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不含丁香酚和含丁香酚的牙周敷料对牙周软组织手术后疼痛发生率和严重程度的影响。

Effect of non-eugenol- and eugenol-containing periodontal dressings on the incidence and severity of pain after periodontal soft tissue surgery.

作者信息

Jorkjend L, Skoglund L A

机构信息

College of Dentistry, King Saud University, Riyadh, Saudi Arabia.

出版信息

J Clin Periodontol. 1990 Jul;17(6):341-4. doi: 10.1111/j.1600-051x.1990.tb00028.x.

Abstract

This study examines the incidence and severity of postoperative pain after gingivectomy using one non-eugenol-containing periodontal dressing, Coe-pak (n = 76) and 2 eugenol-containing periodontal dressings, Wondrpak (n = 64) and Nobetec (n = 86). All patients were subjected to gingivectomy using 1 type of local anaesthesia (lidocaine + adrenalin) only and covering the surgical areas with either of the 3 different dressings in a randomized study. Postoperative pain was assessed on 100 mm visual analogue scales over 5 days starting immediately after surgery. No pain was reported by 22.0% of the patients after Coe-pak, 23.4% after Wondrpak and 30.2% after Nobetec. 13.2% of the patients took analgesics after Coe-pak treatment, 3.1% after Wondrpak and 1.2% after Nobetec. Mean pain score after Coe-pak was higher (P less than 0.05) than after Nobetec 2 h after operation until the morning on the 3rd postoperative day. Mean pain score after Coe-pak was higher (P less than 0.05) than after Wondrpak 3 h to 9 h after operation. No statistically significant difference was found between Wondrpak and Nobetec regarding mean pain score.

摘要

本研究调查了使用一种不含丁香酚的牙周敷料Coe-pak(n = 76)以及两种含丁香酚的牙周敷料Wondrpak(n = 64)和Nobetec(n = 86)进行牙龈切除术后疼痛的发生率和严重程度。在一项随机研究中,所有患者仅使用1种局部麻醉剂(利多卡因+肾上腺素)进行牙龈切除术,并用3种不同敷料中的一种覆盖手术区域。术后疼痛采用100毫米视觉模拟量表,从手术后立即开始在5天内进行评估。使用Coe-pak后,22.0%的患者未报告疼痛;使用Wondrpak后,这一比例为23.4%;使用Nobetec后,为30.2%。Coe-pak治疗后,13.2%的患者服用了镇痛药;Wondrpak治疗后,这一比例为3.1%;Nobetec治疗后,为1.2%。术后2小时直至术后第3天上午,Coe-pak后的平均疼痛评分高于Nobetec(P < 0.05)。术后3小时至9小时,Coe-pak后的平均疼痛评分高于Wondrpak(P < 0.05)。Wondrpak和Nobetec在平均疼痛评分方面未发现统计学上的显著差异。

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