Abstract:

Objective    To explore the effect of chitosan antibacterial film spray on healing of intraoral incision. Methods    Totally 60 patients with small salivary gland mucocele were selected in this study， and they were divided into A and B groups randomly， each group with 30 cases. After operation， group A was given Kangfuxin liquid for gargle， and group B was given  not only Kangfuxin liquid but also chitosan antibacterial film spray. Compare the bacterial infections of incision， the pain levels， the time of incision healing， the quality of incision healing and the incidence of adverse reaction between two groups. Results    After operation， compared with  group A， bacteria detected in group B declined； what’s more， patients’ feeling of pain was relieved， the time of incision healing was reduced， and the quality of incision healing was better. Both groups had no adverse reaction. Conclusion    The chitosan antibacterial film spray can shorten the healing time of intraoral incision and improve the quality of incision healing.

Key words:  , chitosan antibacterial film spray；intraoral incision；incision healing

摘要：

目的    探讨壳聚糖抗菌成膜喷剂对口腔内手术切口愈合的影响。方法    选择2013年9月至2014年12月在中国医科大学口腔医学院综合急诊科就诊并行常规口腔内切口手术治疗的小唾液腺黏液囊肿患者60例，随机分为A、B两组，每组30例。A组患者术后给予康复新液含漱，B组患者术后在给予康复新液的基础上加用壳聚糖抗菌成膜喷剂。观察比较两组患者术后切口细菌感染情况、疼痛程度、切口愈合时间、切口愈合情况、不良反应发生率。结果    与A组患者相比，B组患者术后切口细菌检出量低、患者疼痛程度轻、切口愈合时间短、切口愈合质量好，两组差异均有统计学意义（P < 0.05）。两组病例中均未出现不良反应。结论    壳聚糖抗菌成膜喷剂可促进口腔内手术切口的愈合、提高切口愈合质量。

关键词: 壳聚糖抗菌成膜喷剂, 口腔内手术切口, 切口愈合