个性化护理在高速涡轮钻联合超声骨刀拔除复杂下颌阻生智齿患者中的应用

Application of personalized care in the removal of complex impacted mandibular wisdom teeth with high-speed turbine combined with piezosurgery

目的 探讨个性化护理在高速涡轮钻联合超声骨刀拔除复杂下颌阻生智齿患者中的应用效果。方法 选取2019年1月至2021年6月于大连市口腔医院接受复杂下颌阻生齿拔除的84例患者作为研究对象,按照随机数字表法将其分为对照组与观察组,每组42例。所有患者均接受高速涡轮钻联合超声骨刀拔除治疗,对照组患者实施常规护理,观察组患者实施常规护理+个性化护理。比较两组患者的手术用时、术后并发症总发生率及术后不同时间点的疼痛情况。结果 观察组患者的手术用时短于对照组,差异有统计学意义(P<0.05)。观察组患者的术后并发症总发生率为2.38%,低于对照组的14.29%,差异有统计学意义(P<0.05)。观察组患者术后6 h、拆线时的疼痛视觉模拟评分法(VAS)评分均低于对照组,差异有统计学意义(P<0.05)。结论 对复杂下颌阻生智齿患者应用高速涡轮钻联合超声骨刀拔除术治疗中,应用个性化护理干预可缩短手术时间,降低术后并发症总发生率,降低疼痛程度,效果显著。

Objective To explore the effect of personalized care in the removal of complex impacted mandibular wisdom teeth with high-speed turbine combined with piezosurgery.Methods From January 2019 to June 2021,84 patients who underwent complex impacted mandibular tooth extraction at Dalian Stomatological Hospital were selected as the research subjects.They were divided into the control group and the observation group according to the random number table method,with 42 cases in each group.Both received high-speed turbine combined with piezosurgery extraction treatment.On this basis,the control group was given routine care,and the observation group was given routine care and personalized care.The operation time and the incidence of postoperative complications were compared between the two groups.Results The operation time of the observation group was shorter than that of the control group,and the difference was statistically significant(P<0.05).The postoperative complication rate of the observation group was 2.38%,which was lower than the control group accounting for 14.29%,and the difference was statistically significant(P<0.05).The visual analogue scale(VAS)score at 6 h after surgery and stitch removal in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion In the treatment of patients with complex impacted mandibular wisdom teeth with high-speed turbine combined with piezosurgery extraction,the application of personalized care can shorten the operation time,reduce the incidence of postoperative complications,and alleviate the degree of pain in a remarkable effect.