口腔舒适化治疗个体化方案的多维度考量  

Multidimensional Considerations of Individualized Plans for Oral Comfort Therapy

作　　者：刘冰 张惠 Bing Liu;Hui Zhang(State Key Laboratory of Oral&Maxillofacial Reconstruction and Regeneration,Xi’an,Shannxi Province,P.R.China;National Clinical Research Center for Oral Diseases,Xi’an,Shannxi Province,P.R.China;Shaanxi Engineering Research Center for Dental Materials and Advanced Manufacture,Xi’an,Shannxi Province,P.R.China;Department of Anesthesiology,School of Stomatology,Fourth Military Medical University,Xi’an,Shannxi Province,P.R.China)

机构地区：[1]口颌系统重建与再生全国重点实验室 [2]国家口腔疾病临床医学研究中心 [3]陕西省口腔生物工程技术研究中心 [4]空军军医大学第三附属医院麻醉科

出　　处：《中国口腔医学继续教育杂志》2023年第6期499-504,共6页Chinese Journal of Stomatologial Continuing Education

基　　金：中华口腔医学会青年临床科研基金口腔麻醉研究项目(项目编号:CSA-A2021-01)。

摘　　要：口腔治疗的患者人群广泛、操作内容多样,如何选择口腔舒适化治疗方案成为临床医师面临的新挑战。本文结合镇静需求量表(indicator of sedation need,IOSN)及口腔舒适化治疗的临床经验,探索总结口腔舒适化治疗个体化方案选择的“金字塔模型”。该模型自下而上的内容包括:评估、对应、基石、目标。“评估”包括身体状况、焦虑水平、咽敏感度、治疗内容;“对应”包括程度对应深度、时间对应给药、治疗对应气道;“基石”为安全和镇痛;舒适为最终目标。该模型为口腔舒适化治疗个体化方案选择提供参考,以期提升患者满意度,提高口腔舒适化治疗的质量和效率。The personalized protocol of comfort care in dentistry has become a challenge for doctors due to the wide range of diverse dental procedures.This article combines indicator of sedation need(IOSN)and the years of experience in the author’s department and summarizes the pyramid model for personalized protocol of comfort care in dentistry.The main content of this model from bottom to top includes:evaluation,correspondence,cornerstone,and goal.Evaluation includes physical condition,anxiety level,pharyngeal sensitivity,and treatment content.Corresponding contains three items,degree corresponding to depth,time corresponding to administration,and treatment corresponding to airway.The cornerstone is safety and pain relief,and comfort as the ultimate goal.This model provides a reference for the personalized protocol of comfort care in dentistry,with the aim of improving patient satisfaction and the quality and efficiency of comfort care in dentistry.

关 键 词：口腔舒适化 舒适化治疗 个体化方案 口腔镇静 舒适化医疗 

分 类 号：R47[医药卫生—护理学]