The application effect of four-hand operation and nursing cooperation in the removal of mandibular impacted wisdom teeth
四手操作护理配合在下颌阻生智齿拔除术中的应用效果

摘要

目的 探究四手操作护理配合在下颌阻生智齿拔除术中的应用效果。方法 选取2023年8月-2024年8月本院收治的行下颌阻生智齿拔除术治疗的患者60例展开研究，随机式分组。对照组行术中常规护理，观察组行四手操作护理配合。统计两组的手术时间、术中出血量；对比两组患者产生严重面部肿胀、术后出血、局部感觉麻木、邻牙松动的不良反应比例。结果 观察组下颌阻生智齿拔除术时间平均为25分钟左右；术中出血量1.85毫升左右；对照组下颌阻生智齿拔除术时间平均为36分钟左右；术中出血量3.84毫升左右。观察组相较于对照组的手术时间缩短，术中出血量减少。观察组下颌阻生智齿拔除术患者发生严重面部肿胀1例、局部感觉麻木1例；对照组下颌阻生智齿拔除术患者发生严重面部肿胀3例、术后出血2例、局部感觉麻木3例。两组皆无邻牙松动案例，其中观察组总不良反应比例为2/6.67%低于对照组的8/26.67%（P<0.05）。结论 下颌阻生智齿拔除术中采取四手操作护理配合，能够缩短手术的时间、降低术中出血量，且能够抑制不良反应发生，其配合模式有助于患者康复。

Abstract

Objective To explore the application effect of four-hand operation nursing cooperation in the extraction of mandibular impacted wisdom teeth.
Methods A total of 60 patients who underwent mandibular impacted wisdom teeth extraction in our hospital from August 2023 to August 2024 were selected for the study and randomly divided into two groups. The control group received routine intraoperative nursing, and the observation group received four-hand operation nursing cooperation. The operation time and intraoperative bleeding volume of the two groups were counted; the proportion of adverse reactions such as severe facial swelling, postoperative bleeding, local numbness, and loose adjacent teeth in the two groups was compared.
Results The average operation time for the extraction of mandibular impacted wisdom teeth in the observation group was about 25 minutes; the intraoperative bleeding volume was about 1.85 ml; the average operation time for the extraction of mandibular impacted wisdom teeth in the control group was about 36 minutes; the intraoperative bleeding volume was about 3.84 ml. Compared with the control group, the operation time of the observation group was shortened and the intraoperative bleeding volume was reduced. In the observation group, 1 patient had severe facial swelling and 1 had local numbness; in the control group, 3 patients had severe facial swelling, 2 had postoperative bleeding, and 3 had local numbness. There was no case of adjacent tooth loosening in both groups. The total adverse reaction rate in the observation group was 2/6.67%, which was lower than that in the control group (8/26.67%) (P<0.05).
Conclusion   The four-hand operation nursing cooperation in the extraction of mandibular impacted wisdom teeth can shorten the operation time, reduce the amount of intraoperative bleeding, and inhibit the occurrence of adverse reactions. The cooperation mode is helpful for the recovery of patients.