通过草药实现整体愈合：芦荟对拔牙创愈合的有效性。
Holistic Healing Through Herbs: Effectiveness of Aloe Vera on Post Extraction Socket Healing.
作者信息
Nimma Vijaya Lakshmi, Talla Harsha Vardhan, Bairi Jaya Krishna, Gopaldas Madhulatha, Bathula Haritha, Vangdoth Sandeep
机构信息
Senior Lecturer, Department of Oral Medicine and Radiology, Meghna Institute of Dental Sciences, Mallaram, Nizambad, Telangana, India.
Reader, Department of Oral Medicine and Radiology, Meghna Institute of Dental Sciences, Mallaram, Nizambad, Telangana, India.
出版信息
J Clin Diagn Res. 2017 Mar;11(3):ZC83-ZC86. doi: 10.7860/JCDR/2017/21331.9627. Epub 2017 Mar 1.
INTRODUCTION
Advances in the field of alternative medicine has encouraged the use of various natural products for multiple uses in the field of dentistry for treatment of various oral diseases. A natural herbal product is Aloe vera, which has number of benefits with no reported side effects and gaining considerable importance in clinical research.
AIM
The aim of this cross-sectional randomized interventional study was to evaluate the effectiveness of Aloe vera in the healing of post extraction sockets.
MATERIALS AND METHODS
A sample size of 40 patients undergoing atraumatic extraction was divided into two groups. Group A-patients were prescribed only analgesics and followed for seven consecutive days and socket healing assessment was done. Group B-Patients were given Aloe vera soaked gel foams, followed up to the third and seventh day by two observers and the socket healing was assessed using the standardized index by Landry, Turnbull and Howley. In addition to healing the common complaint associated with extraction wound, the pain was assessed using numerical rating scale. Data obtained was statistically analysed using Mann-whitney U test, Wilcoxon Signed ranks test and Spearman's rank correlation method.
RESULTS
Control group on the third and the seventh day showed healing of 60% and 70% respectively and the Aloe vera group showed a better result having a healing potential of 70% on the third day and 90% on the seventh day which was statistically significant with a (p-value<0.001). Aloe vera group showed a significant decrease in pain after two hours on the day of extraction followed by second, third and seventh day which was statistically significant (p-value<0.001) and better than the control group.
CONCLUSION
Aloe vera has been proved to have a unique property that is implicated in better healing than other group without any side effects. Aloe vera is economical, effective, powerful nutritional supplement and antioxidant that protects and promotes wound healing.
引言
替代医学领域的进展促使人们在牙科领域使用各种天然产品来治疗多种口腔疾病。一种天然草药产品是芦荟，它有诸多益处且无不良反应报告，在临床研究中越来越重要。
目的
本横断面随机干预研究的目的是评估芦荟对拔牙后牙槽窝愈合的有效性。
材料与方法
40例接受无创拔牙的患者样本被分为两组。A组患者仅开具镇痛药，并连续随访7天，同时进行牙槽窝愈合评估。B组患者给予芦荟浸泡的凝胶泡沫，由两名观察者随访至第3天和第7天，并使用Landry、Turnbull和Howley的标准化指数评估牙槽窝愈合情况。除了愈合与拔牙伤口相关的常见问题外，还使用数字评分量表评估疼痛。所获数据采用曼-惠特尼U检验、威尔科克森符号秩检验和斯皮尔曼等级相关法进行统计学分析。
结果
对照组在第3天和第7天的愈合率分别为60%和70%，而芦荟组效果更佳，第3天愈合率为70%，第7天为90%，具有统计学意义（p值<0.001）。芦荟组在拔牙当天两小时后疼痛显著减轻，随后在第2天、第3天和第7天疼痛也显著减轻（p值<0.001），且优于对照组。
结论
芦荟已被证明具有独特的特性，与其他组相比，它能更好地促进愈合且无任何副作用。芦荟是一种经济、有效、强大的营养补充剂和抗氧化剂，可保护和促进伤口愈合。
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