吸附康复新液的明胶海绵在颌骨囊肿术后术腔填塞中的应用

Application of gelatin sponge with Kangfuxin solution in postoperative cavity filling of jaw cyst

目的比较生物蛋白海绵与吸附康复新液的明胶海绵在颌骨囊肿术后术腔中的应用效果。方法选取2015年1月至2018年1月在罗定市人民医院口腔科就诊的颌骨囊肿术后患者64例为研究对象,按照随机数表法将患者分为观察组和对照组各32例。对照组患者术后采用生物蛋白海绵填塞术治疗,观察组患者采用吸附康复新液的明胶海绵填塞术治疗。在患者出院后随访期间回院复查时,记录并比较两组患者创口愈合情况、拆线时间、创口疼痛及创口肿胀情况;治疗前和随访6个月后采用生活质量量表(SF-36)评价两组患者的生活质量。结果治疗后,观察组患者的Ⅰ期愈合率为93.75%,明显高于对照组的65.63%,差异有统计学意义(P<0.05);观察组患者的拆线时间为(7.52±1.24)d,明显短于对照组的(8.91±1.25)d,差异有统计学意义(P<0.05);观察组患者轻度疼痛26例,中度疼痛5例,重度疼痛1例,对照组患者轻度疼痛10例,中度疼痛20例,重度疼痛2例,观察组患者的疼痛程度明显低于对照组,差异有统计学意义(P<0.05);观察组患者轻度肿胀23例,中度肿胀8例,重度肿胀1例,对照组患者轻度肿胀11例,中度肿胀19例,重度肿胀2例,观察组患者的肿胀程度明显低于对照组,差异有统计学意义(P<0.05);治疗前,两组患者的生活质量评分比较差异均无统计学意义(P>0.05);随访6个月后,观察组患者的心理卫生、躯体功能、健康程度、情绪角色评分[(76.25±7.57)分、(73.48±6.23)分、(80.97±5.10)分、(78.31±6.37)分]明显高于对照组[(65.38±7.52)分、(65.79±6.22)分、(74.55±5.09)分、(70.92±6.34)分],差异均有统计学意义(P<0.05)。结论颌骨囊肿术后应用吸附康复新液的明胶海绵填塞术治疗能促进术腔的快速愈合,缓解患者的创口疼痛,减轻创口肿胀的发生,提高患者的生活质量,值得临床推广使用。

Objective To compare the application effect of biological protein sponge and gelatin sponge adsorbing Kangfuxin solution in postoperative cavity filling of jaw cyst.Methods Sixty-four postoperative patients with jaw cyst who visited the Department of Stomatology,Luoding People’s Hospital from January 2015 to January 2018 were selected as the research objects.Aaccording to the random number table method,they were divided into observation group and control group,with 32 patients in each group.The patients in the control group were treated with biological protein sponge,while the patients in the observation group were treated by gelatin sponge adsorbing Kangfuxin solution.At reexamination during the follow-up after discharge,the wound healing,suture removal time,wound pain,and swelling were compared between the two groups.Before treatment and after 6 months of follow-up,the quality of life of the two groups before and after treatment was evaluated by SF-36.Results After treatment,the first-stage healing rate of the observation group was 93.75%,which was significantly higher than 65.63%of the control group(P<0.05).The suture removal time of the observation group was(7.52±1.24)days,which was significantly shorter than(8.91±1.25)days of the control group(P<0.05).In the observation group,there were 26 cases of mild pain,5 cases of moderate pain,and1 case of severe pain versus 10 cases,20 cases,and 2 cases in the control group,and the pain level of the observation group was significantly lower than that of the control group(P<0.05).In the observation group,there were 23 cases of mild swelling,8 cases of moderate swelling,and 1 case of severe swelling,versus 11 cases,19 cases,and 2 cases in the control group,and the degree of swelling in the observation group was significantly lower than that in the control group(P<0.05).Before treatment,there was no statistically significant difference in the quality of life scores between the two groups(P>0.05).After six months of follow-up,the scores of mental health,physical function,health degree,and emotional role in the observation group were(76.25±7.57)points,(73.48±6.23)points,(80.97±5.10)points,(78.31±6.37)points,significantly higher than(65.38±7.52)points,(65.79±6.22)points,(74.55±5.09)points,(70.92±6.34)points in the control group(P<0.05).Conclusion After jaw cyst surgery,the application of gelatin sponge with Kangfuxin solution brings remarkable treatment effect,which can promote the rapid healing of the surgery cavity,relieve the pain of the wound,reduce the occurrence of wound swelling,improve the quality of life of patients,and thus is worthy of clinical promotion.