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  往期阅览 · All Issues-> 2026年 · 2026  
临床用药研究2026年第2卷第2期第22-25页,pISSN 3105-6741、eISSN 3105-675X 发布者:Quest Press 发布日期:2026/9/3
Open Access 浏览40

 

干槽症治疗的优化方案:复方甘菊利多卡因凝胶联合碘 仿纱条的临床价值


尹玲玲,马聪聪,丁红忠

安徽医科大学第四附属医院,安徽合肥,238000

摘要:目的:回顾性分析两种填塞材料处理口腔干槽症患者的效果,探讨不同处理方式的作用,为临 床治疗干槽症提供新思路。方法:收集 2021 年 6 月—2026 年 6 月安徽医科大学第四附属医院(原安徽医 科大学附属巢湖医院)口腔科就诊患者,选择诊断为干槽症并进行处理的患者 40 例,按填塞材料分成 2 组,实验组患者去除腐败坏死组织,填塞混合复方甘菊利多卡因凝胶的碘仿纱条,对照组患者去除腐败 组织后,仅填塞碘仿纱条;通过对比 2 组患者治疗后 1 天、3 天、7 天拔牙创疼痛指数采用视觉模拟评分 表(VAS)评分,牙龈指数评估牙周愈合情况,张口受限程度、肉芽组织生长情况评估伤口愈合程度。结 果:实验组患者术后治疗后 1 天、3 天、7 天拔牙创疼痛指数 VAS 明显低于对照组(P<0.01),牙龈指数 低于对照组(P<0.05),肉芽组织生长情况高于对照组(P<0.05),张口程度高于对照组(P<0.05)。 实验组患者术后的疼痛缓解程度和创口愈合程度均高于对照组。结论:使用混合复方甘菊利多卡因凝胶 后的碘仿纱条填塞干槽症创面能显著减轻疼痛和张口受限程度,加速牙周愈合和肉芽生长,加速愈合, 其术后恢复优于传统碘仿填塞效果。

关健词:干槽症;复方甘菊利多卡因凝胶;碘仿纱条
The optimized treatment plan for dry socket:The clinical value of Compound chamomile lidocaine gel combined with iodoform gauze strips

Lingling Yin,Congcong Ma,Hongzhong Ding

The Fourth Affiliated Hospital of Anhui Medical University,Hefei,238000

Abstract:Objective:The clinical effects of two types of packing materials on patients with dry socket were retrospectively analyzed,to explore the efforts of different treatment methods,and provide new ideas for the clinical. Method: From 2021/6 to 2026/6,we gathered the information of patients who were diagnosed with dry socket and treated at the Department of Stomatology,the Fourth Affiliated Hospital of Anhui Medical University(formerly Chaohu Hospital of Anhui Medical University). 40 patients were selected and divided into two groups based on the filling material used. In the experimental group,the socket filled with iodoform gauze strips mixed with Compound chamomile lidocaine gel after the necrotic tissues were removed. In the control group,the socket filled with iodoform gauze strips mixed with only iodoform gauze. The pain index of the tooth extraction site was compared between the two groups of patients on the 1st,3rd,and 7th days after treatment using the Visual Analogue Scale(VAS). The gingival index was used to assess periodontal healing,and the degree of mouth opening restriction and granulation tissue growth were used to evaluate the degree of wound healing. Results:On the 1st,3rd,and 7th days after postoperative treatment,the VAS pain index of the tooth extraction site in the experimental group was significantly lower than that in the control group(P < 0.01),the gingival index was lower than that in the control group(P < 0.05),the growth of granulation tissue was higher than that in the control group(P < 0.05),and the degree of mouth opening was higher than that in the control group (P < 0.05). The degree of pain relief and wound healing of the patients in the experimental group after surgery were both higher than those in the control group. Conclusion:Filling dry groove wounds with iodoform gauze strips after using the mixed Compound chamomile lidocaine gel can significantly reduce the degree of pain and limited mouth opening,accelerate periodontal healing and granulation tissue growth,and accelerate healing. The postoperative recovery effect is superior to that of traditional iodoform packing.


Keywords : Dry socket;Compound chamomile lidocaine gel;Iodine gauze


参考文献
[1] 赵君,等,微创技术和传统技术在复杂牙拔除术中的 应用及比较. 口腔医学,2017. 37(01).
[2] 阚兴伟,等,阻生牙拔除术的临床进展. 现代生物医 学进展,2014. 14(01).
[3] 胡开进,等,干槽症的预防与处理. 国际口腔医学杂 志,2015. 42(01).
[4] 孙湘钊,等,干槽症的原因及预防. 中国实用口腔科 杂志,2014. 7(12).
[5] 曹钰彬,叶立,潘剑.拔牙后的感染与防治. 华西口腔 医学杂志,2024. 42(04).
[6] 李守宏,庞光明.干槽症致病因素及治疗研究进展. 中 华老年口腔医学杂志,2012. 10(03).
[7] 王刚,王晓利.康复新液加明胶海绵治疗口腔干槽症的 临床疗效及有效性. 名医,2023(14).
[8] 历凤,历建英.碘仿纱条在口腔颌面外科手术中的应用. 世界最新医学信息文摘,2019. 19(89).
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