目的 了解口腔医学住院医师规范化培训学员的口腔美学分析设计临床实践现状及其影响因素。方法 选取2020年1月于武汉大学口腔医院口腔医学住院医师规范化培训基地在培的263名学员作为研究对象,采用问卷星对住培学员的基本特征、口腔美学分析设计临床实践现状以及口腔美学修复临床实践能力进行调研。采用χ²检验和多因素logistic回归模型进行数据分析。结果 63.5%(167/263)的住培学员自我评价为“能够完成口腔美学修复临床实践”;仅有33.8%(89/263)的住培学员能够掌握数字化美学分析设计技术。口腔修复专业住培学员更具备口腔美学修复临床实践能力(OR=4.90,95%CI:2.27～10.60),并且更好地掌握“了解患者美学需求”(OR=2.47,95%CI:1.10～5.59)、“进行数字化美学分析设计”(OR=2.29,95%CI:1.23～4.26)和“制作研究模型及诊断蜡型”(OR=2.75,95%CI:1.43～5.28);“四证合一”研究生更好地掌握“采用口腔临床数码摄影技术记录相关美学信息”(OR=2.37,95%CI:1.27～4.40)和“制作研究模型及诊断蜡型”(OR=1.91,95%CI:1.07～3.41);2017级学员更好地掌握“进行数字化美学分析设计”(OR=2.41,95%CI:1.20～4.83)。结论 部分口腔医学住培学员已经基本掌握口腔美学分析设计相关技术并具备口腔美学分析设计临床实践能力。口腔修复专业、“四证合一”研究生或2017级住培学员更有可能掌握口腔美学分析设计临床实践相关技术并具备口腔美学修复临床实践能力。

Objective To investigate the performance of and influencing factors on clinical practice of oral aesthetic analysis and design for trainees receiving resident standardized training. Methods Totally 263 trainees were selected at School and Hospital of Stomatology, Wuhan University, in January 2020. The platform of “wjx.cn” was used for distribution of questionnaires and data collection. The contents of questionnaire included the general information of participants, the current situation of clinical practice of oral aesthetic analysis and design, and their self-evaluation of the aesthetic restorative capacity. Chi square test and multivariable logistic regression analysis were applied for analyzing the data. Results The results showed that 63.5%(167/263) of the trainees evaluated themselves as competent to complete clinical practice of oral aesthetic restoration; but only 33.8% (89/263) of the trainees were capable of doing the digital aesthetic analysis and design. The trainees majoring in prosthodontics had better “clinical practice capacity of oral aesthetic restoration”(OR=4.90, 95%CI:2.27～10.60), and did better in “understanding the aesthetic needs of patients”(OR=2.47, 95%CI:1.10～5.59), “digital aesthetic analysis and design”(OR=2.29, 95%CI:1.23～4.26), and “making research model and diagnostic wax pattern”(OR=2.75, 95%CI:1.43～5.28); “four licenses in one” master degree students did better in “record aesthetic information by using oral clinical digital photography”(OR=2.37, 95%CI:1.27～4.40) and “making research model and diagnostic wax pattern”(OR=1.91, 95%CI:1.07～3.41); The trainees of grade 2017 did better in “digital aesthetic analysis and design”(OR=2.41, 95%CI:1.20～4.83). Conclusions Part of trainees in standardized training of stomatological residents had mastered the relevant technologies of oral aesthetic analysis and design, and had the clinical practice capacity of aesthetic restoration. Trainees, whose major was prosthodontics, or who was“four licenses in one” master degree students, or whose grade was 2017 were more likely to perform well in these aspects.