牙体牙髓牙周病学杂志

目的：了解高原地区基层部队牙外伤防治现状，并对提高基层部队牙外伤防护救治能力提出建议。方法：以驻高原边境地区武警某部官兵为调查对象，自行设计调查问卷，对其基本信息、参加力量对抗性训练情况、口腔相关防护装具佩戴情况及对其防护效果评价、服役期间牙外伤发生情况、对牙外伤及相关急救防护常识的认知情况、对本单位牙外伤应急医疗救治能力评价等内容进行调查。结果：所有受访者（178人）均参加过力量对抗性训练，其中86人（48.31%）表示此类训练强度较大（每月3次以上）；所有受访者训练中均未佩戴过牙科专用防护装具（防护牙托），且对目前配发的防护装具的防护效果评价为“一般”（53人）和“较差”（8人）者约占近1/3;36人服役期间曾罹患牙外伤，外伤原因依次为力量对抗性训练（13人）、体育运动（10人）、执行防暴任务（9人）和其他原因（如晕倒、交通意外等，4人），牙外伤类型包括牙松动（21人）、牙折断（11人）、牙脱落（3人）及牙槽骨骨折（1人），其中17人表示受伤后未能及时接受口腔专科治疗；尽管90%以上的受访者表示牙外伤会对部队战斗力产生影响，但仍有94人并不了解牙外伤相关急救常识，且80人不了解防护牙托，78人表示本单位的卫勤保障能力无法有效应对牙外伤急症的发生。结论：高原地区基层部队牙外伤发生率较高，但其针对牙外伤的卫勤救护能力不足，需从科学组训、研发并推广适合军用的牙科专用防护装具、加强牙外伤急救常识的宣教及培训工作等方面，多措并举，加强基层部队牙外伤应急救治能力建设，提高基层卫勤力量对牙外伤的自我保障能力。

AIM: To understand the present status of dental trauma in grassroots troops in high-altitude areas,and to provide suggestions for improving the ability of grassroots troops to prevent and treat dental trauma. METHODS: A survey questionnaire was used to investigate the basic information, participation in force confrontation training, wearing of oral protective equipment and evaluation of its protective effect, occurrence of dental injuries during service, awareness of dental trauma and related emergency protection knowledge, and evaluation of the emergency medical treatment capability of the unit for dental trauma among officers and soldiers stationed in high-altitude border areas. RESULTS: All respondents(178 people) had participated in strength confrontation training, among which 86 people(48.31%) reported that the intensity of such training was relatively high(more than 3 times a month); Nearly one-third of the respondents did not wear dental protective gear(mouth guard) during the training, and rated the protective effect of the currently issued protective gear as “average”(53 people) or “poor”(8 people); 36 people have suffered from dental trauma during their service, with the reasons for the injuries being strength confrontation training(13 people), sports(10 people), riot control tasks(9 people), and other reasons(such as fainting, traffic accidents, etc., 4 people). The types of dental trauma include loose teeth(21 people),broken teeth(11 people), tooth loss(3 people), and alveolar bone fracture(1 person). Among them, 17 people reported not receiving timely dental specialist treatment after being injured; Although over 90% of the respondents stated that dental trauma would have an impact on the combat effectiveness of the military, there are still 94 people who are not familiar with first aid knowledge related to dental trauma, 80 people who are not familiar with mouth guard, and 78 people who say that their unit's medical support capabilities cannot effectively prevent the occurrence of dental trauma emergencies.CONCLUSION: The incidence of dental trauma in grassroots troops in high-altitude areas is relatively high, but their medical rescue capabilities for dental trauma are insufficient. It is necessary to take multiple measures, such as scientific training, research and promotion of dental protective equipment suitable for military use, and strengthening the education and training of dental trauma emergency knowledge, to strengthen the construction of emergency treatment capabilities for dental trauma in grassroots troops and improve the self-protection ability of grassroots medical forces for dental trauma.