Nd:YAP激光治疗干槽症的临床评价

Clinical observation of Nd:YAP laser treatment of dry socket

目的评价Nd:YAP激光治疗干槽症的临床疗效。方法收集门急诊40例干槽症患者,随机分成观察组和对照组,彻底刮除坏死组织后,实验组采用Nd:YAP激光照射,对照组使用添加丁香油的碘仿纱条填塞,每3天治疗一次,比较2组治疗次数和每次治疗前疼痛评分,每次治疗前由同一位有经验的临床医师探查拔牙创愈合情况,检查局部是否有红肿触痛,拍摄数码照片,并根据肉芽组织覆盖率进行评分。结果实验组治疗平均次数(1.5次)少于对照组的治疗平均次数(2.15次)(P<0.05);实验组疼痛平均得分(3.70分)小于对照组的疼痛平均得分(4.00分)(P<0.05)。根据肉芽组织覆盖的评分,实验组得分(1.195分)优于对照组得分(1.067分),2组差异有统计学意义(P<0.05)。结论经Nd:YAP激光局部照射的干槽症患者拔牙创愈合时间和疼痛缓解程度优于碘仿纱条塞治组,该研究为临床干槽症的治疗提供更加有效的方法。

Objective The aim of this study was to observe the clinical efficacy of Nd:YAP Laser in the treatment of dry socket.Methods 40 patients with dry socket were randomly divided into the experimental group and the control group.After the necrotic tissue was completely scraped,the experimental group was irradiated by Nd:YAP Laser,and the control group was stuffed with clove oil-added iodoform gauze,once every 3 days.The times of treatments and the pain score before each treatment were compared.Before each treatment,the same experienced clinician explored the healing of tooth extraction wound to analyze whether there was local swelling and tenderness,took digital photos,and scored according to the granulation tissue coverage rate.Results The average number of treatment in the experimental group(1.5)was less than that in the control group(2.15)(P<0.05),the average pain score in the experimental group(3.70)was less than that in the control group(4.00)(P<0.05).The average score based on the evaluation of doctor in the experimental group(1.195)was less than that in the control group(1.067)(P<0.05).There was significant difference between the two groups.The effect of the experimental group was better than that of the control group.Conclusion The healing time and pain relief degree of the patients with dry socket treated by Nd:YAP Laser were superior to the group treated by iodoform gauze,which provides a more effective treatment for dry socket.