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J Periodontol:腭黏膜移植术后使用氟比洛芬喷雾剂的效果评价

2018-10-05 MedSci MedSci原创

氟比洛芬是一种非甾体类抗炎药(NSAID),已被安全地用于需要腭移植瓣获取的牙周整形手术后患者的发病率,但几乎没有局部使用效果的研究。该研究的目的是通过在腭移植物获取后使用氟比洛芬口腔喷雾来评估患者的痛觉及发病率。

氟比洛芬是一种非甾体类抗炎药(NSAID),已被安全地用于需要腭移植瓣获取的牙周整形手术后患者的发病率,但几乎没有局部使用效果的研究。该研究的目的是通过在腭移植物获取后使用氟比洛芬口腔喷雾来评估患者的痛觉及发病率。

方法:选择48名患者(21名男性和27名女性),进行上皮下结缔组织移植(SCTG)和需要牙周整形手术的游离牙龈移植(FGG)。患者被随机分配到每组,并使用氟比洛芬或安慰剂的口腔喷雾,每天三次,持续一周。术后1,3,7,14,21,28,42和56天随访,评估腭供区术后疼痛,不适,完全上皮形成,饮食习惯改变,烧灼感,颜色匹配,全身镇痛消耗量和延迟出血。随访第14天记录伤口愈合分值。

结果:术后第21天安慰剂-FGG组完全上皮形成的患病率显着高于氟比洛芬-FGG组(P <0.05),而氟尿嘧啶-STEG和安慰剂-SCTG组在任何随访期均无明显改变。术后第14天氟比洛芬-FGG组患者的术后疼痛,不适和烧灼感均有显着改善(P <0.05)。

口腔氟比洛芬喷雾可降低患者的发病率,但可能对FGG术后继发性伤口愈合的上皮形成有负面影响。

原始出处:

Sila Cagri Isler, et al.Oral flurbiprofen spray for mucosal graft harvesting at the palatal area: A randomized placebo‐controlled study. Journal of  Periodontol. 2018 October. Doi:10.1002/JPER.17-0381

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    2019-09-19 cy0324
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    2019-02-20 feather89
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    2018-11-08 红豆词

    学习

    0

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    2018-10-07 huagfeg
  7. [GetPortalCommentsPageByObjectIdResponse(id=1927291, encodeId=65f8192e2918e, content=<a href='/topic/show?id=7f0e639314c' target=_blank style='color:#2F92EE;'>#氟比洛芬喷雾剂#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=63931, encryptionId=7f0e639314c, topicName=氟比洛芬喷雾剂)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d590125, createdName=linlin2312, createdTime=Thu Jan 03 18:55:00 CST 2019, time=2019-01-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1998949, encodeId=02ab19989494d, content=<a href='/topic/show?id=8e2ee5200ee' target=_blank style='color:#2F92EE;'>#移植术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=75200, encryptionId=8e2ee5200ee, topicName=移植术)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=63a4277, createdName=cy0324, createdTime=Thu Sep 19 19:55:00 CST 2019, time=2019-09-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1632505, encodeId=72fc1632505ce, content=<a href='/topic/show?id=57d9854123a' target=_blank style='color:#2F92EE;'>#腭黏膜#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85412, encryptionId=57d9854123a, topicName=腭黏膜)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8f0721920791, createdName=xiaogang324, createdTime=Wed Feb 20 19:55:00 CST 2019, time=2019-02-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1727661, encodeId=fbc51e2766180, content=<a href='/topic/show?id=986913980dd' target=_blank style='color:#2F92EE;'>#PE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13980, encryptionId=986913980dd, topicName=PE)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f06c33759375, createdName=feather89, createdTime=Wed Feb 20 13:55:00 CST 2019, time=2019-02-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=351891, encodeId=e0ed351891e8, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/06/23/e5578d08ed85317f45488f7f0c4c8b87.jpg, createdBy=6c2c2387185, createdName=红豆词, createdTime=Thu Nov 08 00:40:48 CST 2018, time=2018-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1444437, encodeId=73ce144443ee4, content=<a href='/topic/show?id=3d9291459d1' target=_blank style='color:#2F92EE;'>#评价#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=91459, encryptionId=3d9291459d1, topicName=评价)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1fee5134542, createdName=huagfeg, createdTime=Sun Oct 07 05:55:00 CST 2018, time=2018-10-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1520009, encodeId=1f971520009c8, content=<a href='/topic/show?id=6ab11032506f' target=_blank style='color:#2F92EE;'>#黏膜#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=103250, encryptionId=6ab11032506f, topicName=黏膜)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=057f11309297, createdName=snowpeakxu, createdTime=Sun Oct 07 05:55:00 CST 2018, time=2018-10-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1046637, encodeId=4277104663e48, content=疗效只是效果的众多方面之一,还要看对患者的获益,包括生活质量等因素共同决定效果的, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=CHANGE, createdTime=Fri Oct 05 17:55:00 CST 2018, time=2018-10-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=348050, encodeId=b42134805067, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=82311653708, createdName=医者仁心5538, createdTime=Fri Oct 05 17:43:59 CST 2018, time=2018-10-05, status=1, ipAttribution=)]
    2018-10-07 snowpeakxu
  8. [GetPortalCommentsPageByObjectIdResponse(id=1927291, encodeId=65f8192e2918e, content=<a href='/topic/show?id=7f0e639314c' target=_blank style='color:#2F92EE;'>#氟比洛芬喷雾剂#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=63931, encryptionId=7f0e639314c, topicName=氟比洛芬喷雾剂)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d590125, createdName=linlin2312, createdTime=Thu Jan 03 18:55:00 CST 2019, time=2019-01-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1998949, encodeId=02ab19989494d, content=<a href='/topic/show?id=8e2ee5200ee' target=_blank style='color:#2F92EE;'>#移植术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=75200, encryptionId=8e2ee5200ee, topicName=移植术)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=63a4277, createdName=cy0324, createdTime=Thu Sep 19 19:55:00 CST 2019, time=2019-09-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1632505, encodeId=72fc1632505ce, content=<a href='/topic/show?id=57d9854123a' target=_blank style='color:#2F92EE;'>#腭黏膜#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85412, encryptionId=57d9854123a, topicName=腭黏膜)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8f0721920791, createdName=xiaogang324, createdTime=Wed Feb 20 19:55:00 CST 2019, time=2019-02-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1727661, encodeId=fbc51e2766180, content=<a href='/topic/show?id=986913980dd' target=_blank style='color:#2F92EE;'>#PE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13980, encryptionId=986913980dd, topicName=PE)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f06c33759375, createdName=feather89, createdTime=Wed Feb 20 13:55:00 CST 2019, time=2019-02-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=351891, encodeId=e0ed351891e8, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/06/23/e5578d08ed85317f45488f7f0c4c8b87.jpg, createdBy=6c2c2387185, createdName=红豆词, createdTime=Thu Nov 08 00:40:48 CST 2018, time=2018-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1444437, encodeId=73ce144443ee4, content=<a href='/topic/show?id=3d9291459d1' target=_blank style='color:#2F92EE;'>#评价#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=91459, encryptionId=3d9291459d1, topicName=评价)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1fee5134542, createdName=huagfeg, createdTime=Sun Oct 07 05:55:00 CST 2018, time=2018-10-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1520009, encodeId=1f971520009c8, content=<a href='/topic/show?id=6ab11032506f' target=_blank style='color:#2F92EE;'>#黏膜#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=103250, encryptionId=6ab11032506f, topicName=黏膜)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=057f11309297, createdName=snowpeakxu, createdTime=Sun Oct 07 05:55:00 CST 2018, time=2018-10-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1046637, encodeId=4277104663e48, content=疗效只是效果的众多方面之一,还要看对患者的获益,包括生活质量等因素共同决定效果的, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=CHANGE, createdTime=Fri Oct 05 17:55:00 CST 2018, time=2018-10-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=348050, encodeId=b42134805067, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=82311653708, createdName=医者仁心5538, createdTime=Fri Oct 05 17:43:59 CST 2018, time=2018-10-05, status=1, ipAttribution=)]
    2018-10-05 CHANGE

