重度牙周炎患者拔牙同期植入颧种植体的围术期护理

目的: 分析重度牙周炎患者拔牙同期颧种植体植入术的围术期护理特点,总结该类患者的临床护理经验。方法: 选择8例全麻术下实施颧种植术的患者,对患者术前进行心理疏导,口腔卫生、环境准备等全面评估;术中熟练医护手术操作配合;术后在颧种植体创面观察,疼痛、冰敷护理,饮食指导,出院随访等方面进行护理干预。结果: 8例患者种植体初期稳定性良好,未出现伤口裂开和切口出血。出现Ⅱ级疼痛1例,面部中度肿胀1例。术后48 h内患者完成上颌义齿的临时修复,咬合关系及咀嚼功能恢复良好。结论: 对于重度牙周炎拔牙同期颧种植患者,开展全面的围术期护理干预,可降低并发症发生率,提高手术成功率。

Perioperative nursing of zygomatic implant surgery for patients with severe periodontitis

PURPOSE: To analyze the perioperative nursing characteristics about severe periodontitis patients with immediate zygomatic implantation, and to summarize the clinical nursing experience. METHODS: Preoperatively, all patients received psychological counseling, oral hygiene instruction, and periodontal care with necessary means after physical examination. Cooperative procedures were preformed between nurses and surgeon during operation. After operation, nursing interventions were given including wound care, pain control, ice compression, appropriate diet and close follow-up. RESULTS: All patients were successfully operated without serious complications. Favorable implant primary stability was achieved in each patient. No patient developed wound dehiscence, one patient had wound pain and one patient had minor facial swelling. Temporary restoration was conducted to restore occlusal relationship and masticatory function within 48 hours. CONCLUSIONS: Comprehensive nursing intervention during perioperative period is necessary and deserves to be applied for patients with severe periodontitis who are treated with immediate zygomatic implant surgery.