4+1操作配合模式在牙槽外科的初步建立和应用被引量：2

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

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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。 Objective：To explore the clinical value of ＂4＋1＂ nursing cooperation mode in alveolar surgery.Methods：526patients undergoing the extraction of lower impacted wisdom teeth were randomly divided into two groups（control group：255cases;experimental group：271cases）.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.

作者王莉黄从发任建岗蔡育

机构地区武汉大学口腔医院口腔外科

出处《口腔医学研究》 CAS CSCD 北大核心 2016年第7期720-722,共3页 Journal of Oral Science Research

基金国家自然科学基金资助(编号:81402241)

关键词下颌阻生智齿拔除术 4手操作巡回人员 Extraction of lower impacted wisdom teeth Four-hand operation Circuit nurse

分类号 R782.1 [医药卫生—口腔医学]

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