多个牙位种植导板手术的临床护理及预后效果探讨(1)
[摘要]目的：探讨多个牙位种植导板手术的临床护理及预后效果。方法：选取2013年9月-2017年9月于笔者医院行计算机导板引导下多颗牙种植的80例手术患者为研究对象，对患者做好各种临床护理工作，观察患者术后手术成功率，感染及并发症情况。结果：共植入322颗种植牙，成功319颗，三颗种植体脱落原因为患者未遵循医嘱咀嚼过硬食物所致，种植手术成功率為99.07%。术后患者均未出现切口撕裂、感染及并发症情况。术后随访80例患者，其中有20例患者食用冰镇类液体时出现疼痛敏感症状，17例患者进食带酸味的食物或液体时出现疼痛敏感症状，7例患者出现种植牙松动现象。80例患者中44例患者对护理表示十分满意；27例表示满意，9例表示不满意。结论：计算机辅助设计与制作种植导板引导下多颗牙种植手术，通过精心、高要求、规范的护理可大幅度提升患者手术成功率，且减少患者感染、撕裂、并发症等发生。但患者在此之后食用冷、酸食物时出现敏感症状需进行进一步研究。
[关键词]多颗牙；种植手术；护理体会；预后；效果；种植导板
[中图分类号]R47 [文献标志码]B [文章编号]1008-6455(2019)01-0157-03
Clinical Nursing and Prognostic Effect of Multiple Tooth Implant Guided Plate Surgery
LAI Ming-xing，LI Si-jie
(Department of Stomatology，Three Gorges Central Hospital，Chongqing 404000，China)
Abstract： Objective Clinical nursing and prognostic effect of multiple dental implant plate operation. Methods From September 2013 to September 2017， 80 patients with multiple dental implants under the guidance of computer guide board were selected as the research objects. The patients were given various kinds of clinical nursing work to observe the postoperative success rate， infection and complications. Results A total of 322 implants were implanted， 319 were successfully implanted， and 3 implants fell off because the patients did not follow the doctor's orders to chew hard food. The success rate of implant implantation was 99.07. No incision laceration， infection and complications were found in all patients. During the follow-up period， 20 out of 80 patients developed pain sensitive symptoms while consuming chilled liquids. 17 patients developed pain sensitive symptoms when eating sour food or liquid. 7 patients developed implant tooth loosening. 44 out of 80 patients Patients were satisfied with nursing care. 27 patients expressed satisfaction with nursing care and 9 patients expressed dissatisfaction with nursing care. Conclusion Computer-aided design and fabrication of implant guide plate guided Multi-dental implant surgery through careful， high-demand， standardized care can greatly improve the success rate of patients after surgery， and can reduce the incidence of infection， tear， complications and so on. But after that， the patient ate cold， acid food when the sensitive symptoms need to be further studied.
Key words： multiple teeth； implant surgery； nursing experience； prognosis； effect； implant guide plate
种植牙是一种牙齿修复方法[1]。牙齿因龋病、牙周病、外伤及先天性缺损等情况导致牙齿缺失或缺损后需要通过在牙槽骨上种植钛金属种植体，当其与骨结合后再进行义齿修复是修复牙齿缺失中最为常见的一种方法[2-3]。当患者多颗牙缺失时，因为种植体植入的位置、方向、角度会因医生的操作熟练度与经验而有所不同[4-5]，手术难度和治疗时间也会因此增加。近年来，计算机辅助设计与制作(CAD/CAM)在口腔科中的应用很大程度上提升了种植手术的精准度[6-7]。种植手术的成功与护理工作密切相关，但对于导板手术的护理类型研究较少，因此，本文选取笔者医院行多个牙位种植导板手术患者，对患者在治疗期间的护理工作及效果进行评价，现报道如下。, 百拇医药(赖名星 李斯婕)
[关键词]多颗牙；种植手术；护理体会；预后；效果；种植导板
[中图分类号]R47 [文献标志码]B [文章编号]1008-6455(2019)01-0157-03
Clinical Nursing and Prognostic Effect of Multiple Tooth Implant Guided Plate Surgery
LAI Ming-xing，LI Si-jie
(Department of Stomatology，Three Gorges Central Hospital，Chongqing 404000，China)
Abstract： Objective Clinical nursing and prognostic effect of multiple dental implant plate operation. Methods From September 2013 to September 2017， 80 patients with multiple dental implants under the guidance of computer guide board were selected as the research objects. The patients were given various kinds of clinical nursing work to observe the postoperative success rate， infection and complications. Results A total of 322 implants were implanted， 319 were successfully implanted， and 3 implants fell off because the patients did not follow the doctor's orders to chew hard food. The success rate of implant implantation was 99.07. No incision laceration， infection and complications were found in all patients. During the follow-up period， 20 out of 80 patients developed pain sensitive symptoms while consuming chilled liquids. 17 patients developed pain sensitive symptoms when eating sour food or liquid. 7 patients developed implant tooth loosening. 44 out of 80 patients Patients were satisfied with nursing care. 27 patients expressed satisfaction with nursing care and 9 patients expressed dissatisfaction with nursing care. Conclusion Computer-aided design and fabrication of implant guide plate guided Multi-dental implant surgery through careful， high-demand， standardized care can greatly improve the success rate of patients after surgery， and can reduce the incidence of infection， tear， complications and so on. But after that， the patient ate cold， acid food when the sensitive symptoms need to be further studied.
Key words： multiple teeth； implant surgery； nursing experience； prognosis； effect； implant guide plate
种植牙是一种牙齿修复方法[1]。牙齿因龋病、牙周病、外伤及先天性缺损等情况导致牙齿缺失或缺损后需要通过在牙槽骨上种植钛金属种植体，当其与骨结合后再进行义齿修复是修复牙齿缺失中最为常见的一种方法[2-3]。当患者多颗牙缺失时，因为种植体植入的位置、方向、角度会因医生的操作熟练度与经验而有所不同[4-5]，手术难度和治疗时间也会因此增加。近年来，计算机辅助设计与制作(CAD/CAM)在口腔科中的应用很大程度上提升了种植手术的精准度[6-7]。种植手术的成功与护理工作密切相关，但对于导板手术的护理类型研究较少，因此，本文选取笔者医院行多个牙位种植导板手术患者，对患者在治疗期间的护理工作及效果进行评价，现报道如下。, 百拇医药(赖名星 李斯婕)