新型冠状病毒传播期间191例武汉口腔急诊患者临床特点

Characteristics of Dental Emergencies During COVID-19 Outbreak in Wuhan

目的:分析新型冠状病毒传播期间武汉大学口腔医院口腔急诊患者特点,为新型冠状病毒传染疾病疫情防控期间,口腔急诊的处置对策提供资料。方法:收集2020年2月22日~2020年3月2日于武汉大学口腔医院就诊口腔急诊患者临床资料,收集分析患者年龄、性别、国籍、体温检测、流行病学调查结果、口腔专科疾病诊断结果等临床信息。结果:本研究纳入患者191例,其中男105例,女86例,性别比为1.22∶1,平均年龄(41.26±16.84)岁,65岁以上患者占12.04%。191例患者中非COVID-19发热患者1例;确诊COVID-19经治疗痊愈后患者2例,其中1例为外籍患者;近期与确诊或疑似COVID-19患者接触者3例。本研究中以牙髓炎和根尖周炎为主要诊断的病例占急诊就诊病例首位(48.17%),其次为牙周病(13.61%)和智齿冠周炎(13.09%)。结论:新型冠状病毒传播期间口腔急诊情况复杂,应关注患者特别是老年患者的健康状况,加强患者的体温检测与流行病学调查,包括外籍患者。口腔医务工作者应具备坚实的口腔全科专业知识,并做好个人防护,预防交叉感染,防止疫情扩散。

Objective:To analyze the clinical characteristics of dental emergency patients during COVID-19 outbreak.Methods:Dental emergency patients were recruited in the Stomatology Hospital of Wuhan University from February 22th 2020 to March 2th 2020.The basic information of gender,age,nationality,body temperature,COVID-19 epidemiological investigation,and diagnosis of oral disease were analyzed and summarized.Results:A total of 191 individuals sought for emergency dental treatment from February 22th 2020 to March 2th 2020,with age of 41.26±16.84.The majority of patients were male(54.97%).One individual attending had fever.Two individuals including 1 foreigner were confirmed COVID-19 who had been cured.Three individuals had contacted with confirmed or suspected COVID-19 patients.The most common diagnosis was pulpitis and periapical periodontitis(48.17%),followed by periodontitis(13.61%)and pericoronitis of the third molar of the mandible(13.09%).Conclusion:The types of dental emergency diseases during COVID-19 are various.Attention should be paid to the health status of patients,especially elderly patients.The body temperature test and COVID-19 epidemiological investigation should be strengthened for patients.Dental emergency workers should have sufficient general dental knowledge and careful preparation of personal protective equipment to prevent the cross-infection and the spread of the epidemic.