橡皮障和强吸对减小口腔喷溅物范围的模拟研究  

The Simulation Study of Rubber Barrier and Strong Hygroscopic on Reduce the Spatter Range of Oral Spatter in Dental Treatment

作　　者：张英[1] 唐成方 熊璟[1] 庄瑞[1] 江欣然 刘磊 潘玉涛 ZHANG Ying;TANG Cheng-fang;XIONG jing;ZHUANG rui;JIANG Xin-ran;Liu lei;PAN Yu-tao(Department of Stomatology,Hanzhong Central Hospital,Hanzhong 723000,Shaanxi,China;Department of Medical records statistics,Hanzhong Central Hospital,Hanzhong 723000,Shaanxi,China;Xi'an Medical University,Xi'an 710004,Shaanxi,China)

机构地区：[1]汉中市中心医院口腔科,陕西汉中723000 [2]汉中市中心医院病案统计科,陕西汉中723000 [3]西安医学院,陕西西安710004

出　　处：《中国美容医学》2021年第11期81-85,共5页Chinese Journal of Aesthetic Medicine

基　　金：汉中市中心医院新型冠状病毒肺炎防控应急专项(编号:2020YJ02)。

摘　　要：目的:研究在牙体模拟治疗过程中,高速涡轮手机在橡皮障和强吸辅助手段下喷溅物的喷射范围,从而评估橡皮障等辅助手段可以控制喷溅范围,对口腔感控防护的重要性。方法:选取笔者医院口腔科单间诊室模拟牙体治疗,采用1%食用着色剂(红色)作为喷溅物的染色指示剂、用宣纸收集5个采样点(患者洞巾、医生胸巾、右臂、口罩和灯面)来观察牙齿治疗过程中喷溅物的喷溅范围。采用根管显微镜观察和测量喷溅距离,用分析天平测量喷溅量。该实验分为实验组和对照组两组。喷溅距离:实验组(n=6)和对照组(n=6)。喷溅量:实验组(n=20)和对照组(n=20)。其中实验组在牙体治疗过程中使用橡皮障和强吸;对照组则使用弱吸。分别测量两组实验的喷溅距离和喷溅量,并对数据进行统计学分析。结果:喷溅距离:对照组水平方向最远喷溅距离为2 000mm,实验组水平方向最远喷溅距离为850mm;测量距操作诊疗约1 000mm处的垂直方向喷溅高度,对照组最高距离为1 750mm。实验组最高距离为750mm。喷溅量:患者洞巾:对照组检测后平均增加50.0440g,实验组平均增加6.5151g;医生胸巾:对照组检测后平均增加2.4429g,实验组平均增加0.0621g;医生右臂:对照组检测后平均增加1.0566g,实验组平均增加0.0632g;医生口罩:对照组检测后平均增加0.1635g,实验组平均增加0.0105g;灯面:对照组检测后平均增加0.0718g,实验组平均增加0.0036g;各采样部位实验组与对照组的喷溅量相比,均有显著性差异(P<0.05)。结论:在口腔临床治疗时,使用橡皮障配合强吸可以有效地控制喷溅物的喷溅范围,从而达到减小口腔飞沫和微生物气溶胶传播的目的,值得临床推广应用。Objective To evaluate the effect of rubber barrier and other auxiliary means to control the splash range and the importance of oral sensation control and protection by studying the splash range of high speed turbine mobile phone when rubber barrier and strong suction are used in simulated dental treatment. Methods Select our hospital dental one-room clinic to simulate oral tooth preparation, using 1% Edible pigment red solution as spitting dyeing indicator, using paper to observe oral diagnosis and treatment in the process of the spitting on the horizontal and vertical direction.The spatter distance was determined by microscope and the amount of spatter was weighed by analytical balance. Each study was divided into two groups, the experimental group and the control group.Spattering distance: experimental group(n=6) and control group(n=6);Spattering amount: experimental group(n =20) and control group(n =20). The experimental group was treated with rubber barrier and strong suction during dental treatment. The control group was treated with weak suction during dental treatment. The spattering distance and spattering amount of two groups were measured, and the data were statistically analyzed. Results The maximum horizontal spattering distance of the control group was 2 000 mm, and the maximum horizontal spattering distance of the test group was 850 mm. The vertical spattering height was measured at a distance of about 1 000 mm from the operation and diagnosis, and the maximum distance in the control group was 1 750 mm. The maximum distance of the test group was 750 mm. Spattering amount: the patient’s towel: the average increase was 50.044 g in the control group and 6.5151 g in the experimental group after detection;Doctor’s chest scarf: the average increase was 2.4429 g in the control group and 0.0621 g in the experimental group after detection;The right arm of the doctor: the average increase of 1.0566 g in the control group and 0.0632 g in the experimental group after detection;Doctor mask: the average incre

关 键 词：新型冠状病毒肺炎 模拟牙体预备 喷溅范围 橡皮障 强吸 院感控制 

分 类 号：R782.053[医药卫生—口腔医学]