| 唐凤勤,尚光伟,杨华伟,朱磊,唐小山,邹德荣.Gelatamp胶质银明胶海绵预防后牙重度牙周炎拔牙后出现并发症的疗效评价[J].口腔材料器械杂志,2014,23(3):154-157. |
| Gelatamp胶质银明胶海绵预防后牙重度牙周炎拔牙后出现并发症的疗效评价 |
| Clinical evaluation of Gelatamp colloidal silver gelatin sponge in the prevention of complications of posterior teeth extraction with severe periodontitis |
| 投稿时间：2013-08-03 修订日期：2014-02-20 |
| DOI：10.11752/j.kqcl.2014.03.09 |
| 中文关键词: 胶质银明胶海绵 重度牙周炎 拔牙后出血 拔牙后感染 可吸收性明胶海绵 |
| 英文关键词:Colloidal silver gelatin sponge Severe periodontitis Post-tooth extraction bleeding Post-tooth extraction infection Absorbable gelatin sponge |
| 基金项目:2011年院级课题经费资助 |
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| 中文摘要: |
| 目的评价Gelatamp胶质银明胶海绵预防后牙重度牙周炎患者拔牙后出现并发症的临床效果。方法以450例重度牙周炎患者共486颗需拔除的后牙为研究对象,根据患牙拔除后在牙槽窝内使用不同的材料,随机分成3组,试验组在牙槽窝内放置Gelatamp胶质银明胶海绵(A组),材料对照组则在牙槽窝内放置普通可吸收性明胶海绵(B组)以及空白对照组在牙槽窝内不放置任何材料(C组)。观察拔牙后0.5h、2d和7d时3组拔牙后牙槽窝的出血及感染的发生情况,采用SPSS17.0软件卡方检验来计算各组并发症的发生率。结果 3组拔牙后出血发生率分别为A组2.44%、B组5.56%、C组9.38%,感染发生率分别为A组1.22%、B组4.32%、C组7.50%,试验组拔牙后牙槽窝内出血及感染的发生率明显低于材料对照组及空白对照组,3组间的差异有显著性意义(P<0.05)。结论Gelatamp胶质银明胶海绵对后牙重度牙周炎患者拔牙后出现并发症的预防疗效显著,可在临床推广使用。 |
| 英文摘要: |
| Objective To study the clinical effects of Gelatamp colloidal silver gelatin sponge on prevent-ing the complication of posterior teeth extraction with severe periodontitis. Methods 486 posterior teeth from 450 patients with severe periodentitis were divided into 3 groups randomly based on different materials in teeth extrac-tion sockets:Gelatamp colloidal silver gelatin sponge was implanted into the teeth extraction sockets in the experi-mental group(Group A). Gelatin sponge was implanted into sockets in the material control group(Group B) and nothing was implanted into the teeth extraction sockets in the blank control group(Group C).The complication of teeth extraction was observed on 0.5 h, 2 d and 7 d after extraction.The incidence rate of complication was calculated by chi-square test using SPSS17.0 software.Results The incidence rate of bleeding in the three groups was 2.44%(Group A), 5.56%(Group B), 9.38%(Group C) respectively. And the incidence rate of infection in the three groups was 1.22%(Group A), 4.32%(Group B), 7.50%(Group C) respectively. The incidence rates of bleeding and infection complications in the experiment group were dramatically lower than the material control group and the blank control group, and there was significant difference in the incidence rates of complica-tions between the three groups(P<0.05).Conclusion Gelatamp colloidal silver gelatin sponge can significantly prevent the occurrence of complication of teeth extraction in the patients with severe periodontitis, indicating that it can be used in clinic. |
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