黏膜下注射地塞米松对上颌前牙根尖切除术术后疼痛和肿胀的控制效果
Effectiveness of submucosal dexamethasone to control postoperative pain & swelling in apicectomy of maxillary anterior teeth.
作者信息
Shah Shahzad Ali, Khan Irfanullah, Shah Humera Shahzad
机构信息
Qassim Dental College.
出版信息
Int J Health Sci (Qassim). 2011 Jul;5(2):156-65.
Abstract
PURPOSE
The purpose of this study was to evaluate the effect of submucosal dexamethasone injection to control postoperative pain and swelling in apicectomy of maxillary anterior teeth.
METHODS
A randomized, controlled trial comprising 60 adult patients (68.3% male, 31.7% female) with no local or systemic problems was conducted. Patients were randomly divided into two groups: Group A was given 4mg dexamethasone injection perioperatively. Group B (control group) was treated conventionally without any steroid injection. Postoperative pain and swelling was evaluated using a visual analog scale (VAS). Objective measurements of facial pain and swelling were performed daily up to six days postoperatively.
RESULTS
Dexamethasone group showed significant reduction in pain and swelling postoperatively compared with the control.
CONCLUSION
Submucosal dexamethasone 4mg injection is an effective therapeutic strategy for swift and comfortable improvement after surgical procedure and has a significant effect on reducing postoperative pain and swelling. The treatment offers a simple, safe, painless, noninvasive and cost effective therapeutic option for moderate and severe cases.
摘要
目的
本研究旨在评估上颌前牙根尖切除术黏膜下注射地塞米松对控制术后疼痛和肿胀的效果。
方法
进行了一项随机对照试验，纳入60例无局部或全身问题的成年患者（男性占68.3%，女性占31.7%）。患者被随机分为两组：A组在围手术期给予4mg地塞米松注射。B组（对照组）采用常规治疗，未进行任何类固醇注射。使用视觉模拟量表（VAS）评估术后疼痛和肿胀情况。术后每日对面部疼痛和肿胀进行客观测量，直至术后6天。
结果
与对照组相比，地塞米松组术后疼痛和肿胀明显减轻。
结论
4mg黏膜下地塞米松注射是一种有效的治疗策略，可使手术后迅速且舒适地恢复，对减轻术后疼痛和肿胀有显著效果。该治疗方法为中重度病例提供了一种简单、安全、无痛、无创且经济有效的治疗选择。
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