本文關(guān)鍵詞：下頜骨磨牙區(qū)囊腫刮除術(shù)對味覺影響的臨床研究　出處：《山東大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

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【摘要】：研究目的檢測下頜骨磨牙區(qū)囊腫刮除術(shù)前后的舌前2/3咸味味覺變化。研究方法1.采用囊腫刮除術(shù)進(jìn)行治療17名下頜磨牙區(qū)的含牙囊腫病人,分別在術(shù)前、術(shù)后1月、術(shù)后6月行濃度梯度試驗(yàn)、位點(diǎn)咸味檢測試驗(yàn)和簡易嗅覺檢測。術(shù)后1月和術(shù)后6月行問卷調(diào)查。2.簡易嗅覺檢測:本檢測方法用相同外包裝的小瓶裝載嗅劑,其中測試嗅劑為香煙、茶葉、肥皂、樟腦,對照嗅劑為生理鹽水。檢測時(shí)先讓病人閉上眼睛,使用同側(cè)手堵住同側(cè)鼻孔,使用對側(cè)的鼻孔進(jìn)行嗅別,鼻孔的位置在瓶口上方約5cm處。然后請病人說出所嗅嗅劑的名稱,同時(shí)做好記錄。簡易嗅覺檢查期間為防止嗅覺疲勞,不同嗅劑之間可有時(shí)間間隔。嗅覺正常的標(biāo)準(zhǔn)是所有嗅劑全部識(shí)別正確。3.濃度梯度試驗(yàn):用無菌棉棒沾取不同濃度梯度的氯化鈉(濃度分別為0.005mol/L、0.01 mol/L、0.02 mol/L、0.04 mol/L、0.08 mol/L)自前向后涂在測試區(qū)域(約 0.025ml被涂在受試區(qū)域)。測試從最低濃度開始,并逐級(jí)升高,直到味道能被感覺出并判斷出是咸味。4.位點(diǎn)咸味試驗(yàn):受試者需判斷1.0M氯化鈉味覺刺激的強(qiáng)度,并在從0(沒有味覺)到9(非常強(qiáng)烈)的等間距量表上打分。測試時(shí)用無菌棉棒沾取試劑自前向后涂在測試區(qū)域(約0.025ml被涂在受試區(qū)域)。5.統(tǒng)計(jì)方法:所有實(shí)驗(yàn)結(jié)果數(shù)據(jù)采用SPSS22.0統(tǒng)計(jì)學(xué)軟件分析,p小于0.05被認(rèn)定具有統(tǒng)計(jì)學(xué)意義。研究結(jié)果1.所有參與本實(shí)驗(yàn)的病人每次都可通過簡易嗅覺檢測。2.下頜骨磨牙區(qū)刮除術(shù)后1個(gè)月病人手術(shù)測舌前2/3的濃度梯度試驗(yàn)得分較術(shù)前減低(P0.05),術(shù)后6個(gè)月的得分與術(shù)前無明顯統(tǒng)計(jì)學(xué)差異(P0.05)。而非手術(shù)側(cè)無明顯變化(P0.05)。3.下頜骨磨牙區(qū)刮除術(shù)后1個(gè)月和6個(gè)月病人手術(shù)側(cè)和非手術(shù)側(cè)舌前2/3的位點(diǎn)咸味試驗(yàn)的得分無明顯統(tǒng)計(jì)學(xué)差異(P0.05)。4.所有參與本實(shí)驗(yàn)的病人術(shù)后自覺味覺無明顯變化。結(jié)論1.下頜骨磨牙區(qū)囊腫刮除術(shù)會(huì)提高病人手術(shù)測舌前2/3的咸味閾,且6個(gè)月后會(huì)恢復(fù),但不影響闞值上的咸味味覺功能。2.下頜骨磨牙區(qū)囊腫刮除術(shù)對病人的嗅覺不會(huì)造成明顯的影響。3.下頜骨磨牙區(qū)囊腫刮除術(shù)后病人沒有感知到自身味覺功能的改變。
[Abstract]:Objective to detect the changes of 2/3 salty taste in front of tongue before and after mandibular molar cyst curettage. Methods 1. 17 patients with dental cyst in mandibular molar region were treated by cyst curettage. The concentration gradient test was performed before operation, January after operation and June after operation. Site salt detection test and simple olfactory test. Questionnaire survey was performed on January and June. 2. Simple olfactory detection: this method was carried out with the same package of small bottles loaded with olfactory agents, in which cigarettes were tested. Tea, soap, camphor, control olfactory agent is normal saline. When testing, let the patient close eyes, use the same side of the hand to block the same side nostril, use the opposite side of the nostril to sniff off. The nostrils are located about 5 cm above the mouth of the bottle. Then ask the patient to name the sniff and keep a record of it. To prevent olfactory fatigue during the simple olfactory examination. There can be time intervals between different olfactory agents. The standard for normal olfaction is that all olfactory agents are correctly identified. 3. Concentration gradient test: use sterile cotton rods to extract different concentrations of sodium chloride (. The concentration was 0.005 mol / L, respectively. 0.01 mol/L,0.02 mol/L,0.04 mol/L. 0.08 mol / L was applied to the test area from the front to the back (about 0.025 ml was applied to the test area). The test began with the lowest concentration and increased step by step. Until the taste could be sensed and judged to be saltwater. 4. Site salt test: participants were asked to determine the intensity of the 1.0m sodium chloride taste stimuli. And scored on a scale of equal spacing from 0 (no taste) to 9 (very strong). The test was carried out with a sterile cotton stick stain from the front to the back of the test area (about 0.025ml was coated in the test area). Statistical method: all experimental data were analyzed by SPSS22.0 software. P < 0.05 is considered to be statistically significant. 1. All the patients involved in this study can pass the simple olfactory test. 2. 1 month after the mandibular molar area curettage, the first 2 of the tongue can be measured. 2. The score of the concentration gradient test of 3 / 3 was lower than that of the pre-operation (. P0.05). There was no significant difference in the scores at 6 months after operation between the two groups (P 0.05), but there was no significant change in the non-operative side (P 0.05). 3.There was no significant difference in the score of salt taste test between the operative side and the non-operative side of the tongue in the patients with mandibular molar area curettage 1 and 6 months after curettage (P 0.05). All the patients who participated in this study had no obvious changes in taste after operation. Conclusion 1. Curettage of mandibular molars cyst can increase the taste threshold of 2/3 before tongue. 2. And will recover in 6 months. However, it does not affect the salty taste function of the mandibular molar region. 2. The effect of mandibular molar cyst curettage on the patient's olfactory ability is not obvious. 3. The patient after mandibular molar area cyst curettage does not feel his own taste function. A change in energy.
【學(xué)位授予單位】：山東大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R782

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