咽反射敏感患者的口腔诊疗策略  

Oral diagnosis and treatment strategies for patients with gag reflex sensitivity

作　　者：李洲驰 叶玲 汪成林 Li Zhouchi;Ye Ling;Wang Chenglin(State Key Laboratory of Oral Diseases&National Clinical Research Center for Oral Diseases&Dept.of Cariology and Endodontics,West China Hospital of Stomatology,Sichuan University,Chengdu 610041,China)

机构地区：[1]口腔疾病研究国家重点实验室国家口腔疾病临床医学研究中心四川大学华西口腔医院牙体牙髓病科,成都610041

出　　处：《国际口腔医学杂志》2022年第6期690-698,共9页International Journal of Stomatology

基　　金：四川省港澳台科技创新合作项目(2021YFH0185);四川大学华西口腔医院探索与研发项目(LCYJ2019-18)。

摘　　要：咽反射是一种防止吞咽异物的生理反应,主要表现为异物刺激咽后壁和舌根部引起的恶心、呕吐。咽反射是一种正常的保护性反射,然而过于敏感的咽反射将会限制患者接受口腔治疗的能力,对患者的口腔健康非常不利,同时也为口腔医生的诊疗过程带来了很大不便。本文将从咽反射敏感的临床表现及其刺激因素、危害、咽反射严重程度及控制程度分级、咽反射敏感患者的控制措施等多个方面进行综述,为临床医生制定对咽反射敏感患者的口腔诊疗策略提供帮助。The gag reflex is a normal defense mechanism that protects the pharynx and throat from foreign objects.Its main manifestations are nausea and vomiting after a foreign body stimulates the posterior pharyngeal wall and the root of the tongue.Despite being a normal protective reflex,the gag reflex,when pronounced,can complicate dental care and adversely affect oral health.Moreover,it causes inconvenience to diagnosis and treatment processes.Here,the sensitivity and etiology of the gag reflex,related hazards,gagging severity,gagging prevention index,and management measures were analyzed in patients with sensitive gag reflex.This paper will help dentists develop assessment issues and a variety of management strategies for these patients.

关 键 词：咽反射 刺激因素 脱敏疗法 静脉镇静 

分 类 号：R78[医药卫生—口腔医学]