标题：患者对拔牙术后抗生素使用的认知调查分析

      作者：陈俊良，何芸，赵威
    (四川医科大学附属口腔医院口腔颌面外科，四川 泸州 646000)

      卷次： 2016年27卷1期

      【摘要】 目的 通过探讨患者对拔牙术后抗生素使用的认知情况，促进抗生素的合理使用。方法 选取2015
年1~4月期间到四川医科大学附属口腔医院口腔颌面外科门诊就诊的健康成年拔牙患者，完成问卷调查。采用χ2
检验，分别分析问题答案是否与年龄，性别和教育程度有关。结果 收回完整问卷调查共 978份，有 842例患者
(86.1%)希望拔牙术后医生开具抗生素，674例患者(69.9%)会在医生未开具抗菌素的时候要求医生开，因为他们认
为使用抗生素可以预防术后感染。901例患者(92.1%)因为牙龈肿胀就诊的时候，会要求医生使用抗生素，62.0%的
患者(606/978)在牙痛就诊的时候会要求医生开具抗生素，64.0%的患者(626/978)曾经在感冒时要求医生开具抗生
素。年龄、性别和受教育程度对这些问题答案的影响差异无统计学意义(P>0.05)。结论 大部分患者对于常规拔
牙术后抗生素使用的认知不足，需要加强抗生素知识的宣教和普及。

      【关键词】 牙拔除术；抗生素；问卷调查

      【中图分类号】 R782.11 【文献标识码】 D 【文章编号】 1003—6350（2016）01—0157—03


Analysis on patients' cognition of using antibiotics after tooth extraction.
CHEN Jun-liang, HE Yun, ZHAO Wei.
Department of Oral and Maxillofacial Surgery, the Hospital of Stomatology, Sichuan Medical University, Luzhou 646000,
Sichuan, CHINA

【Abstract】 Objective To evaluate patients' cognition of using antibiotics after tooth extraction for accelerating
the correct application of antibiotics. Methods From January to April in 2015, male patients treated in the Department
of Oral and Maxillofacial Surgery, the Hospital of Stomatology, Sichuan Medical University for routine exodontia were
requested to complete a questionnaire. The positive and negative answers to the questions were analyzed for possible cor-
relations with the age, gender and level of education using Chi-square test. Results The study included a total of 978
patients. According to the questionnaire, 842 patients (86.1% ) expected to receive antibiotics after tooth extraction,
among which 674 would ask for antibiotics if not prescribed for reason of preventing postoperative infection. More pa-
tients [901 (92.1%)] expected to be prescribed antibiotics if they had a dental abscess compared with those (62.0%) had a
toothache. 64.0% patients had ever asked a doctor to prescribe antibiotics for a cold. Age, gender and education showed
no significant effect on the answer to the questions. Conclusion A large number of patients have limited knowledge
about the use of antibiotics after tooth extraction. It is necessary to strengthen the propaganda and education of the
knowledge of antibiotics to people.

      【Key words】 Tooth extraction; Antibiotics; Questionnaire
·调查研究·
6350.2016.01.054