标题：基于全程放松训练的护理模式在下颌阻生齿拔除术中的应用

      作者：王兰辉，伍星丽，唐小妹    佛山科学技术学院附属口腔医院(佛山市口腔医院)颌面外科，广东 佛山 528000

      卷次： 2019年30卷16期

      【摘要】 目的 研究基于全程放松训练的护理模式在下颌阻生齿拔除术中的应用效果。方法 选取2017年1月至2019年1月于佛山市口腔医院颌面外科手术的下颌阻生齿患者100例进行研究，按照随机数表法将其分为观察组和对照组各50例。对照组患者实施传统的护理模式，观察组患者实施全程放松训练的护理模式。术前及术后 7 d，采用改良的Corah's牙科焦虑量表(Corah's modified dental anxiety scale，MDAS)及 Stouthard牙科恐惧量表(stouthard dental fear scale，DFS)对患者的焦虑及恐惧程度进行评估；术前及术后第1、3、7天，比较两组患者的面部肿胀的程度与张口程度，以及并发症和对护理的满意程度。结果 观察组患者的的拔牙时间为(17.4±2.1) min，明显短于对照组的(24.8±3.5) min，差异具有统计学意义(P<0.05)；观察组患者的首次拔除的成功率及术中的轻松程度分别为66.0%、92.0%，明显高于对照组的28.0%、64.0%，差异均具有统计学意义(P<0.05)；观察组患者术后并发症发生率为16.0%，明显低于对照组的34.0%，术后的MDIS及DFI评分分别为(6.2±1.1)分、(62.5±6.2)分，均明显低于对照组的(9.6±1.7)分、(75.1±7.9)分，差异均有统计学意义(P<0.05)；观察组患者的护理总满意度为94.0%，明显高于对照组的70.0%，差异有统计学意义(P<0.05)；观察组患者术后第1、3、7天的面部肿胀程度[(4.71±1.55) mm、(3.12±1.66)mm、(0.41±0.12) mm]均明显低于对照组[(7.95±1.61) mm、(5.70±1.81) mm、(2.17±0.36) mm]，术后第1、3、7天的张口程度[(28.60±2.40) mm、(35.10±2.70) mm、(40.60±2.10) mm]均明显大于对照组[(21.80±1.80) mm、(27.60±2.50) mm、(33.60±2.50) mm]，差异均具有统计学意义(P<0.05)。结论 基于全程放松训练的护理模式能降低下颌阻生齿拔除术患者的焦虑恐惧感及术后并发症发生率，值得临床推广。
      【关键词】 阻生齿；全程放松训练；下颌阻生齿拔除术；并发症；护理；满意度
      【中图分类号】 R473.78 【文献标识码】 A 【文章编号】 1003—6350（2019）16—2173—04

Application of nursing mode based on whole relaxation training in mandibular impacted tooth extraction.
WANGLan-hui, WU Xing-li, TANG Xiao-mei. Department of Maxillofacial Surgery, Dental Hospital Affiliated to FoshanUniversity of Science and Technology (Foshan Stomatological Hospital), Foshan 528000, Guangdong, CHINA
【Abstract】 Objective To study the effect of nursing mode based on whole relaxation training in mandibularimpacted teeth extraction. Methods A total of 100 patients with impacted mandibular teeth, who underwent maxillofa-cial surgery in Foshan Stomatological Hospital from January 2017 to January 2019 were selected and divided into the ob-servation group and control group according to random number table method, with 50 cases in each group. The patientsin the control group were given traditional nursing mode, while the patients in the observation group were givenwhole-course relaxation training. The modified Corah's dental anxiety scale (MDAS) and Stouthard dental fear scale(DFS) were used to assess the anxiety and fear of patients before and 7 days after operation. The degree of facial swell-ing and mouth opening, complications and satisfaction with nursing were compared between the two groups before andon the 1st, 3rd and 7th day after operation. Results The extraction time of the observation group was (17.4±2.1) min,·护理·doi:10.3969/j.issn.1003-6350.2019.16.040基金项目：广东省佛山市医学科学技术研究计划项目(编号：2012171)