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目的探讨疮疡灵复合明胶海绵植入下颌复杂阻生智齿拔牙窝后,促进拔牙创愈合预防干槽症的作用。方法将明胶海绵与中药疮疡灵复合后制备成适合的植入材料,按患者就诊顺序以完全随机分组法设计分为A、B、C 3组,每组110例。A组植入单纯明胶海绵,B组植入疮疡灵/明胶海绵复合物,C组为空白对照组,牙槽窝不放置任何材料。观察3组术后出血情况及干槽症的发生率。结果 A、B两组术后无1例出血;A、B、C3组术后干槽症的发生率分别为7.27%、0.91%、15.45%,各组间有显著性差异。结论疮疡灵/明胶海绵复合物可有效促进拔牙创的愈合,对干槽症的发生有一定的预防作用。
Objective To investigate the effect of Scutellarema gelatin sponge implanted in mandibular complex impacted wisdom tooth extraction socket to promote the healing of dry socket by tooth extraction. Methods The gelatin sponge was combined with Chinese herbal medicine Ssangyin Ling to prepare suitable implant materials. According to the order of patients’ treatment, the patients were divided into A, B and C groups by random complete grouping method, 110 cases in each group. Group A was implanted with simple gelatin sponge, group B with sore throat / gelatin sponge composite, group C as a blank control group, and no material was placed in the socket. The postoperative bleeding and the incidence of dry socket were observed in the three groups. Results No bleeding occurred in group A and group B. The incidences of postoperative dry-cell disease in groups A, B and C were 7.27%, 0.91% and 15.45%, respectively. There were significant differences among groups. Conclusion Sore ulcer / gelatin sponge complex can effectively promote the healing of tooth extraction and has some preventive effects on the occurrence of dry trough.