Kandray Diane P, Pieren Jennifer A, Benner Randall W
Dr. Madeleine Haggerty Dental Hygiene Program, Department of Health Professions, Youngstown State University, Youngstown, OH 44555, USA.
J Dent Educ. 2007 Apr;71(4):480-6.
The American Heart Association reports that approximately 220,000 people die each year of sudden cardiac arrest. In ventricular fibrillation (VF), the most common abnormal heart rhythm that causes cardiac arrest, the heart's electrical impulses suddenly become chaotic, often without warning. Death will follow within minutes if the victim is not treated appropriately, and the only known treatment is defibrillation. An automated external defibrillator (AED) can restore a victim's normal heart rhythm by providing defibrillation. The purpose of this study was to gather data from dentists and dental hygienists in Ohio on their use of and attitudes toward using AEDs in dental offices. Six percent of Ohio dentists and dental hygienists were randomly selected to receive a twenty-three question survey related to their use of and attitudes toward their use of AEDs in dental offices. Thirty-three percent (244) of the surveys were returned; 41 percent of the respondents were dentists, and 59 percent were dental hygienists. Six percent said they have had to administer nitroglycerin to a patient during a dental visit; 5 percent have performed CPR on a patient in the dental office; and 78 percent said their last CPR training course included training on an AED. Eleven percent said there was an AED at their dental office. With the increased likelihood of dealing with a cardiac emergency in the dental office setting and the willingness of dental professionals to use an AED, all dental offices should consider obtaining an AED. Dental educators should become familiar with current protocols for handling cardiac medical emergencies in the dental office and prepare dental and dental hygiene students with the skills necessary to manage patients with cardiac emergencies. Graduating dental students entering private practice may want to consider the AED as part of their medical emergency office protocol.
美国心脏协会报告称，每年约有22万人死于心脏骤停。在导致心脏骤停最常见的异常心律——室颤（VF）中，心脏的电冲动会突然变得紊乱，且常常毫无征兆。如果患者得不到适当治疗，几分钟内就会死亡，而唯一已知的治疗方法是除颤。自动体外除颤器（AED）可以通过除颤恢复患者的正常心律。本研究的目的是收集俄亥俄州牙医和牙科保健员在牙科诊所使用AED的情况以及他们对使用AED的态度的数据。随机抽取了6%的俄亥俄州牙医和牙科保健员，让他们接受一项包含23个问题的调查，这些问题与他们在牙科诊所使用AED的情况以及对使用AED的态度有关。33%（244份）的调查问卷被收回；41%的受访者是牙医，59%是牙科保健员。6%的人表示在牙科就诊期间不得不给患者使用硝酸甘油；5%的人在牙科诊所对患者进行过心肺复苏；78%的人表示他们上一次的心肺复苏培训课程包括了AED培训。11%的人说他们的牙科诊所有一台AED。鉴于在牙科诊所处理心脏急症的可能性增加，以及牙科专业人员愿意使用AED，所有牙科诊所都应考虑配备一台AED。牙科教育工作者应熟悉当前牙科诊所处理心脏医疗急症的方案，并让牙科和牙科保健专业的学生具备处理心脏急症患者所需的技能。进入私人执业的牙科专业毕业生可能想考虑将AED作为其诊所医疗急救方案的一部分。
