四手操作配合法在下颌低位阻生智齿拔除中的疗效观察

Observation on the curative effect of four-handed operation matching method in the extraction of lowmandibular impacted wisdom teeth

目的探讨四手操作配合法在下颌低位阻生智齿拔除中的应用效果。方法选取2017年1月—2019年1月来医院就诊的下颌低位阻生智齿患者80例为研究对象,按组间匹配方法分为对照组和观察组。对照组采取常规护理模式,观察组采取四手操作护理,比较两组患者手术时间、术中出血量,术后1、3、5天的疼痛程度,并发症发生状况以及护理满意度。结果观察组患者手术时间短于对照组,术中出血量少于对照组,观察组患者不同时间段疼痛程度低于对照组患者,差异有统计学意义(P<0.05);观察组并发症的发生率低于对照组,护理满意度高于对照组,但差异均无统计学意义(P>0.05)。结论四手操作配合在下颌低位阻生智齿的拔除手术中,可以提高医师和护士的工作效率,降低感染的可能性。

Objective To explore the application effect of four-handed operation matching method in the extraction of low-mandibular impacted wisdom teeth.Methods To select 80 cases of patients with lowmandibular impacted wisdom teeth who came to hospital from January 2017 to January 2019 as the study objects.According to the matching method between the groups,they were divided into a control group and an observation group.The control group adopted conventional nursing mode,and the observation group adopted four-handed nursing care to compare the time of operation,intraoperative blood loss,pain degree 1,3,and 5 days after surgery,complications and nursing satisfaction of the two groups.Results The time of operation in the observation group was shorter than that of the control group,the intraoperative blood loss was less than that of the control group,the pain degree of the observation group was lower than that of the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,and the nursing satisfaction was higher than that in the control group,but the differences were not statistically significant(P>0.05).Conclusion The application of four-handed operation matching method in the extraction of low-mandibular impacted wisdom teeth can improve the working efficiency of doctors and nurses and reduce the possibility of infection.