医学研究与教育
醫學研究與教育
의학연구여교육
MEDICAL RESEARCH AND EDUCATION
2014年
6期
57-60
,共4页
四手操作%托槽粘结%口腔
四手操作%託槽粘結%口腔
사수조작%탁조점결%구강
four-handed operation%brackets bond%oral
目的：探讨四手操作技术在正畸复诊过程中的应用。方法将50例正畸复诊患者随机分为实验组及对照组，两组均为同一资深医生操作。采用西湖巴尔非调拌型牙釉质粘结树脂，托槽选用国产奥索MBT正畸托槽。对照组采用非四手操作技术，全部操作过程由医师一人独立完成。实验组采用四手操作技术，在治疗过程中，由一名专职护士配合医师操作，严格执行消毒制度，完成器械传递、隔湿辅助、宣传教育等辅助工作。比较2组操作时间、30 d后托槽掉落率、患者舒适程度。结果实验组患者的舒适度与对照组差异无统计学意义（P>0.05），实验组在复诊操作时间、30 d后托槽粘结脱落率等方面均优于对照组（P<0.01）。结论四手操作技术的应用在提高托槽粘结成功率、降低医生的工作强度、缩短治疗时间等具有明显作用。在患者舒适度方面与对照组无明显差异。
目的：探討四手操作技術在正畸複診過程中的應用。方法將50例正畸複診患者隨機分為實驗組及對照組，兩組均為同一資深醫生操作。採用西湖巴爾非調拌型牙釉質粘結樹脂，託槽選用國產奧索MBT正畸託槽。對照組採用非四手操作技術，全部操作過程由醫師一人獨立完成。實驗組採用四手操作技術，在治療過程中，由一名專職護士配閤醫師操作，嚴格執行消毒製度，完成器械傳遞、隔濕輔助、宣傳教育等輔助工作。比較2組操作時間、30 d後託槽掉落率、患者舒適程度。結果實驗組患者的舒適度與對照組差異無統計學意義（P>0.05），實驗組在複診操作時間、30 d後託槽粘結脫落率等方麵均優于對照組（P<0.01）。結論四手操作技術的應用在提高託槽粘結成功率、降低醫生的工作彊度、縮短治療時間等具有明顯作用。在患者舒適度方麵與對照組無明顯差異。
목적：탐토사수조작기술재정기복진과정중적응용。방법장50례정기복진환자수궤분위실험조급대조조，량조균위동일자심의생조작。채용서호파이비조반형아유질점결수지，탁조선용국산오색MBT정기탁조。대조조채용비사수조작기술，전부조작과정유의사일인독립완성。실험조채용사수조작기술，재치료과정중，유일명전직호사배합의사조작，엄격집행소독제도，완성기계전체、격습보조、선전교육등보조공작。비교2조조작시간、30 d후탁조도락솔、환자서괄정도。결과실험조환자적서괄도여대조조차이무통계학의의（P>0.05），실험조재복진조작시간、30 d후탁조점결탈락솔등방면균우우대조조（P<0.01）。결론사수조작기술적응용재제고탁조점결성공솔、강저의생적공작강도、축단치료시간등구유명현작용。재환자서괄도방면여대조조무명현차이。
Objective To explore four-handed operation technology in orthodontic referral process.Methods 50 patients with orthodontic referral were randomly divided into experimental group and control group, the operation of both groups were performed by the same senior doctors. USE West Baltic non-mixing type enamel bonding resin, and brackets selection of domestic Ossur MBT orthodontic brackets were used in the operation. The patients of the control group were applied with non-four hands technique, the entire operation process was assisted by a nurse ,a physician completed the operation. The experimental group received four hand manipulation techniques, in the course of treatment a full-time nurse assisted the physician in practices, conducted strict implementation of disinfection system, complete equipment delivery, every wet assistance, public education and other auxiliary work. The comparison of the operating time, the terms of the bracket drop rate after operation for 30 days and the degrees of the patients’ comfort between the two groups were compared. Results The differences in comfort of the patients between the experimental group and the control group were not statistically signiifcant, the operating time, the terms of the bracket drop rate in the experimental group after operation for 30 days were better than that of the control group.Conclusion Four-handed technique applied can obviously improve the success rate of bracket bonding, reduce the intensity of the doctor's work and shorten the treating time and there is not signiifcant difference in terms of patients’ comfort between the two groups.
