口腔科医生对儿童口腔颌面部外伤破伤风预防认知的调查分析

Investigation and analysis of dentists'recognition of tetanus prevention in children with oral and maxillofacial trauma

目的:探讨儿童口腔颌面部外伤后破伤风预防策略及存在误区。方法:采用匿名填写调查问卷的方法收集破伤风预防知识等信息,并结合单中心研究数据,分析总结我国儿童口腔颌面部外伤后预防破伤风的策略。结果:单中心研究显示儿童口腔颌面外伤的患者注射破伤风免疫球蛋白(TIG)或者破伤风抗毒素(TAT)的比例达70%(105/150)。完成问卷的296名持有执业医师证的口腔科医师中近2/3缺乏对破伤风的认知;在面对儿童口腔颌面部外伤时,72.3%的医生常规推荐患者注射TIG或者TAT,其中10.81%的医生让患者及家属自己选择;仅14.86%的医生会考虑患儿百白破免疫接种史进行综合分析处理。调查显示95.95%的医生想要学习并掌握儿童口腔颌面部外伤后破伤风的预防策略。结论:本研究有助于加强口腔科医生对儿童口腔颌面部外伤破伤风预防的认知。

Objective:To study the prevention strategies and misunderstandings of tetanus after oral and maxillofacial trauma in children.Methods:A single-center study of tetanus prevention after oral and maxillofacial trauma in 150 children and a questionnaire survey about the tetanus and its prevention knowledge of 300 dentists were performed.Results:A single-center study showed that 70%of the children with oral and maxillofacial trauma were treated with tetanus immunoglobulin(TIG)or tetanus antitoxin(TAT).296 dentists with medical licenses completed the questionnaire survey.72.30%of the dentists recommend patients to be treated with TIG or TAT injection routinely.And 10.81%of the dentists would let patients and their families make their own choice.Only 14.86%of the dentists suggested comprehensive analysis and treatment with diphtheria tetanus immunization and the consideration of vaccination history of the patients.The survey shows that 95.95%of the dentists want to learn the prevention strategy of tetanus.Conclusion:This study may help to strengthen dentists'recognition of tetanus prevention in children with oral and maxillofacial trauma.