四手操作技术在正畸复诊过程中的应用  

Study on four handed operation applied in orthodontics

作　　者：李晓丽[1] 王东旭[1] 马立亚[1] 

机构地区：[1]唐县人民医院五官科,河北唐县072350

出　　处：《医学研究与教育》2014年第6期57-60,共4页Medical Research and Education

摘　　要：目的探讨四手操作技术在正畸复诊过程中的应用。方法将50例正畸复诊患者随机分为实验组及对照组,两组均为同一资深医生操作。采用西湖巴尔非调拌型牙釉质粘结树脂,托槽选用国产奥索MBT正畸托槽。对照组采用非四手操作技术,全部操作过程由医师一人独立完成。实验组采用四手操作技术,在治疗过程中,由一名专职护士配合医师操作,严格执行消毒制度,完成器械传递、隔湿辅助、宣传教育等辅助工作。比较2组操作时间、30 d后托槽掉落率、患者舒适程度。结果实验组患者的舒适度与对照组差异无统计学意义(P>0.05),实验组在复诊操作时间、30 d后托槽粘结脱落率等方面均优于对照组(P<0.01)。结论四手操作技术的应用在提高托槽粘结成功率、降低医生的工作强度、缩短治疗时间等具有明显作用。在患者舒适度方面与对照组无明显差异。Objective To explore four-handed operation technology in orthodontic referral process.Methods 50 patients with orthodontic referral were randomly divided into experimental group and control group, the operation of both groups were performed by the same senior doctors. USE West Baltic non-mixing type enamel bonding resin, and brackets selection of domestic Ossur MBT orthodontic brackets were used in the operation. The patients of the control group were applied with non-four hands technique, the entire operation process was assisted by a nurse ,a physician completed the operation. The experimental group received four hand manipulation techniques, in the course of treatment a full-time nurse assisted the physician in practices, conducted strict implementation of disinfection system, complete equipment delivery, every wet assistance, public education and other auxiliary work. The comparison of the operating time, the terms of the bracket drop rate after operation for 30 days and the degrees of the patients’ comfort between the two groups were compared. Results The differences in comfort of the patients between the experimental group and the control group were not statistically signiifcant, the operating time, the terms of the bracket drop rate in the experimental group after operation for 30 days were better than that of the control group.Conclusion Four-handed technique applied can obviously improve the success rate of bracket bonding, reduce the intensity of the doctor＇s work and shorten the treating time and there is not signiifcant difference in terms of patients’ comfort between the two groups.

关 键 词：四手操作 托槽粘结 口腔 

分 类 号：R783[医药卫生—口腔医学]