Analysis of nursing measures for postoperative bleeding and swelling after wisdom tooth extraction
智齿拔除术后出血与肿胀的护理措施分析

摘要

目的 分析针对性护理措施在智齿拔除术后出血与肿胀防控中的应用效果。方法 选取2024年1月-2024年12月就诊的500例智齿拔除患者，按随机数字表法分为对照组（250例）与实验组（250例）。对照组实施常规术后护理，实验组实施针对性护理。比较两组术后24h出血发生率、肿胀程度评分及护理满意度。结果 实验组术后24h出血发生率（4.00%）低于对照组（12.80%），差异有统计学意义（χ²=10.643，P=0.001）；实验组肿胀程度评分（1.52±0.48）分低于对照组（2.86±0.63）分，差异有统计学意义（t=25.317，P＜0.001）；实验组护理满意度（96.80%）高于对照组（85.20%），差异有统计学意义（χ²=16.732，P＜0.001）。结论 针对性护理可降低智齿拔除术后出血发生率，减轻肿胀程度，提升护理满意度，具有临床推广价值。

Abstract

Objective To analyze the application effect of targeted nursing measures in the prevention and control of postoperative bleeding and swelling after wisdom tooth extraction.
Methods A total of 500 patients who underwent wisdom tooth extraction from January 2024 to December 2024 were selected and divided into a control group(250 cases)and an experimental group(250 cases)using the random number table method. The control group received routine postoperative nursing, while the experimental group received targeted nursing. The incidence of bleeding within 24 hours after surgery, swelling degree score, and nursing satisfaction were compared between the two groups.
Results The incidence of bleeding within 24 hours after surgery in the experimental group(4.00%)was lower than that in the control group(12.80%),with a statistically significant difference (χ²=10.643, P=0.001); the swelling degree score of the experimental group(1.52±0.48)was lower than that of the control group(2.86±0.63),with a statistically significant difference(t=25.317,P＜0.001);the nursing satisfaction of the experimental group (96.80%) was higher than that of the control group(85.20%),with a statistically significant difference(χ²=16.732, P＜0.001).
Conclusion   Targeted nursing can reduce the incidence of postoperative bleeding after wisdom tooth extraction, alleviate the degree of swelling, and improve nursing satisfaction, which has clinical promotion value.