优质护理对变色牙诊室美白效果影响的研究  

Study on the effect of high-quality nursing ofin office bleaching in discolored teeth

作　　者：李婕 李芬 邝容 张倩霞 郭翠红 程小刚 范晓敏 LI Jie;LI Fen;KUANG Rong;ZHANG Qian-xia;GUO Cui-hong;CHENG Xiao-gang;FAN Xiao-min(State Key Laboratory of Oral&Maxillofacial Reconstruction and Regeneration,National Clinical Research Center for Oral Diseases,Shaanxi Key Laboratory of Stomatology,Department of Operative Dentistry and Endodontics,School of Stomatology,The Fourth Military Medical University,Xi’an 710032,China)

机构地区：[1]口颌系统重建与再生全国重点实验室,国家口腔疾病临床医学研究中心,陕西省口腔医学重点实验室,第四军医大学口腔医院,陕西西安710032

出　　处：《牙体牙髓牙周病学杂志》2024年第4期240-244,共5页Chinese Journal of Conservative Dentistry

基　　金：护理新技术项目(HX2022-102)。

摘　　要：目的:研究四手操作优质护理对变色牙诊室美白效果的影响,为优化临床诊疗提供参考。方法:选择2023年01月至06月期间于我院就诊的164例变色牙患者,随机分为四手操作优质护理配合组和普通护理配合组,每组82例,采用Opalescence Boost PF牙齿诊室美白治疗系统对其进行美白治疗,采用Vita比色板及拍照记录两组美白前、美白术后即刻及术后半年牙齿颜色情况,并通过电话回访和网络问卷调研等方式收集记录治疗后患者满意度、牙齿敏感程度以及其他状况,使用SPSS 23.0软件进行统计分析。结果:美白治疗后即刻评价,四手操作优质护理配合组有效率高于普通护理配合组,差异无显著统计学意义(P>0.05),患者出现牙齿酸痛等症状比例显著少于普通护理配合组(P<0.05);两组患者满意度无显著差异(P>0.05)。治疗半年后,四手操作优质护理配合组牙齿美白有效率和满意度显著高于普通护理配合组(P<0.05)。美白治疗后即刻评价,两组患者满意度无明显差异。结论:四手操作优质护理配合有助于提高诊室内美白治疗的安全性和治疗效果,明显提高医护工作效率、服务质量和患者满意度,在临床上具有推广和应用价值。AIM:To study the effect of four-hand high-quality nursing on whitening effect of discolored teeth consulting room,and to provide reference for optimizing clinical diagnosis and treatment.METHODS:164 patients with discolored teeth who were admitted to our hospital from 2023 January to June were randomly divided into four-hand highquality nursing coordination group and general nursing coordination group,82 cases in each group,and underwent whitening treatment using Opalescence Boost PF tooth whitening treatment system.The tooth color of the two groups before whitening,immediately after whitening and half a year after whitening were recorded by Vita colorimetric plate and photographs.The satisfaction degree,sensitivity degree of teeth and other conditions of the patients after treatment were collected and recorded by telephone return visit and online questionnaire survey,and SPSS 23.0 software was used for statistical analysis.RESULTS:The immediate evaluation after whitening treatment showed that the effective rate of the four-hand high-quality nursing group was higher than that of the ordinary nursing group,with no statistical significance P(>0.05),and the proportion of patients with symptoms such as tooth soreness was significantly lower than that of the ordinary nursing group(P<0.05);and there was no significant difference in satisfaction between the two groups(P>0.05).and there was no significant difference in satisfaction between the two groups.After half a year of treatment,the effective rate of tooth whitening in the fourhand operation group was significantly higher than that in the general care group P(<0.05).CONCLUSION:Fourhand operation with high quality nursing can improve the safety and therapeutic effect of whitening treatment in the consulting room,improve the efficiency of medical care,service quality and patient satisfaction,and have the value of promotion and application in clinical practice.

关 键 词：四手操作 变色牙 诊室美白 牙齿敏感度 口腔保健 

分 类 号：R78[医药卫生—口腔医学]