口腔腭护板对结缔组织移植术后腭侧供区恢复效果评价

Evaluation of the effect of oral-palatal plate on the recovery of the palatal donor site after connective tissue transplantation

目的 探究口腔腭护板对结缔组织移植术后腭侧供区恢复的作用。方法 选取2020年1月至2022年6月该院种植科收治的行结缔组织移植术的40例患者作为研究对象,根据术后供区位置是否放置腭护板分为对照组和观察组,每组20例。2组术后均采用硬腭供区创面覆盖血小板衍生物浓缩生长因子(CGF)的方式封闭创口,观察组同时使用口腔腭护板,定期复诊,评估2组患者供区术后出血情况(出血评分)、疼痛程度[视觉模拟评分法(VAS)评分]及舒适度。结果 观察组患者术后1、3 d出血评分、VAS评分均较对照组显著改善,且观察组患者饮食、睡眠、语言沟通、情绪、社会活动的舒适度评分均显著低于对照组,差异均有统计学意义(P<0.05)。结论 与单纯使用CGF封闭术区创口比较,术后使用腭护板可显著改善患者早期出血、疼痛情况,并提高患者术后舒适度。

Objective To explore the effect of oral-palatal plate on the recovery of the palatal donor site after connective tissue transplantation.Methods A total of 40 patients who underwent connective tissue transplantation in the Department of Implantology, Stomatological Hospital of Chongqing Medical University from January 2020 to June 2022 were selected and divided into the control group(20 cases) and the observation group(20 cases) according to whether the oral-palatal plate was placed in the palatal donor site after operation.After operation, the wounds in the donor area of the hard palate were closed by covering the wounds with platelet derivative concentrated growth factor(CGF).The oral-palatal plate was also used in the observation group.The postoperative bleeding, pain, and comfort of the donor area of the two groups were evaluated.Results The bleeding score and visual analogue scale in the observation group were significantly improved on the first and third day after operation compared with those in the the control group, and the differences were statistically significant(P<0.05).The comfort scores of diet, sleep, language communication, emotion, and social activities in the observation group were significantly lower than those in the control group after using the oral-palatal plate, and the differences were statistically significant(P<0.05).Conclusion Compared with CGF alone, the use of oral-palatal plate after surgery can significantly improve patients′ early bleeding and pain, and improve patients′ postoperative comfort.