两种口腔护理方法对颌间牵引固定术后效果的影响研究  

The effect of two oral care methods on the postoperative effect of intermaxillary traction

作　　者：王玲响 方松城 董晨 刘小彬 Wang Lingxiang;Fang Songcheng;Dong Chen;Liu Xiaobin(Department of ENT,Donghua Hospital Affiliated to Sun Yat-sen University,Dongguan,Guangdong,523000,China)

机构地区：[1]中山大学附属东华医院五官科,广东东莞523000

出　　处：《当代医学》2020年第16期4-6,共3页Contemporary Medicine

基　　金：广东省卫生计生委科技计划项目(A2016183)。

摘　　要：目的探讨两种口腔护理方法对颌间牵引固定术后效果的影响。方法选取2016年5月至2019年5月本院收治的颌骨骨折行颌间牵引结扎手术的患者63例,按照入院治疗先后顺序,随机分为对照组与研究组,其中对照组31例患者采用常规护理方法,研究组32例患者采用改良式口腔护理方法,对比两组患者的口腔清洁度、牙龈指数(GI)、出血指数(BI)与疼痛评分、患者满意度情况。结果研究组患者口腔清洁度优良率为96.88%,明显高于对照组的80.65%(P<0.05);护理前,两组患者的GI及BI水平比较差异无统计学意义;护理后,两组患者的GI及BI水平均有所下降,且研究组患者下降幅度明显大于对照组(P<0.05);护理干预实施后,研究组患者疼痛评分明显低于对照组(P<0.05);研究组患者满意度评分明显高于对照组(P<0.05)。结论针对颌骨骨折行颌间牵引结扎手术患者,采用改良式口腔护理方式能有效改善口腔清洁度,牙龈指数及出血指数均下降,患者疼痛情况缓解,促进患者口腔健康恢复,提高了患者满意度。Objective To explore the effect of two oral nursing methods on the effect of intermaxillary traction and fixation.Methods 63 patients with jaw fracture treated in our hospital from May 2016 to May 2019 were randomly divided into control group and study group according to the order of admission.31 patients in control group were treated with routine nursing method,and 32 patients in study group were treated with improved oral nursing method.The oral cleanliness,gum index(GI),bleeding index(BI),pain score and patient satisfaction of the two groups were compared.Results The excellent rate of oral cleanliness in the study group was 96.88%,which was significantly higher than that in the control group(80.65%)(P<0.05).The levels of GI and BI in the two groups were not significantly different before nursing,and the levels of GI and BI in the two groups were significantly lower than those before nursing(P<0.05).The levels of GI and BI in the study group were significantly higher than those in the control group(P<0.05),and the excellent and good rates of oral cleanliness in the two groups were significantly higher than those in the control group(P<0.05),there was no significant difference in the levels of GI and BI between the two groups before nursing.After nursing intervention,the pain score of the patients in the study group was significantly lower than that in the control group(P<0.05),and the satisfaction score of the patients in the study group was significantly higher than that in the control group(P<0.05).Conclusion Modified oral protection is used for patients with jaw fracture after intermaxillary traction and ligation.Management can effectively improve oral cleanliness,gum index and bleeding index can be reduced,the pain of patients can be alleviated,the recovery of oral health can be promoted,and the satisfaction of patients can be improved.

关 键 词：口腔护理 颌间牵引固定术 口腔清洁度 满意度 疼痛 

分 类 号：R473.78[医药卫生—护理学]