不合作低龄患儿埋伏多生牙拔除的围术期护理配合

Perioperative Nursing Cooperation for Uncooperative Young Children with Impacted Multiple Teeth Extraction

目的分析不合作低龄患儿埋伏多生牙拔除术的护理配合方式及效果。方法选取50例(52颗)2018年7月—2019年12月在该院行埋伏多生牙拔除治疗的患儿,将其随机分为对照组(25例26颗)和观察组(25例26颗),给以对照组患儿常规护理,观察组患儿在对照组的基础上给予围术期护理配合(主动性固定),观察并比较两组患儿的手术时间、术后并发症的发生率、术后拔牙创伤完全愈合的时间以及患儿家属对护理的满意度。结果观察组患儿的手术时间(27.61±2.22)min短于对照组(39.87±3.64)min,差异有统计学意义(t=6.327,P<0.05);观察组患儿术后并发症的发生率(4.00%)低于对照组(32.00%),差异有统计学意义(χ2=4.878,P<0.05);观察组术后拔牙创伤完全愈合的时间(2.4±0.5)个月短于对照组(4.1±0.8)个月,差异有统计学意义(t=3.219,P<0.05);观察组患儿家属对护理工作的满意度(100.00%)高于对照组(72.00%),差异有统计学意义(χ2=5.980,P<0.05)。结论临床上对不合作低龄患儿行埋伏多生牙拔除术治疗时,实施主动性固定,不但能够缩短患儿的手术时间,而且有效避免了不必要的创伤,患者家属对此种护理方式的护理满意度较高,有较高的推广价值。

Objective To analyze the nursing cooperation methods and effects of uncooperative young children with impacted multiple teeth extraction.Methods Fifty children(52 teeth)who underwent extraction of the impacted multiple teeth in the hospital from July 2018 to December 2019 were selected and randomly divided into control group(25 cases with 26 teeth)and observation group(25 cases with 26 teeth),the children in the control group were given routine nursing care,and the children in the observation group were given perioperative nursing cooperation(active fixation)on the basis of the control group.Observed and compared the operation time and postoperative complications incidence of disease,the time to complete healing of the postoperative tooth extraction trauma,and the satisfaction of the children’s family with this care of the two groups.Results The operation time of children in the observation group was(27.61±2.22)min shorter than that of the control group(39.87±3.64)min,the difference was statistically significant(t=6.327,P<0.05);the incidence of postoperative complications in the observation group was(4.00%)was lower than the control group(32.00%),the difference was statistically significant(χ2=4.878,P<0.05);the time for complete healing of the extraction wound in the observation group was(2.4±0.5)months shorter than that of the control group(4.1±0.8)months,the difference was statistically significant(t=3.219,P<0.05);the satisfaction of the family members of the observation group with respect to nursing work(100.00%)was higher than that of the control group(72.00%),the difference was statistically significant(χ2=5.980,P<0.05).Conclusion In clinical treatment of uncooperative young children with impacted supernumerary teeth extraction,the implementation of active fixation can not only shorten the operation time of the children,but also effectively avoid unnecessary trauma.The family members of the patients are concerned about this kind of nursing method,with high nursing satisfaction,and there is a high promotion value.