口腔舒适化治疗个体化方案的多维度考量

doi:10.12337/zgkqjxjyzz.2023.06.014

中国口腔医学继续教育杂志 ›› 2023, Vol. 26 ›› Issue (6): 499-504.DOI: 10.12337/zgkqjxjyzz.2023.06.014

口腔舒适化治疗个体化方案的多维度考量

刘冰^1,2,3,4, 张惠^1,2,3,4,*

¹口颌系统重建与再生全国重点实验室;
²国家口腔疾病临床医学研究中心;
³陕西省口腔生物工程技术研究中心;
⁴空军军医大学第三附属医院麻醉科

出版日期:2023-11-30 发布日期:2024-03-13
通讯作者: ^*张惠,联系方式：029-84776115,电子邮箱：zhanghuifmmua@163.com,通讯地址：陕西省西安市新城区长乐西路145号,710032
基金资助:
中华口腔医学会青年临床科研基金口腔麻醉研究项目（项目编号：CSA-A2021-01）

Multidimensional Considerations of Individualized Plans for Oral Comfort Therapy

Bing Liu^1,2,3,4, Hui Zhang^1,2,3,4,*

¹State Key Laboratory of Oral& Maxillofacial Reconstruction and Regeneration, Xi'an, Shannxi Province, P.R. China;
²National Clinical Research Center for Oral Diseases, Xi'an, Shannxi Province, P.R. China;
³Shaanxi Engineering Research Center for Dental Materials and Advanced Manufacture, Xi'an, Shannxi Province, P.R. China;
⁴Department of Anesthesiology, School of Stomatology, Fourth Military Medical University, Xi'an, Shannxi Province, P.R. China

Online:2023-11-30 Published:2024-03-13
Contact: ^*Hui Zhang. Tel: 029-84776115. Email: zhanghuifmmua@163.com. Address: No. 145 Changle West Road, Xincheng District, Xi’an 710032, Shaanxi Province, P.R. China.
Supported by:
Young Clinical Research Fund of the Chinese Stomatological Association（No.CSA-A2021-01）

摘要/Abstract

摘要： 口腔治疗的患者人群广泛、操作内容多样,如何选择口腔舒适化治疗方案成为临床医师面临的新挑战。本文结合镇静需求量表（indicator of sedation need,IOSN)及口腔舒适化治疗的临床经验,探索总结口腔舒适化治疗个体化方案选择的“金字塔模型”。该模型自下而上的内容包括：评估、对应、基石、目标。“评估”包括身体状况、焦虑水平、咽敏感度、治疗内容;“对应”包括程度对应深度、时间对应给药、治疗对应气道;“基石”为安全和镇痛;舒适为最终目标。该模型为口腔舒适化治疗个体化方案选择提供参考,以期提升患者满意度,提高口腔舒适化治疗的质量和效率。

关键词: 口腔舒适化, 舒适化治疗, 个体化方案, 口腔镇静, 舒适化医疗

Abstract: The personalized protocol of comfort care in dentistry has become a challenge for doctors due to the wide range of diverse dental procedures. This article combines indicator of sedation need（IOSN）and the years of experience in the author’s department and summarizes the pyramid model for personalized protocol of comfort care in dentistry. The main content of this model from bottom to top includes: evaluation, correspondence, cornerstone, and goal. Evaluation includes physical condition, anxiety level, pharyngeal sensitivity, and treatment content. Corresponding contains three items, degree corresponding to depth, time corresponding to administration, and treatment corresponding to airway. The cornerstone is safety and pain relief, and comfort as the ultimate goal. This model provides a reference for the personalized protocol of comfort care in dentistry, with the aim of improving patient satisfaction and the quality and efficiency of comfort care in dentistry.

Key words: comfort care in dentistry, comfort care, personalized protocol, dental sedation, comfort medicine

刘冰, 张惠. 口腔舒适化治疗个体化方案的多维度考量[J]. 中国口腔医学继续教育杂志, 2023, 26(6): 499-504.

Bing Liu, Hui Zhang. Multidimensional Considerations of Individualized Plans for Oral Comfort Therapy[J]. Chinese Journal of Stomatological Continuing Education, 2023, 26(6): 499-504.

