中国实用口腔科杂志

中国实用口腔科杂志 ›› 2022, Vol. 15 ›› Issue (5): 525-528.DOI: 10.19538/j.kq.2022.05.003

• 专题笔谈 • 上一篇    下一篇

牙源性疼痛的应急处置

戈    林，余东升   

  1. 中山大学附属口腔医院急诊综合科，广东  广州 510055
  • 出版日期:2022-09-30 发布日期:2022-10-11
  • 作者简介:余东升，教授、主任医师、博士研究生导师。现任中山大学附属口腔医院医务部主任兼急诊综合科主任。兼任中华口腔医学会口腔急诊专业委员会候任主任委员、牙及牙槽专业委员会常务委员，广东省口腔医学会口腔急诊专业委员会主任委员、医院感染管理专业委员会副主任委员，中山大学附属口腔医院国家医师资格考试基地（口腔类别）总考官，口腔全科住院医师规范化培训基地主任，《中华口腔医学研究杂志（电子版）》编委等职。主持国家自然科学基金项目5项、省部级科研项目12项。发表学术论文100余篇，其中SCI收录46篇。参编专著3部。获国家专利2项。

  • Online:2022-09-30 Published:2022-10-11

摘要： 疼痛是一种包含感觉、情绪和认知的复杂的生理、心理活动，是寻求医疗帮助常见的症状之一，对疼痛的缓解包括药物镇痛和物理镇痛等。口腔急诊科就诊患者中，主诉牙源性疼痛的最为常见，中山大学附属口腔医院急诊综合科2018—2020年急诊就诊一般情况分析显示，因剧烈疼痛就诊的患者占61%，其中牙源性疼痛占75%。牙源性疼痛多由牙源性感染引起，急性期疼痛剧烈，严重影响患者的工作与生活，作为口腔急诊科医生必须及时准确判断病情，坚持立即对患牙进行局部治疗、辅以镇痛药、必要时再添加抗生素控制感染的治疗原则，对患牙进行应急处置，以减轻患者的痛苦。

关键词: 疼痛, 镇痛, 牙源性疼痛, 应急处置

Abstract: Pain is a complex physiological and psychological activity involving feelings，emotions and cognition，and is one of the most common symptoms for seeking medical help. Pain relief includes drug analgesia and physical analgesia. Among the patients who visited the oral emergency department，the most common complaint was odontogenic pain. The analysis of the general situation of emergency visits in the emergency department of our hospital from 2018 to 2020 showed that 61% of patients visited due to severe pain，of which odontogenic pain accounted for 75%. Odontogenic pain is mostly caused by odontogenic infection. The acute pain is severe，which greatly affects the work and life of patients. As a dental emergency physician，it is necessary to timely and accurately judge the condition，and insist on immediate local treatment for the affected tooth，supplemented by analgesics. If necessary，the treatment principle of adding antibiotics to control infection is carried out，and emergency treatment for the affected tooth can be made to relieve the pain of the patient.

Key words: pain, analgesia, odontogenic pain, emergency management