老年患者心电监护拔牙的全流程规范化管理  

Standardized management of the entire process of tooth extraction in elderly patients with electrocardiographic monitoring

作　　者：周婷[1] 张磊[3] 赵苏峰 韩璐璐 余静姝 王磊[2] ZHOU Ting;ZHANG Lei;ZHAO Su-feng;HAN Lu-lu;YU Jing-shu;WANG Lei(Department of Oral-maxillofacial surgery,Nanjing Stomatological Hospital,Affiliated Hospital of Medical School,Institute of Stomatology,Nanjing University,Nanjing 210008,China)

机构地区：[1]南京大学医学院附属口腔医院,南京市口腔医院,南京大学口腔医学研究所,口腔颌面外科,南京210008 [2]南京大学医学院附属口腔医院,南京市口腔医院,南京大学口腔医学研究所,院部,南京210008 [3]南京大学医学院附属口腔医院,南京市口腔医院,南京大学口腔医学研究所,口腔病理科,南京210008

出　　处：《中华老年口腔医学杂志》2024年第3期153-156,共4页Chinese Journal of Geriatric Dentistry

基　　金：南京大学医学院附属口腔医院“3456”骨干人才资质项目(0222E312)。

摘　　要：目的分析全流程规范化管理在口腔外科门诊老年心电监护拔牙管理中的应用效果。方法研究阶段为2023年1月至10月,共纳入研究对象360例,均为口腔外科门诊心电监护拔牙就诊患者,采用随机抽样法进行分组,对照组采用心电监护拔牙管理模式,观察组采取全流程规范化管理模式,比较两组管理效果。结果观察组心率、血压波动、焦虑值均低于对照组,两组比较有显著差异(P<0.05),患者满意率99.7%高于对照组85.7%,差异有统计学意义(P<0.05)。结论通过实施规范化全流程管理,有效优化了老年患者心电监护拔牙的流程,缩短了心电监护拔牙预约时间,进而有助于改善老年患者拔牙预后、提升患者就医体验。Objective To analyze the application effect of standardized management throughout the entire process in the management of elderly electrocardiogram monitoring and tooth extraction in the outpatient department of oral surgery.Method The stage is from January to Octob’er 2023,with a total of 360 subjects included in the study,all of whom were patients undergoing tooth extraction under electrocardiogram monitoring in the oral surgery outpatient department.They were randomly selected Sampling method was used for grouping,with the control group using electrocardiographic monitoring for tooth extraction management and the observation group using standardized management throughout the entire process.The management of the two groups was compared effect.Results The results showed that the heart rate,blood pressure fluctuations,and anxiety levels of the observation group were lower than those of the control group,and there was a significant difference between the two groups(P<0.05)The intention rate was 99.7%higher than the control group’s 85.7%,and the difference was statistically significant(P<0.05).Conclusion By implementing standardized full process management,there areOptimized the process of extracting teeth for elderly patients with electrocardiographic monitoring,shortened the appointment time for electrocardiographic monitoring extraction,and thus helped improve the prognosis and efficiency of tooth extraction for elderly patients,enhance the patient's medical experience.

关 键 词：全流程 规范化管理 心电监护 拔牙 老年患者 

分 类 号：R782.11[医药卫生—口腔医学]