    疗效只是效果的众多方面之一,还要看对患者的获益,包括生活质量等因素共同决定效果的

    0

  9. [GetPortalCommentsPageByObjectIdResponse(id=1927291, encodeId=65f8192e2918e, content=<a href='/topic/show?id=7f0e639314c' target=_blank style='color:#2F92EE;'>#氟比洛芬喷雾剂#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=63931, encryptionId=7f0e639314c, topicName=氟比洛芬喷雾剂)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d590125, createdName=linlin2312, createdTime=Thu Jan 03 18:55:00 CST 2019, time=2019-01-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1998949, encodeId=02ab19989494d, content=<a href='/topic/show?id=8e2ee5200ee' target=_blank style='color:#2F92EE;'>#移植术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=75200, encryptionId=8e2ee5200ee, topicName=移植术)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=63a4277, createdName=cy0324, createdTime=Thu Sep 19 19:55:00 CST 2019, time=2019-09-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1632505, encodeId=72fc1632505ce, content=<a href='/topic/show?id=57d9854123a' target=_blank style='color:#2F92EE;'>#腭黏膜#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85412, encryptionId=57d9854123a, topicName=腭黏膜)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8f0721920791, createdName=xiaogang324, createdTime=Wed Feb 20 19:55:00 CST 2019, time=2019-02-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1727661, encodeId=fbc51e2766180, content=<a href='/topic/show?id=986913980dd' target=_blank style='color:#2F92EE;'>#PE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13980, encryptionId=986913980dd, topicName=PE)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f06c33759375, createdName=feather89, createdTime=Wed Feb 20 13:55:00 CST 2019, time=2019-02-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=351891, encodeId=e0ed351891e8, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/06/23/e5578d08ed85317f45488f7f0c4c8b87.jpg, createdBy=6c2c2387185, createdName=红豆词, createdTime=Thu Nov 08 00:40:48 CST 2018, time=2018-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1444437, encodeId=73ce144443ee4, content=<a href='/topic/show?id=3d9291459d1' target=_blank style='color:#2F92EE;'>#评价#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=91459, encryptionId=3d9291459d1, topicName=评价)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1fee5134542, createdName=huagfeg, createdTime=Sun Oct 07 05:55:00 CST 2018, time=2018-10-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1520009, encodeId=1f971520009c8, content=<a href='/topic/show?id=6ab11032506f' target=_blank style='color:#2F92EE;'>#黏膜#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=103250, encryptionId=6ab11032506f, topicName=黏膜)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=057f11309297, createdName=snowpeakxu, createdTime=Sun Oct 07 05:55:00 CST 2018, time=2018-10-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1046637, encodeId=4277104663e48, content=疗效只是效果的众多方面之一,还要看对患者的获益,包括生活质量等因素共同决定效果的, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=CHANGE, createdTime=Fri Oct 05 17:55:00 CST 2018, time=2018-10-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=348050, encodeId=b42134805067, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=82311653708, createdName=医者仁心5538, createdTime=Fri Oct 05 17:43:59 CST 2018, time=2018-10-05, status=1, ipAttribution=)]
    2018-10-05 医者仁心5538

    学习了

    0

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