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COVID-19 大流行期间武汉重启后儿科牙科诊所的变化:一项回顾性研究。

Changes in paediatric dental clinic after reopening during COVID-19 pandemic in Wuhan: a retrospective study.

机构信息

The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) and Key Laboratory of Oral Biomedicine Ministry of Education, Wuhan University, Wuhan, Hubei, China.

Department of Paediatric Dentistry, School and Hospital of Stomatology, Wuhan University, Wuhan, Hubei, China.

出版信息

BMJ Open. 2022 Jan 12;12(1):e048430. doi: 10.1136/bmjopen-2020-048430.

Abstract

OBJECTIVES

Affected by COVID-19 pandemic, The Department of Paediatric Dentistry of School and Hospital of Stomatology, Wuhan University was closed in late January 2020, and resumed on 20 April. Our study aimed to explore the effects of COVID-19 pandemic on paediatric dental services which might assist global paediatric dentists to build confidence and make appropriate policies under the pandemic.

DESIGN

A retrospective study was performed. Medical records of patients were retrieved but without any private information, including patient name, ID number and address.

PARTICIPANTS

All data of the patients from 20 April to 31 July in 2020 and 2019 were extracted and analysed including demographics, dental diagnosis and treatment methods. A total of 18 198 patients were included in the study.

RESULTS

During this period, no medical staff or patient was infected with COVID-19 due to dental services. A total of 6485 in 2020 but 11 713 during the same period in 2019 visited the department. Compared with 2019, gender distribution did not change, but age distribution changed with an increase under 6-year-old. The diagnoses including caries, retained primary teeth, malocclusion, deep pits and fissures changed significantly, while pulpitis, apical periodontitis, tooth trauma, early loss of primary teeth, supernumerary teeth showed little change. Aerosol generating procedures were adopted less frequently overall in this period.

CONCLUSIONS

The reopening of paediatric dental services is proceeding steadily with significant changes in the characteristics of the patients and treatment procedures.

摘要

目的

受 COVID-19 大流行的影响,武汉大学口腔医院儿童口腔科于 2020 年 1 月下旬关闭,并于 2020 年 4 月 20 日恢复运营。本研究旨在探讨 COVID-19 大流行对儿童牙科服务的影响,这可能有助于全球儿童牙医在大流行期间建立信心并制定适当的政策。

设计

回顾性研究。检索了患者的病历,但没有任何私人信息,包括患者姓名、身份证号码和地址。

参与者

共提取并分析了 2020 年 4 月 20 日至 7 月 31 日和 2019 年同期所有患者的数据,包括人口统计学、牙科诊断和治疗方法。共有 18198 名患者纳入研究。

结果

在此期间,由于牙科服务,没有医护人员或患者感染 COVID-19。2020 年共有 6485 名患者就诊,但 2019 年同期有 11713 名患者就诊。与 2019 年相比,性别分布没有变化,但年龄分布发生了变化,6 岁以下儿童有所增加。龋齿、滞留乳牙、错合、深窝沟、牙釉质发育不全等诊断明显改变,而牙髓炎、根尖周炎、牙外伤、乳牙早失、多生牙变化不大。在此期间,总体上采用的气载操作程序较少。

结论

随着患者特征和治疗程序的显著变化,儿童牙科服务的重新开放正在稳步进行。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd63/8756075/864fdba0e98b/bmjopen-2020-048430f01.jpg

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