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Resopac®作为手术伤口口腔内敷料材料的作用:一项随机对照临床试验。

Role of Resopac® as an intraoral dressing material for the surgical wound: A randomized controlled clinical trial.

作者信息

Gorrela Harsha, Siripuram Haritha, Sirivore Arthi

机构信息

Department of Oral and Maxillofacial Surgery, MNR Dental College and Hospital, Sangareddy, Telangana, India.

出版信息

J Oral Biol Craniofac Res. 2022 Sep-Oct;12(5):604-609. doi: 10.1016/j.jobcr.2022.07.004. Epub 2022 Aug 2.

Abstract

AIM

The aim of the study is to evaluate the efficacy of Resopac® in improving patient postoperative comfort and its effect on wound healing after extraction of impacted teeth.

MATERIALS AND METHODS

A split mouth randomized controlled trial was conducted on 50 patients who required bilateral surgical removal of mandibular third molars. After completion of surgery, Resopac® was placed as intraoral dressing material on surgically sutured site (study site) and plain gauze pack on contralateral surgically sutured site (control site). Pain and wound healing were measured using VAS score and Landry's scale respectively on 1st, 2nd and 7th day postoperatively. Data were analysed, descriptive statistics, using paired -test for intragroup and independent -test for inter group analysis were done.

RESULTS

There was statistically highly significant reduction in the post-surgical pain VAS scores from day 1 to day 7 in both study and control sites. The study site (with Resopac®) demonstrated significant reduction in post-operative pain when compared to control site (with Gauge pack) which was statistically highly significant (P < 000.1). On intragroup analysis, there was improvement in postoperative wound healing from day 1 to day 7 in both study and control sites which was statistically highly significant (P < 0.001). On intergroup analysis there was statistically highly significant difference noted between both the sites, with study site (with Resopac®) demonstrating excellent wound healing than control site when compared at 1st,2nd and 7th postoperative days (P < 0.001).

CONCLUSION

Resopac® serve to be an effective role as an intraoral dressing after surgical removal of impacted teeth which improves patient comfort postoperatively by protecting the surgical wound, reducing the post-operative pain and enabling excellent wound healing.

摘要

目的

本研究旨在评估Resopac®在改善患者术后舒适度方面的疗效及其对阻生齿拔除术后伤口愈合的影响。

材料与方法

对50例需要双侧手术拔除下颌第三磨牙的患者进行了一项双侧随机对照试验。手术完成后,将Resopac®作为口腔内敷料材料放置在手术缝合部位(研究部位),对侧手术缝合部位放置普通纱布包(对照部位)。分别在术后第1天、第2天和第7天使用视觉模拟评分法(VAS)和兰德里量表测量疼痛和伤口愈合情况。对数据进行分析,采用描述性统计,组内分析采用配对检验,组间分析采用独立检验。

结果

研究部位和对照部位术后第1天至第7天的手术疼痛VAS评分在统计学上均有极显著降低。与对照部位(使用纱布包)相比,研究部位(使用Resopac®)术后疼痛显著降低,差异具有统计学极显著性(P<0.001)。组内分析显示,研究部位和对照部位术后第1天至第7天的伤口愈合均有改善,差异具有统计学极显著性(P<0.001)。组间分析显示,两个部位之间在统计学上有极显著差异,术后第1天、第2天和第7天相比,研究部位(使用Resopac®)的伤口愈合情况优于对照部位(P<0.001)。

结论

Resopac®在阻生齿手术拔除后作为口腔内敷料发挥了有效作用,通过保护手术伤口、减轻术后疼痛和促进良好的伤口愈合,提高了患者术后的舒适度。

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