四手操作应用于意向性牙再植术的护理探讨.pdf

43  4 2016  7 •409 • 国际口腔医学杂志 第 卷 期 年 月 ·护理· 四手操作应用于意向性牙再植术的护理探讨 李雪 贾春蓉 赵晓曦 口腔疾病研究国家重点实验室 华西口腔医院牙体牙髓病科（四川大学）成都 610041 [摘要] 目的 探讨意向性牙再植术中护理配合的操作流程与规范。方法 选取难治性根尖周炎且需要行意向性牙 再植的患牙 14例，护士配合医生在显微镜下四手操作进行意向性牙再植术。结果 初步建立了意向性牙再植术的 护理操作流程与规范，术后复查，除1例牙因松动拔出外，其余 13例收到满意的临床效果。结论 高效规范的护理 配合对确保意向性牙再植术的成功具有重要作用。 [关键词] 意向性牙再植； 显微根尖手术； 四手操作技术 [中图分类号] R 781 [文献标志码] A [doi] 10.7518/gjkq.2016.04.010 A analysis of nursing cooperation during intentional replantation microsurgery Li Xue, Jia Chunrong, Zhao Xiaoxi. (State Key Laboratory of Oral Diseases, Dept. of Conservative Dentistry and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China) This study was supported by Open Projects of State Key Laboratory of Oral Diseases(SKLOD2014OF08). [Abstract] Objective To discuss the nuring procedure and criteria of intentional replantation(IR) microsurgery. Methods Fourteen cases of apical periodontitis were included according to including criteria. During the surgery, nurse helped the endodotic specialist to finish IR with four-hand operation method. Results The nuring procedure and criteria of IR was established. Thirteen teeth have no periapical symptoms with normal gingival attachment and tooth mobility. One tooth was extracted because of root resorption. Conclusion The effective and qualified nursing cooperation play an important role to enhance the success rate of IR. [Key words] intentional replantation ； apical microsurgery ； nursing cooperation 意向性牙再植术（intentional replantation ， 医护之间的配合极为重要，这就给护理工作提出 IR ）是有目的性地将患牙移出牙槽窝，并且在口 了更高的要求。 外行体外治疗后迅速重新植入牙槽窝内的治疗方