非口腔医学专业在校医学生对外伤全脱出牙齿处理意识的横断面调查

Cognitive levels of management for tooth trauma-induced avulsion in medical students majoring in non stomatology:a cross-sectional survey

目的评估非口腔医学专业在校医学生对外伤全脱出牙齿处理意识和牙外伤预防知识的了解程度。方法以某医学院校三年级非口腔医学专业本科生(n=358)和研究生(n=372)为研究对象,采用网络问卷调查的方式调查其基本情况、对牙外伤全脱出后处理方式以及牙外伤知识的了解情况。结果730名研究对象中,牙齿外伤全脱出的发生率为2.74%。若发生牙齿外伤全脱出,有41.10%的非口腔医学专业在校医学生表示会选择至口腔医院就诊;68.90%可正确地选择应急处理方式(包括带着脱落的牙齿就诊、自行将牙齿放回牙槽窝后就诊);52.74%可正确地选择牙根冲洗方式(握住牙冠进行冲洗);29.45%知晓正确的脱出牙保存方式(含在嘴中、塞回牙槽窝、泡在生理盐水、泡在牛奶);41.37%的非口腔医学专业在校医学生表示接受过牙外伤急救知识教育,其中14.52%通过网络、手机等新媒体接受相关知识教育;23.42%听说过外伤全脱出牙齿再植术;仅有2.74%听说过且佩戴过运动防护牙托。研究生在就诊地点、应急处理方式、牙齿保存方式中的选择正确率高于本科生(P<0.05)。结论非口腔医学专业在校医学生对外伤牙齿全脱位的认知水平较低,应加强对非口腔医学专业在校医学生的牙外伤专业知识教育,以提高全脱出牙齿的治疗成功率。

Objective To evaluate the cognitive levels of management for tooth trauma-induced avulsion as well as the level of understanding knowledge about tooth trauma prevention in medical students majoring in non stomatology.Methods A total of 358 third-year undergraduates and 372 postgraduates,majoring in non stomatology,from a medical college were enrolled as research subjects,a network questionnaire survey was conducted on their basic condition,treatment approaches for tooth trauma-induced avulsion,as well as the understanding of knowledge about tooth trauma.Results Among the 730 subjects,the incidence rate of tooth trauma-induced avulsion was 2.74%.When suffering from tooth trauma-induced avulsion,41.10%of medical students majoring in non stomatology chose to go to the stomatological hospital to see a doctor;68.90%chose the right emergency treatment approach(including seeing a doctor with the lost teeth,and seeing a doctor following putting the teeth back to alveolar fossa by themselves);52.74%chose the right root washing method(holding the crown for washing);29.45%were aware of the right preservation approach for avulsed tooth(including being preserved in the mouth,stuffing the tooth back to alveolar fossa,being soaked in normal saline,and being soaked in milk);41.37%of medical students majoring in non stomatology declared that they had received the first aid knowledge education of dental trauma,among which 14.52%received related knowledge education via the new media such as network and mobile phone;23.42%heard of the replantation of avulsed teeth due to tooth trauma;only 2.74%heard of and wore the sports protection denture holder.Postgraduates had higher accuracy rates for selecting treatment location,emergency treatment approach and tooth preservation approach than undergraduates(P<0.05).Conclusion Medical students majoring in non stomatology have a relatively low cognition level of tooth trauma-induced avulsion.It is necessary to strengthen the professional knowledge education in medical students majoring in non stomatology in order to improve the success rate of tooth avulsion treatment.