四手操作配合微创拔除阻生智齿术的护理与进展

Nursing care and progress of four-hand operation combined with minimally invasive extraction of impacted wisdom teeth

阻生智齿多是由于牙在颌骨内位置不当而使其无法萌出至正常咬合位置,是临床中常见的一种口腔疾病,治疗以拔除术为主。微创拔牙术在智齿拔除中得到了广泛的应用,四手操作配合微创拔牙术需要护理人员在术前对患者阻生智齿情况、心理状况等进行评估,详细介绍手术流程及术中需患者配合的要求;术中平稳迅速传递器械,减少医生因接触各种器械导致的交叉感染,及时清除患者口腔内的血液和唾液,避免患者反复坐起吐口水,为医生提供清晰的术野,缩短手术时间,并在手术过程中观察患者面部表情及意识变化,进行心理护理;术后详细交待注意事项及健康宣教内容。四手操作行微创拔除阻生智齿术能缩短手术时间,减轻患者紧张情绪,减少术后不良反应,提高手术成功率,是现代口腔医学的发展模式,值得临床推广应用。

Impacted wisdom teeth are mostly caused by the improper position of the teeth in the jaw bone so that they cannot sprout to the normal occlusal position.It is a common oral disease in clinic,the main treatment is extubation.Minimally invasive tooth extraction has been widely used in extraction of wisdom teeth.The four-hand operation combined with minimally invasive tooth extraction requires nurses to evaluate the status of impacted teeth and psychological status of patients before the operation,introduce in detail the operation process and the requirements for patients’cooperation during the operation,keep intraoperative smooth and rapid delivery of devices to reduce doctors’cross-infection caused by exposure to various devices,timely remove the blood and saliva in the patient’s mouth to avoid repeated sitting up and spitting,provide a clear surgical field for the doctor,shorten the operation time,observe the patient’s facial expression and consciousness changes in the process of surgery,and carried out psychological nursing,explain the matters needing attention and health education contents in detail after the operation.The four-hand operation of minimally invasive extraction of impacted wisdom teeth shortens the operation time,reduces the tension of patients and reduces the adverse reactions after surgery,improves the success rate of surgery.It is the development mode of modern stomatology and is worthy of clinical application.