上颌前牙牙列缺损种植前外置法植骨技术的护理配合  

Clinical study on practical nursing management during onlay graft operation

作　　者：贵立君 谢娜[1] 胡秀莲[1] 林野[1] 

机构地区：[1]北京大学口腔医院种植科,100081

出　　处：《中国口腔种植学杂志》2011年第4期220-223,共4页Chinese Journal of Oral Implantology

基　　金：国家十一五科技支撑计划<复杂牙列缺损及缺失的种植修复与功能重建研究>支持;项目编码为2007BAI18B06

摘　　要：目的:外置法植骨技术已成为种植修复前重建重度缺损牙槽骨的重要技术,本研究旨在探讨下颌骨外斜线取骨植骨种植外科护理技术要点,护理管理流程,以提高手术的成功率。方法:2009年1月至2010年12月共36例上颌牙列缺损伴重度骨缺损患者种植前行下颌骨外斜线取骨外置法植骨手术。所有病例均采用口腔种植专业围手术期无菌护理管理及口腔种植护理技术,并进行相应的无菌测试检测及护理效果评估。结果:36例患者(其中男17例,女为19例),进行下颌骨外斜线取骨植骨种植技术,共植入53枚种植体,愈合期间植骨感染、植骨块部分脱落2例,此2例患者在种植体植入同期行引导骨再生技术重建缺失的骨量,截止到最后一次复查无种植体感染脱落,无交叉感染发生。每月定期无菌检测结果提示整个手术流程细菌菌落培养结果符合国家标准。护理效果评估结果提示33例患者对整个护理程序非常满意,3例满意。结论:专业的护理配合技术与手术管理是外置法植骨种植手术成功的保障,且专业化的护理技术与管理能有效提高患者满意度,保障治疗的成功率。Objective： To evaluate the key points of nursing management and technique during onlay graft operation and its nursing results.Methods： 36 partial edentulous patients underwent onlay graft prior to implant insertion from January 2009 to December 2010.Surgical care management according to the specificity of implantology was used peri-operatively.Sterility test was applied regularly.Evaluation of the patient satisfaction to the peri-operative care was undergone in the study.Results： 36 patients were included in the study and among them 17 were males,19 were females.53 implants were placed and restored after onlay graft and implant placement.Results of the sterility test meet the National standards.Conclusion： Professional nursing management and surgical care techniques can predictably provide security during onlay graft operation with high patient satisfactions.

关 键 词：缺牙 骨吸收 种植 护理 植骨 

分 类 号：R472.3[医药卫生—护理学]