非口腔专业医学生牙外伤应急处理知识的调查  

Investigation on the knowledge of emergency treatment of tooth trauma among non-dental medical students

作　　者：王盼曦 戴姗姗[3] 李锦沂 谢娜 郭青玉[3] 刘飞[3] WANG Panxi;DAI Shanshan;LI Jinyi;XIE Na;GUO Qingyu;LIU Fei(Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University,Taizhou 318000;Enze Hospital,Taizhou Enze Medical Center(Group),Taizhou 318000;Affliated Stomatology Hospital of Xi an Jiaotong University,Xi an 710004;Xi an Medical University School of Stomatology,Xi an 710075,China)

机构地区：[1]浙江省台州医院,浙江台州318000 [2]台州恩泽医疗中心(集团)恩泽医院,浙江台州318000 [3]西安交通大学口腔医院,陕西西安710004 [4]西安医学院口腔医学院,陕西西安710075

出　　处：《医学教育研究与实践》2023年第6期678-684,共7页Medical Education Research and Practice

基　　金：2023年陕西省科技新星项目(2023KJXX-034)。

摘　　要：目的恒牙全脱出被认为是最严重的牙外伤类型之一,非口腔医学专业临床医学生可能会为这类患者提供应急处理,但很少有研究评估他们关于恒牙全脱出的知识水平。本研究旨在评估西北地区临床医学本科生对恒牙全脱出的知识和态度、急救措施和预防此类损伤的意识。方法采用非概率滚雪球抽样法进行样本选择。2022年5月,向西安交通大学医学部和西安医学院非口腔医学专业一、五年级学生发放关于恒牙全脱出后处理的相关知识、经验和行为的问卷。数据分析采用卡方检验,P<0.05时认为差异有统计学意义。结果1095名医学本科生(568名一年级学生,527名五年级学生)完成了问卷调查。参与者报告的恒牙全脱出发生率为2.7%,59.3%的一年级学生和66.2%的五年级学生为全脱出牙齿选择了适当的应急处理;29.3%的学生选择了合适的储存媒介,五年级学生的准确率更高。仅不到40%的学生选择了正确的再植时间和清理方法。两个年级之间对于恒牙全脱出急诊处理的准确度、再植时间和冲洗方法无统计学差异。牙外伤预防和牙齿再植的知晓率较低。超过56.6%的医学生表示他们从未获得过任何有关牙外伤的知识。结论结果表明,西北地区本科医学生对恒牙全脱出的认识不足,有必要在医学本科生培养中加入牙外伤相关知识教育。Objective Dental avulsion in permanent teeth is considered as one of the most severe types of traumatic dental injuries.Few studies assess the knowledge on management of dental avulsion in undergraduate medical students,who would probably provide emergency treatment for patients.This study aims to evaluate the knowledge and attitudes of medical students in China regarding dental avulsion,emergency procedures and awareness about prevention of such injuries.Methods A non-probability convenience sampling methodology was employed for sample selection.A specific questionnaire regarding knowledge,experiences and behaviors following dental avulsion was distributed to the first and fifth year students from Xi an Jiaotong University Health Science Center and Xi an Medical University in May 2022.Chi-square test was used for data analysis,with a significance level set at P<0.05.Results 1095 undergraduate medical students(568 first year students,527 fifth year students)completed the questionnaire.The incidence of tooth avulsion reported by participants was 2.7%,59.3%of first year students and 66.2%of fifth year students chose the proper emergency management for avulsed tooth.29.3%of all students selected the appropriate transportation medium for avulsed tooth,with a higher accuracy among fifth year students.Less than 40%of students chose the correct replantation time and cleaning method.There were not statistically differences in accuracies for emergency management of avulsion,replantation time and rinsing method between two grades.Awareness rates of mouth guard and tooth replantation were low.More than 56.6%of the medical students claimed that they never received any knowledge about dental injuries.Conclusion The results suggest that knowledge of dental avulsion among medical students in China was insufficient.It is necessary to enhance dental trauma education for medical students.

关 键 词：牙外伤 牙齿全脱出 医学生 急救 

分 类 号：G465[文化科学—教育学]