the quality of life (QoL) and degree of satisfaction among adult outpatients after surgical extraction of a lower third molar under local anaesthesia, and to assess the impact of thorough explanation of the anticipated postoperative course on their pain and daily activities. Ninety-two patients filled a questionnaire assessing social isolation, working isolation, eating ability, speaking ability, sleep impairment, physical appearance, discomfort at suture removal and overall satisfaction on days 4 and 7 after surgery. A 100-mm visual analogue scale (VAS) of pain was scored by the patients every day after extraction until day 7. Before extraction, patients were randomly allocated to one of two groups: the test group received detailed verbal instructions from a surgeon about the postoperative course after extraction of the third molars, together with a written text containing postoperative instructions. One day after extraction, they were asked by telephone about their status. The control group only received the written text with postoperative instructions, with a few basic oral explanations. Ninety-one patients (53 of them female) completed the questionnaires. The decrease in pain was linear over time. Men referred significantly less pain than women, but there were no statistically significant differences between the test and control groups. The test group was characterized by a significantly greater inability to work. Lower third molar surgery significantly affects patient quality of life and environment, particularly during the first 3 days after extraction.
本研究的目的是评估成年门诊患者在局部麻醉下手术拔除下颌第三磨牙后的生活质量（QoL）和满意度，并评估对术后预期过程的详细解释对其疼痛和日常活动的影响。92名患者在术后第4天和第7天填写了一份问卷，评估社交隔离、工作隔离、进食能力、说话能力、睡眠障碍、外貌、拆线时的不适以及总体满意度。拔牙后，患者每天使用100毫米视觉模拟量表（VAS）对疼痛进行评分，直至第7天。拔牙前，患者被随机分为两组：试验组接受外科医生关于拔除第三磨牙后术后过程的详细口头指示，以及一份包含术后指示的书面文本。拔牙后一天，通过电话询问他们的状况。对照组仅收到带有术后指示的书面文本，并伴有一些基本的口头解释。91名患者（其中53名女性）完成了问卷。疼痛随时间呈线性下降。男性报告的疼痛明显少于女性，但试验组和对照组之间没有统计学上的显著差异。试验组的特点是工作能力明显下降。下颌第三磨牙手术显著影响患者的生活质量和环境，尤其是在拔牙后的前3天。
