中国口腔颌面外科杂志

中国口腔颌面外科杂志 ›› 2025, Vol. 23 ›› Issue (2): 170-173.doi: 10.19438/j.cjoms.2025.02.011

• 论著 • 上一篇    下一篇

新型口腔颌面部局部加压带的研制及其临床应用

邹璨, 龚澄霞*, 蒋珏*   

  1. 上海交通大学医学院附属第九人民医院 麻醉科,上海 200011
  • 收稿日期:2024-12-24 修回日期:2025-01-02 出版日期:2025-03-20 发布日期:2025-04-06
  • 通讯作者: 蒋珏,E-mail: jiangjue1136@sina.com;龚澄霞,E-mail: 13764182789。*共同通信作者
  • 作者简介:邹璨（1985-）,女,本科,E-mail: 16720900@qq.com
  • 基金资助:
    2022年度上海交通大学医学院附属第九人民医院护理学科发展基金（JYHL2022XG02）

Development and clinical application of a new type of oral and maxillofacial local compression band

ZOU Can, GONG Cheng-xia, JIANG Jue   

  1. Department of Anesthesiology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai 200011, China
  • Received:2024-12-24 Revised:2025-01-02 Online:2025-03-20 Published:2025-04-06

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摘要： 目的：研制一种新型口腔颌面部局部加压带,评估其在口腔颌面外科手术中的应用效果。方法：选择上海交通大学医学院附属第九人民医院行牙槽外科手术的患者72例,随机分为对照组和试验组,每组各36例。对照组采用术后常规绷带局部加压,试验组采用新型口腔颌面部局部加压带加压,2组患者均由同一名医师操作。术后第2天拆除加压带,观察患者颌面部肿胀情况、伤口渗血及愈合情况,并对患者舒适度和主管医师满意度进行评分。采用SPSS 20.0软件包对数据进行统计学分析。结果：2组患者性别、年龄、手术等一般资料相比无统计学差异。试验组颌面部肿胀发生率为5.6%（2/36）,显著低于对照组的33.3%（12/36,P<0.05）;试验组渗血发生率为2.8%（1/36）,显著低于对照组的16.7%（6/36,P<0.05）。试验组患者术后开口度、皮肤压迫等舒适度显著优于对照组（P<0.05）,试验组主管医师在操作便捷、节时省力、治疗效果3方面的满意度显著优于对照组（P<0.05）。结论：新型口腔颌面部局部加压带简单易行,可减少颌面部肿胀和渗血发生率,有利于伤口愈合,值得推广应用。

关键词: 口腔颌面部手术, 牙槽外科, 局部加压带, 并发症

Abstract: PURPOSE: To develop a new type of oral and maxillofacial local compression band and evaluate its effectiveness in oral and maxillofacial surgery. METHODS: A total of 72 patients undergoing alveolar surgery in Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine were randomly divided into control group and experimental group, with 36 patients in each group. The control group was subjected to postoperative local compression with conventional bandage, while the experimental group was subjected to a new type of oral and maxillofacial local compression band. Both groups were operated by the same physician. The compression band was removed on the second day after surgery, and the swelling, bleeding and healing of the wound were observed, and the comfort of the patients and the satisfaction of the attending physicians were scored. SPSS 20.0 software package was used for data analysis. RESULTS: There was no significant difference in general data such as gender, age and surgery between the two groups of patients. The incidence of facial swelling in the experimental group was 5.6%(2/36), significantly lower than 33.3%(12/36) in the control group (P< 0.05); the incidence of bleeding in the experimental group was 2.8% (1/36), significantly lower than 16.7% (6/36) in the control group (P< 0.05). The postoperative mouth opening degree and skin compression comfort of the patients in the experimental group were significantly better than those in the control group(P< 0.05); the satisfaction of the attending physicians in the experimental group in terms of operation convenience, time-saving and labor-saving, and treatment effect was significantly better than that in the control group (P< 0.05). CONCLUSIONS: The new type of oral and maxillofacial local compression band is simple and easy to use. It can reduce the incidence of maxillofacial swelling and bleeding, and is beneficial for wound healing, thus is worthy of promoting.

Key words: Oral and maxillofacial surgery, Alveolar surgery, Local compression band, Complications

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