口腔医学研究

口腔医学研究 ›› 2020, Vol. 36 ›› Issue (12): 1168-1171.DOI: 10.13701/j.cnki.kqyxyj.2020.12.019

• 颌面外科学研究 • 上一篇    下一篇

胶质银明胶海绵预防糖尿病患者拔牙术后并发症的临床研究

马永清1*, 杨苗苗2   

  1. 1.大连市口腔医院口腔外科 辽宁 大连 116021;
    2.大连市口腔医院种植科 辽宁 大连 116021
  • 收稿日期:2020-08-03 出版日期:2020-12-28 发布日期:2020-12-28
  • 通讯作者: *马永清,E-mail:jasonwillking@163.com
  • 作者简介:马永清(1980~ ),男,辽宁鞍山人,副主任医师,博士,主要从事颌面外科的临床和基础研究。

Effect of Colloidal Silver Gelatin Sponge on Prevention of Complications after Tooth Extraction in Diabetic Patients

MA Yongqing1*, YANG Miaomiao2   

  1. 1. Department of Oral and Maxillofacial Surgery, Dalian Stomatological Hospital, Dalian 116021, China;
    2. Department of Oral Implantology, Dalian Stomatological Hospital, Dalian 116021, China
  • Received:2020-08-03 Online:2020-12-28 Published:2020-12-28

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摘要： 目的:评价胶质银明胶海绵预防糖尿病患者拔牙术后并发症的临床效果。方法:选取2019年1月~2020年1月期间在我院门诊采用心电监护拔牙的糖尿病患者300人,随机平分为3组,实验组拔牙术后填塞胶质银明胶海绵,对照组术后填塞医用明胶海绵,空白对照组则不置入任何材料。在术后30 min及24 h观察创口出血情况,在术后第3天、第7天复诊观察术区感染情况以及白细胞计数的差异。结果:实验组术后出血率和感染率分别为5%和4%,对照组分别为12%和13%,空白对照组分别为21%和20%,实验组术后出血率和感染率均明显低于对照组及空白对照组。实验组术后白细胞计数平均值要低于对照组和空白对照组。结论:胶质银明胶海绵有着良好的止血和抗炎性能,能够有效的预防糖尿病患者拔牙术后出血、感染等并发症的出现。

关键词: 胶质银明胶海绵, 糖尿病, 出血, 感染, 吸收性明胶海绵

Abstract: Objective: To evaluate the effect of colloidal silver gelatin sponge on prevention of complications following dental extraction in diabetics. Methods: A total of 300 diabetic patients undergoing dental extraction in our hospital were included in this study from January 2019 to January 2020, who were divided into three groups. In the experimental group, the teeth extraction sockets were filled with the Gelatamp colloidal silver gelatin sponge, and the control group with medical absorbable gelatin sponge. The socket remained empty in blank control group. The incidence of bleeding was observed on 0.5 and 24 hours after extractions, and the infection rate was observed on 3 and 7 days postoperatively. Results: The bleeding and infection rates of the experimental group were 5% and 4%, respectively, compared with 12% and 13% for control group and 21% and 20% for blank control group. The experimental group had significantly lower incidence of the complications such as bleeding and infection. Additionally, the level of white blood cells of the experimental group was lower than the other groups. Conclusion: The colloidal silver gelatin sponge has an advantage on hemostasis and anti-inflammation, which can significantly prevent the occurrence of complications following dental extraction in diabetic patients.

Key words: colloidal silver gelatin sponge, diabetes, bleeding, infection, absorbable gelatin sponge