新型冠状病毒肺炎防控期间综合性医院口腔科急诊739例临床分析与对策

Clinical analysis and countermeasures of 739 cases treated in the emergency department of stomatology in general hospital during COVID-19 epidemic

目的:通过整理新型冠状病毒肺炎(COVID-19)防控期间口腔科急诊病例的年龄、性别、病例分类、就诊时间,整体分析综合性医院口腔科在COVID-19防控期间的急诊规律及防治原则。方法:收集泰州市人民医院2020年01月29日—2020年02月28日间,口腔科急诊病例739例,按年龄分为青少年(≤18岁)、青壮年(18~60岁)、老年(≥60岁)3组,采用SPSS 21.0软件包对各组的患者进行统计分析。结果:男性与女性比例为1.24∶1;青少年组为1.66∶1;青壮年组为1.23∶1;老年组为0.86∶1。白天急诊655例,夜间急诊84例。急诊病例类型分别为冠周炎(15.83%)、根尖周炎(14.21%)、牙髓炎(13.40%)、牙周炎(12.31%)、口腔黏膜病(12.18%)和口腔颌面部外伤(10.55%),其中,口腔颌面部间隙感染占8.39%,儿童牙病占5.41%,口腔颌面肿瘤占2.84%,颞下颌关节脱位、紊乱占1.76%,其他3.11%。口腔颌面部外伤中,软组织外伤占82.06%、骨组织外伤占2.56%、牙外伤占15.38%。结论:在新型冠状病毒肺炎疫情下,口腔科作为高风险科室之一,对医护人员提出了更高的防控要求。增强口腔科医师的临床应急技能及处理突发事件的能力,在疫情期间提高患者的口腔保健意识,重视基础疾病的诊疗,对提升重大疫情防控期间口腔科医疗质量及COVID-19疫情防控具有重要意义。

PURPOSE:In this paper,based on the age,sex,disease type,and consultation time of dental emergency during COVID-19 epidemic,a comprehensive analysis of dental emergency management and prevention and control of COVID-19 was conducted.METHODS:A total of 739 emergency dental cases were collected from January 292020 to February 282020.They were divided into 3 groups,including adolescents(≤18 years),young adults(18~60 years),and elderly(≥60 years old).The data was analyzed using SPSS 21.0 software package.RESULTS:The ratio of male to female was 1.24∶1.There were 655 emergency cases during the day and 84 cases during the night.The types of diseases included pericoronitis(15.83%),apical periodontitis(14.21%),pulpitis(13.40%),periodontitis(12.31%),oral mucosal disease(12.18%),Oral and maxillofacial trauma(10.55%),oral and maxillofacial space infection(8.39%),dental disease in children(5.41%),oral and maxillofacial tumors(2.84%),temporomandibular joint dislocations and disorders(1.76%),and others(3.11%).CONCLUSIONS:Under the epidemic situation of the new coronavirus,as one of the high-risk departments,it is of great significance to enhance the clinical emergency skills and ability of emergency treatment,improve patients’oral health awareness,address the diagnosis and treatment of essential diseases,for the improvement the quality of dental medical care and the prevention and control of COVID-19 epidemic.