张旭　秦文　孙唯夫　张校晨　金作林

[摘要]新型冠状病毒肺炎疫情在全球多个国家和地区扩散，世界卫生组织宣布此次疫情为“全球大流行”。口腔诊疗操作存在特殊性，新型冠状病毒感染的风险较高。口腔正畸诊疗和常规口腔诊疗相比，在诊疗方法流程和医患心理状态方面都有自身特点。该文就突发公共卫生事件期间及事件后一段时间内口腔正畸临床诊疗管理体系的建立展开讨论，重点论述医师对突发公共卫生事件期间正畸患者突发情况的管理和心理干预，以期为突发公共卫生事件下合理有效开展口腔正畸临床诊疗提供参考。

[关键词]新型冠状病毒肺炎;口腔正畸;诊疗管理;心理干预

[中图分类号]R783.5    [文献标志码]A    [文章编号]1008-6455（2021）09-0160-04

Management of Clinical Diagnosis and Treatment of Orthodontics in Public Health Emergencies

ZHANG Xu， QIN Wen， SUN Wei-fu， ZHANG Xiao-chen， JIN Zuo-lin

（State Key Laboratory of Military Stomatology & National Clinical Research Center for Oral Diseases & Shaanxi Clinical Research Center for Oral Diseases， Department of Orthodontics， School of Stomatology， the Fourth Military Medical University， Xian 710032， Shaanxi，China）

Abstract： The coronavirus disease 2019 （COVID-19） epidemic has spread in many countries and regions around the world， and the World Health Organization has declared the epidemic a “global pandemic”. The operation of oral diagnosis and treatment is special， and the risk of novel coronavirus infection is high. Compared with conventional oral diagnosis and treatment，the diagnosis and treatment process of orthodontic treatment as well as the psychology of orthodontists and orthodontic patients have their own characteristics. This paper discusses the establishment of orthodontic clinical diagnosis and treatment management system during and after public health emergencies， focusing on doctors' management and psychological intervention of orthodontic patients during public health emergencies， in order to provide reference for reasonable and effective orthodontic clinical diagnosis and treatment under public health emergencies.

Key words：COVID-19; orthodontics; clinical governance; psychological intervention

2019年12月以来，新型冠状病毒肺炎（Coronavirus disease 2019，COVID-19）疫情在多国发展迅速，形势严峻，其传染性强，人群普遍易感。2020年2月28日世界卫生组织（WHO）宣布COVID-19疫情在全球的传播和影响风险级别上调至“非常高”，3月12日WHO宣布COVID-19疫情为“全球大流行”[1-2]。在我国，COVID-19已被纳入《中华人民共和国传染病防治法》规定的乙类传染病，并采取甲类传染病的预防控制措施，同时被纳入《中华人民共和国国境卫生检疫法》规定的检疫传染病进行管理。目前认为，经呼吸道飞沫和密切接触传播是新型冠状病毒主要的传播途径。口腔临床诊疗处于相对封闭的环境，易产生高浓度气溶胶，同样存在新型冠状病毒感染风险[3-4]。口腔正畸诊疗属于口腔综合诊疗的一部分，很多临床操作应遵守相应规范，同时口腔正畸治疗周期长，操作方法与常规口腔临床操作存在差异，患者的心理状态也有自身特点，对规避感染风险提出了更高要求。……