黄荷端

[摘要] 目的 探讨对下颌水平阻生第三磨牙患者给予超声骨刀拔除术治疗和护理配合的临床效果。方法 便利抽取该院所接收的下颌水平阻生第三磨牙患者，共91例。所有患者接受研究时间在2018年9月—2019年9月期间，所有患者均接受超声骨刀拔除术治疗以及护理配合，回顾性分析患者的有关资料，观察患者接受护理后的恢复优良率、并发症发生率以及满意度。结果 91例患者均顺利完成手术，结合患者的实际情况给予护理配合，术后恢复优良率可达94.51%（86/91），术后发生疼痛、张口受限以及肿胀等并发症的几率为15.38%（14/91），术后对于临床治疗和护理的满意度为94.51%（86/91）。结论 对下颌水平阻生第三磨牙患者行超声骨刀拔除术治疗和护理配合，减少了并发症的发生。

[关键词] 下颌水平阻生第三磨牙;拔除术;超声骨刀;护理配合

[中图分类号] R473          [文献标识码] A          [文章编号] 1674-0742（2020）06（a）-0118-03

Nursing Cooperation of Ultrasonic Impacted Third Molar Extraction on Mandibular Horizontal Impaction

HUANG He-duan

Outpatient Department，Stomatological Hospital，Fujian Medical University，Fuzhou，Fujian Province，350001 China

[Abstract] Objective To investigate the clinical effect of ultrasonic osteotomy for patients with mandibular impacted third molars. Methods A total of 91 patients with mandibular impacted third molars were convenient selected from the hospital. All patients accepted the study period from September 2018 to September 2019. All patients received ultrasound osteotomy and nursing cooperation. Retrospective analysis of the patient's relevant data，observation of patients' excellent recovery rate and concurrency after receiving care Incidence and satisfaction. Results All the 91 patients successfully completed the operation，and given the nursing cooperation according to the actual situation of the patients，the excellent recovery rate was 94.51%（86/91），and the chances of complications such as pain，restricted mouth opening and swelling were 15.38%（14/91），and the postoperative satisfaction with clinical treatment and nursing was 94.51%（86/91）. Conclusion Ultrasound osteotomy and treatment in patients with mandibular impacted third molars can reduce complications.

[Key words] Mandibular impacted third molar; Extraction; Ultrasonic bone knife; Nursing cooperation

阻生牙又被稱为阻生智齿，主要指的是由于受到邻近牙骨或者软组织的阻碍导致难以萌出到正常咬合位置的牙齿，其中，下颌水平阻生第三磨牙类型最为常见。超声骨刀拔除术作为一种新型的治疗手段，主要是利用三维超声振动进行控制，具有安全性和精准性，完全符合外科手术的要求[1]。近年来，伴随微创技术的发展愈加成熟和完善，超声骨刀拔除术已经被广泛应用，能够有效解决口腔手术中所遇到的各种问题和难题[2]。该次研究抽取该院所接收的下颌水平阻生第三磨牙患者，共91例，所有患者接受研究时间在2018年9月—2019年9月期间，所有患者均接受超声骨刀拔除术治疗以及护理配合，观察患者接受护理后的并发症发生率以及满意度，现报道如下。……