耳穴压豆对智齿拔除术后镇痛效果评价.docVIP

耳穴压豆对智齿拔除术后镇痛效果评价 　　[摘要] 目的 探讨耳穴压豆对智齿拔除术后镇痛的疗效及安全性。方法 选取2016年3～12月在我院接受下颌阻生智齿拔除术的77例患者，随机分为对照组和观察组。其中对照组术后常规使用布洛芬缓释胶囊进行镇痛，观察组患者则使用耳穴压豆法治疗。对比两组患者治疗后各时间的VAS评分、临床疗效及不良反应发生情况。结果 与对照组患者相比，观察组患者术后6、24、48h的VAS评分均显著低于对照组患者（P0.05）。结论 耳穴压豆治疗法比术后常规镇痛更能有效的在智齿拔除术后发挥镇痛作用，且安全性较高，在临床实施下颌阻生智齿拔除术的过程中值得推广应用。 　　[关键词] 智齿拔除术；耳穴压豆；镇痛；安全性 　　[中图分类号] R276.8 [文献标识码] A [文章编号] 2095-0616（2017）10-214-03 　　Evaluation of effect of auricular point pressing with bean on analgesia after wisdom teeth extraction 　　YUAN Xiaoling 　　Department of Stomatology， the Hospital of Traditional Chinese Medicine of Zhongshan City， Zhongshan 528400， China 　　[Abstract] Objective To explore curative effect and safety of auricular point pressing with bean on analgesia after wisdom teeth extraction. Methods 77 patients who received mandibular wisdom tooth extraction in our hospital from March 2016 to December 2016 were selected and they were randomly divided into the control group and the observation group. The control group was given ibuprofen sustained release capsules for analgesia after operation while the control group was used auricular point pressing with bean for treatment. VAS score， clinical curative effect and occurrence of adverse reactions at each time after treatment of patients in two groups were compared. Results VAS scores of 6h， 24h and 48h after operation in the observation group were all significantly lower than those in the control group （P0.05）. Conclusion Auricular point pressing with bean can be more effective in analgesia after wisdom teeth extraction and it has higher safety. In addition， it is worthy of promotion and application in mandibular wisdom tooth extraction under clinical implementation. 　　[Key words] Wisdom teeth extraction； Auricular point pressing with bean； Analgesia； Safety 　　阻生牙是指牙齿在颌骨内的位置不当导致牙齿在萌出后无法到达正常咬合位置，最常见的阻生牙为下颌第三磨牙，其次为上颌第三磨牙和上颌尖牙[1]。由于阻生牙牙冠周围的牙龈容易出?F发炎和疼痛，严重时甚至引发颌下淋巴结肿大和全身发热[2]。下颌阻生智齿拔除术是口腔门诊手术中实施难度相对较大的一种，而疼痛是其最常见的术后并发症，若不及时有效解决将严重影响患者生活[3]。耳穴压豆法作为一种常见的具有中医特色