显微镜下无机三氧化物聚合体修补髓底及穿孔的护理配合效果  

Nursing Cooperation of MTA Repairing Marrow Bottom and Perforation under Microscope

作　　者：梁琦[1] LIANG Qi(Department of Endodontics,Shenyang Stomatological Hospital,Shenyang 110002,China)

机构地区：[1]沈阳市口腔医院牙体牙髓一科,辽宁沈阳110002

出　　处：《中国医药指南》2020年第36期186-187,共2页Guide of China Medicine

摘　　要：目的探讨显微镜下无机三氧化物聚合体(MTA)修补髓底及根管穿孔的护理配合效果。方法选取2018年7月至2019年7月在我院进行治疗的髓底穿孔及根管穿孔患者30例,采用MTA修补技术对患者进行手术设计与治疗,并进行围手术期护理干预,统计患者经手术治疗后3、6、12个月的复发率、治疗成功率,以及护理干预前后的焦虑自评量表(SAS)评分、治疗依从性评分及满意度评分。结果治疗后,30例患者髓底穿孔治疗无复发,治愈率达100%,根管穿孔治疗复发1例,治疗成功率达93.75%。护理后,患者的SAS评分低于干预前,治疗依从性评分及满意度评分均高于干预前,差异均有统计意义(P<0.05)。结论在显微镜下MTA修补髓底及根管穿孔治疗中应用围手术期护理的效果确切,可显著改善患者的心理状况,提高患者的治疗依从性,促进良好医患关系的建立。Objective To explore the cooperation and experience of MTA under the microscope in the repair of medullary base and root canal perforation.Methods A total of 30 patients with medullary perforation and root canal perforation treated in the department of stomatology of our hospital from July 2018 to July 2019 were selected for this medical study.These 30 patients were treated with inorganic trioxide polymer(MTA)repair technology for surgical design and treatment,and corresponding perioperative care was performed.The statistics of these 30 patients after surgery in 3,6,and 12 months Treatment relapse rate,treatment success rate,and SAS,treatment compliance,and satisfaction scores before and after intervention.Results After intervention,among the 30 patients,there was no recurrence in the treatment of medullary perforation and the cure rate reached 100%.One case of recurrence of root canal perforation and the treatment success rate reached 93.75%.The SAS,treatment compliance and patient satisfaction scores of patients after intervention were statistically significant compared with those before intervention(P<0.05),and the scores were significantly better than before intervention.Conclusion The application of perioperative nursing in the treatment of medullary fundus repair and root canal perforation under the microscope was accurate,has better clinical efficacy,and improves the patient's psychological status,so as to improve the patient's treatment compliance and further promote a good doctor-patient relationship.

关 键 词：髓底穿孔 根管穿孔 显微镜 无机三氧化物聚合体 护理配合 手术效果 

分 类 号：R473.78[医药卫生—护理学] R781.3[医药卫生—临床医学]