乌鲁木齐市妇幼保健院妇产科医护人员对妊娠期口腔疾病认知的调查分析

Investigation and Analysis of Cognition of Oral Diseases during Pregnancy among Medical Staff of Obstetrics and Gynecology in Urumqi Maternal and Child Health Hospital

目的:调查乌鲁木齐市妇幼保健院妇产科医护人员对妊娠期口腔疾病的认知。方法:采用电子问卷调查法分析乌鲁木齐市妇幼保健院568名妇产科医护人员对妊娠期口腔保健和口腔治疗等知识的认知情况。结果:568名妇产科医生和护士中,96.7%的医生知晓妊娠期会增加口腔疾病的发生率,护士的知晓率是56.7%;74.7%的医生和57.9%的护士知晓妊娠期牙周炎可能导致低体重儿和早产儿;88.0%的医生和77.8%的护士会告知备孕的妇女应进行口腔检查;高达84.0%的医生担心孕妇口腔治疗出现并发症会引起医疗纠纷。80.0%的医生接受妊娠期口腔治疗使用局麻物,护士仅50.0%接受;认同妊娠期牙科X线检查的医生为68.0%,护士为37.6%;局麻药物利多卡因的妊娠分级仅41.3%的医生和28.7%的护士回答正确。高职称的医生赞同妊娠期口腔疾病治疗时使用X线检查,差异有统计学意义(P<0.05);年龄较大、学历和职称较高的护士赞同妊娠期口腔疾病治疗使用局麻和X线检查,差异有统计学意义(P<0.05)。结论:妇产科医护人员对于孕期口腔保健知识的认识不足,对口腔治疗的安全性不了解。应加强医护人员妊娠期口腔保健及口腔治疗安全性知识的培训,建立妇产科与口腔科多学科合作,保障孕妇的口腔健康和母婴安全。

Objective:To investigate the cognition of oral diseases during pregnancy among the medical staff of obstetrics and gynecology in Urumqi Maternal and Child Health Hospital.Methods:An electronic questionnaire was used to analyze the knowledge of oral health care and oral treatment during pregnancy among five hundred and sixty-eight obstetrical and gynecological staff in Urumqi Maternal and Child Health Hospital.Results:Among five hundred and sixty-eight obstetricians and gynecologists and nurses,96.7%of doctors knew that pregnancy would increase the incidence of oral diseases,and 56.7%of nurses knew.74.7%of physicians and 57.9%of nurses were aware that gestational periodontitis may lead to low birth weight and preterm infants.88.0%of doctors and 77.8%of nurses told pregnant women to have an oral examination.Up to 84.0%of doctors worried that complications in oral treatment of pregnant women will cause medical disputes.80.0%of doctors accepted the use of local anesthetics in oral treatment during pregnancy,while only 50.0%of nurses accepted it.68.0%of doctors and 37.6%of nurses agreed with dental X-ray examination during pregnancy.Only 41.3%of doctors and 28.7%of nurses correctly answered the pregnancy classification of the local anesthetic lidocaine.Doctors with high professional titles agreed to use X-ray examination in the treatment of oral diseases during pregnancy,and the difference was statistically significant(P<0.05).Nurses with older age,higher educational background and professional title agreed to use local anesthesia and X-ray examination in the treatment of oral diseases during pregnancy,and the difference was statistically significant(P<0.05).Conclusion:Medical staff in obstetrics and gynecology have insufficient knowledge of oral health care during pregnancy and do not understand the safety of oral treatment.It is necessary to strengthen the training of medical staff on oral health care and oral treatment safety during pregnancy,and establish multidisciplinary cooperation between obstetrics and gynecology and stomatology department to ensure the oral health of pregnant women and the safety of mother and child.