摘要
目的 探讨冰热敷凝胶口罩在阻生齿拔除术后的疗效。方法 选取我院口腔外科2021年1月~~6月收治的60例阻生牙拔除术后患者为研究对象，按照随机数字表法分为试验组和对照组各30例。两组患者均由同一组医护进行手术，同一名护理人员进行健康指导，对照组常规冰袋热毛巾冷热敷，试验组术后给予冰热敷凝胶口罩冷热敷，对两组患者术后冰热敷使用依从性、术后疼痛程度和术区肿胀程度进行效果观察。结果 试验组术后48hVAS评分为2.68±0.25，明显低于对照组（P<0.05），差异有统计学意义；试验组术后48h术区肿胀程度Ⅰ级轻度肿胀为25例，Ⅱ级中度肿胀为4例，Ⅲ级重度肿胀为1例、Ⅰ级轻度肿胀为良好，良好率优于对照组（P<0.01）试验组使用依从性优良者为20例，对照组使用优良者为24例，试验组明显优于对照组（P<0.01）；结论 阻生齿拔除术后患者，采用冰热敷凝胶口罩可显著提高患者冷热敷依从性，明显减轻术区肿胀程度和术后疼痛，值得推广应用。
关键词： 冰热敷；凝胶口罩；阻生齿拔除
Abstract
Objective To investigate the efficacy of ice-hot compress gel mask after extraction of impacted teeth. Methods A total of 60 patients with impacted teeth after extraction of impacted teeth who were treated in our hospital's Oral Surgery Department from January to June 2021 were selected as the research objects, and divided into the experimental group and the control group with 30 cases in each group according to the random number table method. Both groups of patients were operated by the same group of nurses, and the same nurses were given health guidance. The control group was given conventional ice packs and hot towels for cold and hot compresses. The effect of hot compress application compliance, postoperative pain degree and swelling degree of operation area were observed. Results The VAS score of the experimental group at 48 hours after operation was 2.68±0.25, which was significantly lower than that of the control group (P<0.05). There were 4 cases of moderate swelling, 1 case of grade III severe swelling, and one case of grade I mild swelling, and the good rate was better than that of the control group (P<0.01). There were 24 cases, and the experimental group was significantly better than the control group (P<0.01); Conclusion After the impacted tooth extraction, the use of ice-hot compress gel mask can significantly improve the patient's compliance with cold and hot compresses, and significantly reduce the degree of swelling in the operation area. and postoperative pain, it is worthy of promotion and application.
Key words： Ice hot compress; Gel mask; Impacted tooth extraction
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