参考文献

[1] 陈宇, 熊利泽. 努力成为舒适化医疗的主导学科[J]. 中华麻醉学杂志, 2018, 38(4):385-386.
[2] Hoffmann B, Erwood K, Ncomanzi S, et al.Management strategies for adult patients with dental anxiety in the dental clinic: a systematic review[J]. Aust Dent J. 2022; 67(Suppl 1):S3-S13.
[3] Shokouhi B, Kerr B.A review of the indicator of sedation need (IOSN): what is it and how can it be improved?[J]. Br Dent J. 2018; 224(3):183-188.
[4] Taşdelen Teker G, Odabaşı O.Reliability of scores obtained from standardized patient and instructor assessments[J]. Eur J Dent Educ. 2019; 23(2):88-94.
[5] Coley C, Kendall MC, Apruzzese P, et al.American Society of Anesthesiologists Physical Status Classification as a reliable predictor of postoperative medical complications and mortality following ambulatory surgery: an analysis of 2, 089, 830 ACS-NSQIP outpatient cases[J]. BMC Surg. 2021; 21(1):253.
[6] Gao F, Wu Y.Procedural sedation in pediatric dentistry: a narrative review[J]. Front Med (Lausanne). 2023; 26(10):1186823.
[7] 王天龙, 王东信, 李金宝, 等. 中国老年患者围手术期麻醉管理指导意见(2020版)(一)[J]. 中华医学杂志, 2020, 100(31):2404-2415.
[8] Edelman DA, Perkins EJ, Brewster DJ.Difficult airway management algorithms: a directed review[J]. Anaesthesia. 2019; 74(9):1175-1185.
[9] Miller KA, Goldman MP, Nagler J.Management of the Difficult Airway[J]. Pediatr Emerg Care. 2023; 39(3):192-200.
[10] Fiorillo L.Conscious Sedation in Dentistry[J]. Medicina (Kaunas). 2019; 55(12):778.
[11] Lin CS, Yeung AWK.What do we learn from brain imaging?-A primer for the dentists who want to know more about the association between the brain and human stomatognathic functions[J]. J Oral Rehabil. 2020; 47(5):659-671.
[12] Sobol M, Senejko A, Blachnio A, et al.Dental Anxiety as a Risk Factor for Facebook Intrusion[J]. Community Dent Health. 2022; 39(3):187-190.
[13] Kassem El Hajj H, Fares Y, Abou-Abbas L. Assessment of dental anxiety and dental phobia among adults in Lebanon[J]. BMC Oral Health. 2021; 21(1):48.
[14] Eachempati P, Kumbargere Nagraj S, Kiran Kumar Krishanappa S, et al. Management of gag reflex for patients undergoing dental treatment[J]. Cochrane Database Syst Rev.2019; 2019(11):CD011116.
[15] 李洲驰, 叶玲, 汪成林. 咽反射敏感患者的口腔诊疗策略[J]. 国际口腔医学杂志, 2022, 49(6): 690-698.
[16] Willemsen G, Vink JM, Abdellaoui A, et al.The adult netherlands twin register: twenty-five years of survey and biological data collection[J]. Twin Res Hum Genet. 2013; 16(1):271-281.
[17] Freeman R, Humphris G.Assessment of anxiety[J]. Br Dent J. 2018; 224(11):843-844.
[18] 中华口腔医学会镇静镇痛专业委员会. 口腔门诊笑气-氧气吸入镇静技术操作指南[J]. 中华口腔医学杂志, 2022, 57(4):319-325.
[19] Li X, Tian M, Deng Y, et al.Advantages of Sedation With Remimazolam Compared to Midazolam for the Removal of Impacted Tooth in Patients With Dental Anxiety[J]. J Oral Maxillofac Surg. 2023; 81(5):536-545.
[20] Christensen L, Svoboda L, Barclay J, et al.Outcomes With Moderate and Deep Sedation in an Oral and Maxillofacial Surgery Training Program[J]. J Oral Maxillofac Surg. 2019; 77(12):2447-2451.
[21] Hara T, Ozawa A, Shibutani K, et al.Working Group for the Preparation of Practical Guidelines for Safe Sedation, Safety Committee of the Japanese Society of Anesthesiologists. Practical guide for safe sedation[J]. J Anesth. 2023; 37(3):340-356.
[22] 张惠, 刘冰, 主译. 口腔清醒镇静技术[M]. 原著第2版. 西安:世界图书出版西安有限公司, 2022:68-69.

口腔舒适化治疗个体化方案的多维度考量

Multidimensional Considerations of Individualized Plans for Oral Comfort Therapy

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