谢娟

【摘要】 目的：探讨四手操作护理应用于根管治疗术中的临床效果。方法：选取笔者所在科2018年1月-2019年12月收治的根管手术治疗患者150例作为观察对象，根据护理方法的不同将其分为两组，每组75例。对照组采用常规护理，观察组采用四手操作护理。比较两组根管治疗时间、根管填充质量及护理满意度。结果：对照组根管治疗时间（28.6±5.3）min，长于观察组的（24.3±7.2）min，差异有统计学意义（t=4.302，P<0.05）。对照组适充率为71.25%，低于观察组的93.75%，差异有统计学意义（字2=14.026，P<0.05）。对照组护理总满意度为84.00%，低于观察组的97.33%，差异有统计学意义（字2=7.878，P<0.05）。结论：四手操作护理应用于根管治疗，根管填充质量较为理想，既缩短了治疗时间，又提高了患者满意度，在根管治疗中的应用价值较高。

【关键词】 根管治疗 四手操作护理 应用效果

doi：10.14033/j.cnki.cfmr.2020.26.035 文献标识码 B 文章编号 1674-6805（2020）26-00-03

Study on the Application Effect of Four-hand Operation Nursing in Root Canal Therapy/XIE Juan.//Chinese and Foreign Medical Research， 2020， 18（26）： -95

[Abstract] Objective： To explore the clinical effect of four-hand operation nursing in root canal therapy. Method： A total of 150 patients treated by root canal surgery in our department from January 2018 to December 2019 were selected as the observation objects， and they were divided into two groups according to different nursing methods， with 75 patients in each group. The control group was given routine nursing， and the observation group was given four-hand operation nursing. The root canal treatment time， root canal filling quality and nursing satisfaction were compared between the two groups. Result： The root canal treatment time in the control group was （28.6±5.3） min， which was longer than （24.3±7.2） min in the observation group， and the difference was statistically significant （t=4.302， P<0.05）. The appropriate filling rate of the control group was 71.25%， which was lower than 93.75% of the observation group， and the difference was statistically significant （字2=14.026， P<0.05）. The total nursing satisfaction in the control group was 84.00%， which was lower than 97.33% in the observation group， the difference was statistically significant （字2=7.878， P<0.05）. Conclusion： Four-hand operation nursing applied in root canal therapy， root canal filling quality is ideal， not only shorten the treatment time， but also improve patients satisfaction， the application value in root canal therapy is higher.

[Key words] Root canal therapy Four-hand operation nursing Application effect

First-authors address： Stomatological Hospital Affiliated to Fujian Medical University， Fuzhou 350000， China

隨着人们生活水平的逐渐提升，人们也越来越关注口腔卫生。口腔卫生处理不当，加之不合理的饮食习惯，极易导致患者牙齿发生龋坏，如若病情进展较快，易发生急性或慢性牙周炎或根尖周炎等疾病，同时还伴随痛感，严重影响患者的日常生活质量[1-2]。根尖周炎、牙周炎等疾病作为口腔科较为常见的疾病，在临床治疗中，不仅治疗时间长，技术复杂，使用药品种类也较多，还具有较高的操作难度[3]。治疗根尖周炎等疾病，临床首选的治疗方法就是根管治疗术[4]。根管治疗术既可有效保留牙齿、维护牙列的完整性，还能提升患者牙齿的咀嚼功能[5]。但患者在接受根管治疗时，易因术中疼痛，产生不良情绪，影响患者的临床疗效。因此，对根管治疗术患者提供护理服务，不仅有助于改善患者疼痛症状，还有利于缩短治疗时间，减轻患者痛苦。本文将笔者所在科2018年1月-2019年12月收治的根管手术治疗患者150例作为观察对象，探讨应用四手操作护理的效果，现报道如下。……