口腔医学研究

口腔医学研究 ›› 2016, Vol. 32 ›› Issue (7): 720-722.DOI: 10.13701/j.cnki.kqyxyj.2016.07.014

• 临床研究论著 • 上一篇    下一篇

4+1操作配合模式在牙槽外科的初步建立和应用

王莉, 黄从发*, 任建岗, 蔡育   

  1. 武汉大学口腔医院口腔外科 湖北 武汉 430079
  • 收稿日期:2016-05-11 出版日期:2016-07-26 发布日期:2016-07-25
  • 通讯作者: 黄从发,E-mail:huangcf_1009@whu.edu.cn
  • 作者简介:王莉(1979~ ),女,武汉人,主管护师,硕士,主要从事口腔护理操作配合工作。
  • 基金资助:
    国家自然科学基金资助(编号:81402241)

[doi] 10.13701/j.cnki.kqyxyj.2016.07.014

Preliminary Establishment and Application of “4+1” Cooperation Mode in Alveolar Surgery.

WANG Li, Huang Cong-fa*, Ren Jian-gang, Cai Yu.   

  1. Department of Oral Surgery, School of Stomatology, Wuhan University, Wuhan 430079, China.
  • Received:2016-05-11 Online:2016-07-26 Published:2016-07-25

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摘要： 目的: 探讨4+1操作配合模式在牙槽外科应用的临床意义。方法: 选择下颌骨性埋伏阻生智齿拔除患者526例,随机分为研究组271例,对照组255例;研究组在4手操作的基础上增设巡回人员1名,对照组只有4手操作,无巡回人员;观察比较两组下颌骨性埋伏阻生智齿拔除的手术时间、术后第3天患者手术侧面部肿胀及张口受限程度、术后伤口感染和干槽症的发生率。结果: 研究组手术时间明显短于对照组(P＜0.05),手术侧面部肿胀度及患者张口受限度明显低于对照组(P＜0.05),术后伤口感染发生率明显低于对照组(P＜0.05),两组术后干槽症发生率均极低,未见明显区别。结论: 牙槽外科4+1操作配合模式可有效缩短手术时间,减轻患者术后不良反应,降低术后感染等并发症发生的风险。

关键词: 下颌阻生智齿拔除术, 4手操作, 巡回人员

Abstract: Objective: To explore the clinical value of“4+1” nursing cooperation mode in alveolar surgery. Methods: 526 patients undergoing the extraction of lower impacted wisdom teeth were randomly divided into two groups (control group: 255 cases; experimental group: 271 cases). In the experimental group, a circuit nurse was added compared to the control group only including four-hand operation. The operation time and postoperative complications were recorded and compared between two groups. Results: The operation time, degree of swelling and mouth-opening limitation, and incidence of infection were significantly lower in the experimental group compared to the control group (P＜0.05). Additionally, the incidence of dry socket was extremely low, and there were no significant differences between two groups. Conclusion: Nursing cooperation mode of“4+1” in alveolar surgery could effectively reduce the operation time and risk of postoperative complications.

Key words: Extraction of lower impacted wisdom teeth , Four-hand operation , Circuit nurse

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