布洛芬或对乙酰氨基酚对口腔外科术后疼痛的控制

Eremias Kess, Iskander Ayana, G. Crimi, Zere Senalat
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摘要

目的:本研究的目的是比较抗炎(布洛芬,600毫克)和镇痛(对乙酰氨基酚,750毫克)药物对术后疼痛的影响。材料与方法:选择有手术指征的患者,共纳入57例,其中男性20例(35.1%),女性37例(64.9%)。其中,26名患者被放置在对乙酰氨基酚组,31名患者被放置在布洛芬组。患者的平均年龄为30岁。以下类型的手术包括在评估:临床冠延长,牙龈切除术,预修复手术,唇系带和舌系带。手术由牙周病研究生培训项目的学生进行。后续手术、术后时期方向由研究者提供,随机选择处方药物。两种药物的用药周期均为48小时。研究人员向患者提供了一个视觉模拟量表,其值从0到10不等,其中0代表无疼痛,10代表最大疼痛,并要求患者在每次服药时使用该量表对疼痛进行评分。随访时,将患者资料提供给研究人员,随后将患者资料制成表格并应用于统计分析(Mann-Whitney, p0.05)。结论:使用抗炎和镇痛药物对牙周手术术后疼痛无明显影响。
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The Control Of Postoperative Pain Following Oral Surgical Procedures By Ibuprofen Or Acetaminophen
Aim: The aim of this study was to compare the effects of anti-inflammatory (ibuprofen, 600 mg) and analgesic (Acetaminophen, 750 mg) drugs on postoperative pain. Material and methods: Patients with indications for surgery were selected, and a total of 57 patients, 20 male (35.1%) and 37 female (64.9%) were included in the study. Of these, 26 patients were placed in the acetaminophen group, and 31 were placed in the ibuprofen group. The average age of the patients was 30 years. The following types of surgeries were included in the evaluation: clinical crown lengthening, gingivectomy, pre-prosthetic surgery, labial frenum and frenum lingual. The surgeries were performed by students in a postgraduate training program in periodontics. Subsequent surgery, postoperative period orientations were provided by the researcher, and the medication to be prescribed was selected at random allocation. Both medications were administered for 48-h periods. A visual analogue scale with values ranging from 0 to 10, where 0 represented no pain and 10 represented maximum pain, was provided to the patients, and the patients were asked to rate their pain using this scale each time they took the medication. At the time of the follow-up visit, the patient data were given to the researcher and subsequently tabulated and applied to the statistical analysis (Mann-Whitney, p<0.05). Results: The results showed no significant difference in pain between medications (p>0.05). Conclusions: There was no difference in postoperative periodontal surgery pain after the use of anti-inflammatory or analgesic drugs.
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