首页|影响2~6岁颌面外伤患儿局麻下清创缝合术效果的因素及应对

影响2~6岁颌面外伤患儿局麻下清创缝合术效果的因素及应对

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目的 探讨如何减轻2~6岁颌面部外伤患儿局麻下接受清创缝合术时的恐惧及其对手术的影响.方法 选取261例到我院口腔科门诊就诊的2~6岁颌面部外伤局麻下接受清创缝合患者作为研究对象.将研究对象按两种方法进行分组研究.方法1:随机分为心理干预组(132例)和对照组(129例);方法2:按照有无家属陪伴分为家属陪伴组(136例)和无家属陪伴组(125例).对两组患儿在局麻下接受清创缝合术的合作性,手术时无菌区域和无菌器械被污染需要更换的次数,手术的时长,家长对容貌恢复的满意度进行比较.结果 心理干预组和无家属陪伴组与相对应的对照组比较,患儿在局麻下行清创缝合术时合作度均明显高于对照组(干预组:81.06%,对照组:64.34%;无家属陪伴组:92.86%,家属陪伴组:48.53%),手术时无菌器械和无菌区域被污染次数比对照组少(干预组:14次,对照组:30次.无家属陪伴组:7次,家属陪伴组:37次),手术时长较对照组短[干预组:(1.73±0.75)min,对照组:(3.82±2.70)min;无家属陪伴组:(1.52±0.54)min,家属陪伴组:(3.75±2.77)min],家长对容貌恢复满意度较对照组高(干预组:92.42%,对照组:81.40%;无家属陪伴组:96.03%,家属陪伴组:77.94%).两种配对数据的差异均有统计学意义(P<0.05).结论 2~6岁颌面部外伤患儿局麻下清创缝合术进行心理干预及无家长陪伴对患儿局麻下手术起正面影响.
Influence factors of debridement and suturing in children with maxillofacial trauma under local anesthesia
Objective To explore how to reduce the fear and the side effect on 2-6 years old children underwent debridement and suturing of maxillofacial trauma under local anesthesia.Methods 261 cases of 2-6 years old children underwent debridement and suturing of maxillofacial trauma under local anesthesia in the outpatients department of stomatology in our hospital were enrolled.Subjects were divided into two groups by two methods respectively.Method 1:Subjects were randomly divided into psychological intervention group (n=132) and control group (n=129); Method2:according to whether having family members accompany,subjects were divided into with family members accompany group (n=136) and without family members accompany group (n=125).We compared the compliance of debridement and suturing under local anesthesia,times of changing the sterile instruments due to contaminated,operation time,parents' satisfaction with the appearance recovery.Results Both the psychological intervention group and without family members accompany group had higher rate of operational compliance (intervention group:81.06%,control group:64.34%. without family members accompany group:92.86%,control group:48.53%),less times of changing the sterile instruments (intervention group:14,control group:30. without family members accompany group:7,control group:37),shorter operation time (intervention group:1.73 ± 0.75,control group:3.82 ± 2.70.without family members accompany group:.1.52 ± 0.54,control group:3.75 ± 2.77)and better parents' satisfaction with the appearance recovery (intervention group:92.42%,control group:81.40%. without family members accompany group:96.03%,control group:77.94%) when compared to the control groups.Conclusion Psychological intervention and without parents accompany play a positive role on debridement and suturing of maxillofacial trauma under local anesthesia of 2-6 years old children.

2-6 years old childrenMaxillofacial TraumaPsychological nursingParent company

张小燕、何绮云

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529020 江门市人民医院口腔科

2~6岁患儿 颌面外伤 心理护理 家长陪伴

2013

国际医药卫生导报
中华医学会,国际医药卫生导报社

国际医药卫生导报

影响因子:0.781
ISSN:1007-1245
年,卷(期):2013.19(5)
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