摘要
目的探讨显微根尖手术时间对患者术后疼痛程度的影响,并分析改良护理措施减轻术后疼痛的可行性。方法回顾性分析上海市第九人民医院牙体牙髓科2021年5月—2022年2月治疗的109例显微根尖手术患者的临床资料,依据手术时间不同将患者分为A组(手术时间<1.0 h)、B组(手术时间在1.0~1.5 h)、C组(手术时间>1.5~2.0 h)以及D组(手术时间>2.0 h),并对其术后疼痛程度采用数字评定量表(NRS)评分进行评价,分析显微根尖手术时间对患者术后疼痛程度的影响。结果术后第1天至第6天,B组、C组和D组与A组NRS评分比较,差异有统计学意义(P<0.05);C组术后第7天至第10天的NRS评分与A组比较,差异有统计学意义(P<0.05);D组术后第7天NRS评分与A组比较,差异有统计学意义(P<0.05)。C组术后第1天至第10天NRS评分及D组术后第1天至第7天NRS评分与B组比较,差异有统计学意义(P<0.05)。C组与D组不同时点NRS评分比较,差异无统计学意义(P>0.05)。结论显微根尖手术时间越短,术后疼痛程度越轻,恢复时间越短,因此缩短手术时间能改善患者术后疼痛程度。
Objective To investigate the effect of microscopic root apical surgery time on postoperative pain degree of patients,and analyze the feasibility of improved nursing measures in reducing postoperative pain.Methods The clinical data of 109 patients who underwent microapical surgery in the Department of Dentistry and Endodontics of Shanghai Ninth People′s Hospital from May 2021 to February 2022 were retrospectively analyzed.The patients were divided into group A(operation time<1.0 h),group B(operation time 1.0 to 1.5 h),group C(operation time>1.5 to 2.0 h)and group D(operation time>2.0 h)according to the duration of surgery,and their postoperative pain was evaluated by numerical rating scale(NRS).The effect of microapical operation time on postoperative pain was analyzed.Results From the first day after surgery to the sixth day after operation,the NRS scores of groups B,C and D showed significant difference compared with those of group A(P<0.05).The NRS scores of group C from the postoperative seventh day to the tenth day showed significant difference compared with those of group A(P<0.05).The NRS score of group D on the 7 th day after operation showed significant difference compared with that of group A(P<0.05).The NRS score of group C from the postoperative first day to the tenth day after operation and the NRS score of the first day to seventh day after operation showed significant differences compared with those of group B(P<0.05).There were no significant differences in NRS scores between group C and group D at different time points(P>0.05).Conclusion The shorter the microscopic apical surgery time is,the less the postoperative pain degree and the shorter the recovery time will be.Therefore,shortening the operation time can improve the postoperative pain degree of patients.
作者
胡雯
江文涛
胡楠
顾申生
HU Wen;JIANG Wentao;HU Nan;GU Shensheng(Department of Dentistry and Endodontics,Ninth People′s Hospital Affiliated to School of Medicine of Shanghai Jiao Tong University,Shanghai,200011;Medical College of Stomatology of Shanghai Jiao Tong University,National Center for Stomatology,National Clinical Research Center for Oral Diseases,Shanghai Key Laboratory of Stomatology,Shanghai Research Institute of Stomatology,Shanghai,200011)
出处
《实用临床医药杂志》
CAS
2022年第22期16-19,共4页
Journal of Clinical Medicine in Practice
基金
上海市自然科学基金面上项目(20ZR1448700)。
关键词
显微根尖手术
术后疼痛
数字评定量表
系统性护理
microscopic apical surgery
postoperative pain
Numerical Rating Scale
systematic nursing