通讯作者: 李民, min-li@21cn.com

DOI：10.12201/bmr.202509.00050

Comparison of fever rate after third molar extraction and analysis of influencing factors among escort personnel during different periods of deployment

• 摘要：【】 目的 比较长期远航护航官兵第三磨牙拔除术后的发热率，并结合文献探讨其潜在影响因素。探讨长远航情况下对第三磨牙拔除术治疗的影响，为更好的做好海上卫勤保障工作提供参考。方法 48例护航期间行第三磨牙拔除术的患者按照航期分为远航前期组（B组）和远航后期组（C组），同期在海军医院口腔门诊行第三磨牙拔除术的患者20例作为对照组（A组）。比较3组患者拔牙术后面颊部组织肿胀度、视觉模拟评分法（visual analogue scale, VAS）疼痛评分、伤口愈合等级和发热情况，并结合文献对发热率差异的潜在影响因素进行探讨。 结果 3组患者拔牙术后面颊部组织肿胀度、VAS疼痛评分和伤口愈合等级等指标组间比较差异无统计学意义（P>0.05）。A组和B组患者术后发热率比较差异无统计学意义（P>0.05），C组发热率显著高于A组和B组（P<0.05）。 结论 远航后期护航官兵拔除第三磨牙后发热率增加，提示其可能与海上特殊环境因素、长时间航行引起免疫学稳态和口腔细菌微生态变化，以及口腔卫生因素等有关。

  关键词： 第三磨牙；牙齿拔除术；术后反应；发热；远航; ; ; ; 

   

  Abstract: 【】 Objective To compare the fever rate after the third molar extraction among escort personnel during long-term escort deployment, and to explore the potential influencing factors combined with literature.. To investigate the impact of long-term maritime operations on third molar extraction treatment , so as to provide a reference for better maritime medical support work. Method A total of 48 patients who underwent third molar extraction during the escort mission were divided into the pre-deployment group (group B) and the late-deployment group (group C) according to the duration of deployment. Twenty patients who underwent third molar extraction in the dental clinic of Naval Hospital during the same period were selected as the control group (group A). The degree of cheek tissue swelling, visual analogue scale (VAS) pain score, wound healing grade and fever after tooth extraction were compared among the three groups, and the potential influencing factors for the difference in fever rate were discussed based on literature review. Results There was no significant difference in the degree of cheek swelling, VAS pain score and wound healing grade among the three groups (P>0.05). There was no significant difference in postoperative fever rate between group A and group B (P>0.05), and the fever rate in group C was significantly higher than that in group A and group B (P<0.05). Conclusion In the late stage of prolonged deployment, the fever rate increased after the third molar extraction. This suggests that it may be associated with special environmental factors at sea, changes in immunological homeostasis and oral bacterial microecology caused by prolonged deployment at sea, and oral hygiene factors.

  Key words: Third molar; Tooth extraction; Postoperative reaction; Fever; Voyage

  提交时间：2025-09-23

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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• 序号	提交日期	编号	操作
  2	2025-04-17	10.12201/bmr.202509.00050V2	下载
  1	2025-04-17	10.12201/bmr.202509.00050V1	下载

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