电话随访对预防接受抗栓治疗患者拔牙后出血是否有用？
Is telephone follow-up useful in preventing post-extraction bleeding in patients on antithrombotic treatment?
作者信息
Pippi Roberto, Luigetti Luca, Scorsolini Maria-Giulia, Pietrantoni Alessandra, Cafolla Arturo
机构信息
Associate Professor of Oral Surgery. Department of Odontostomatological and Maxillo Facial Sciences, Sapienza University of Rome.
Oral surgeon. Department of Odontostomatological and Maxillo Facial Sciences, Sapienza University of Rome.
出版信息
J Clin Exp Dent. 2021 Feb 1;13(2):e140-e147. doi: 10.4317/jced.57401. eCollection 2021 Feb.
BACKGROUND
The aim of the study was to investigate the usefulness of telephone follow-up in preventing post-extraction bleeding and improving wound healing in patients on chronic antithrombotic treatment.
MATERIAL AND METHODS
A prospective randomized clinical trial was carried out on 256 patients (test group = 128; control group = 128). The exact two-tailed Fisher test and the two-tailed non-parametric Mann-Whitney test were used for statistical analysis.
RESULTS
The incidence of post-extraction bleeding was 15.6% and there was no difference between test and control groups. However, the study group was significantly, though weakly, associated with the severity of bleeding. Patient satisfaction with post-operative follow-up differed significantly between patients who had and those who did not have post-extraction bleeding.
CONCLUSIONS
Telephone follow-up after tooth extraction may play a role in the prevention of severe post-operative bleeding as well as in monitoring and managing the surgical wound. Post-operative instructions, patient satisfaction, wound healing.
背景
本研究的目的是探讨电话随访在预防接受慢性抗血栓治疗患者拔牙后出血及促进伤口愈合方面的作用。
材料与方法
对256例患者进行了一项前瞻性随机临床试验（试验组 = 128例；对照组 = 128例）。采用确切的双尾Fisher检验和双尾非参数Mann-Whitney检验进行统计分析。
结果
拔牙后出血的发生率为15.6%，试验组和对照组之间无差异。然而，研究组与出血严重程度虽关联较弱但具有显著相关性。拔牙后出血患者与未出血患者对术后随访的满意度存在显著差异。
结论
拔牙后的电话随访可能在预防严重术后出血以及监测和处理手术伤口方面发挥作用。术后指导、患者满意度、伤口愈合。
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