[摘要] 目的 觀察蒲地藍口服液治療孕婦智齒冠周炎的臨床療效。方法 選擇156例孕婦患智齒冠周炎的病例，隨機分為兩組，患牙冠周盲袋用3%雙氧水和0.9%氯化鈉注射液交替衝洗，拭幹後，試驗組用蒲地藍棉撚置於盲袋內局部上藥，對照組用碘甘油棉撚置於盲袋內局部上藥，兩組治療均為1次/d，觀察1~5d的療效，進行對比分析。結果 試驗組81例中，痊愈52例、好轉23例、無效6例，總有效率92.6%；對照組75例中，痊愈17例，好轉32例，無效26例，總有效率65.3%.兩組療效比較，差異有顯著性意義(P
[關鍵詞] 蒲地藍口服液； 孕婦； 智齒冠周炎
[中圖分類號] R781.4 [文獻標識碼] A [文章編號] 1673-9701(2010)03-112-02
Pudilan Oral Solution for Pericoronitis of the Third Molar：An Observation of Clinical Effect
DENG Jinyu ZHANG Lizhi YUAN Yuan
Zhuzhou Municipal Women and Children Healthcare Hospital，Zhuzhou 412000，China
[Abstract] ObjectiveTo observe the clinical effects of Pudilan oral solution in the treatment of pericornoitis of the third molar of pregnant woman. MethodsWe selected 156 pregnant women with pericoronitis of the third molar and divided them randomly into two groups：experimental group(81 cases)and control group(75 cases). The pericoronal blind bag was alternately washed by 3% hydrogen peroxide and 0.9% sodium chloride injection，after its drying，the local application of Pudilan in the blind bag was carried out in the experimental group once a day and the local application of iodine glycerin in the control group once a day. The curative effect from Day one to Day five was observed and analyzed in both groups. ResultsThe experimental group showed recovery in 52 of 82 cases，improvement in 23 cases and invalidation in 6 cases，with the total effective rate of 92.6%. The control group showed recovery in 17 of 75 cases，improvement in 32 cases and invalidation in 26 cases，with the total effective rate of 65.3%. There was a significant difference in the efficacybetween the two groups(P
[Key words]Pudilan oral solution； Pregnant woman； Pericoronitis of the third molar
智齒冠周炎是指智齒(第3磨牙)萌出不全或阻生時，牙冠周圍軟組織發生的炎症[1]。女性在妊娠期常因各種因素誘發智齒冠周炎的發生，治療方案包括局部衝洗和抗生素的使用，膿腫形成時則需及時切開排膿。由於孕婦使用抗生素不當會影響胎兒發育，而炎症控製不好也會影響妊娠，因此，妊娠期智齒冠周炎的治療很棘手。目前比較通用的方法是局部衝洗後，在盲袋內放置複方碘甘油，但有時效果並不理想，且有少數病例會出現碘過敏症狀。為此，我科在常規局部衝洗的基礎上，應用蒲地藍口服液治療孕婦智齒冠周炎，收到令人滿意的效果。