[1]汪明敏,李亚奇.牙科全麻技术在不同阶段低龄儿童牙科治疗中的应用[J].陕西医学杂志,2024,(4):509-513.[doi:DOI:10.3969/j.issn.1000-7377.2024.04.016]
　WANG Mingmin,LI Yaqi.Application of dental general anesthesia in the dental treatment for young children at different age stages[J].,2024,(4):509-513.[doi:DOI:10.3969/j.issn.1000-7377.2024.04.016]
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牙科全麻技术在不同阶段低龄儿童牙科治疗中的应用
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
期数:
2024年4期
页码:
509-513
栏目:
临床研究
出版日期:
2024-04-05

文章信息/Info

Title:
Application of dental general anesthesia in the dental treatment for young children at different age stages
作者:
汪明敏; 李亚奇
(西安市儿童医院口腔科,陕西 西安 710003)
Author(s):
WANG Mingmin; LI Yaqi
(Department of Stomatology,Xi'an Children's Hospital,Xi'an 710003,China)
关键词:
牙科全麻技术;  婴幼儿;  低龄儿童龋;  牙科治疗;  儿童口腔医学;  术后并发症
Keywords:
Dental general anesthesia;  Toddlers;  Early childhood caries;  Dental treatment;  Pediatric dentistry;  Postoperative complications
分类号:
R 788
DOI:
DOI:10.3969/j.issn.1000-7377.2024.04.016
文献标志码:
A
摘要:
目的:分析婴幼儿及学龄前两个阶段牙科全麻技术(DGA)应用的临床效果。方法:收集牙科治疗中需要进行全身麻醉的儿童647例,按照年龄段分为两组。婴幼儿组(3岁以下)135例,学龄前组(3～6岁)512例,分析其性别、年龄、合并疾病、就诊原因、治疗牙数、治疗内容、治疗时间、麻醉效果及术后并发症情况。结果:总中位数年龄47(38～56)月,并发其他疾病者占比32.25%,两组间比较无统计学差异(P>0.05)。就诊原因主要为疼痛和猛性龋,组间比较有统计学差异(均P<0.05)。治疗牙数中位数14(12～16)颗,治疗时间中位数110(95～130)min,婴幼儿组均低于学龄前组(均P<0.05)。治疗内容包括窝沟封闭、拔牙、充填治疗和牙髓治疗,组间比较有统计学差异(均P<0.05)。麻醉效果评价为优者占比96.91%,组间比较无统计学差异(P>0.05)。术后婴幼儿组烦躁比例高于学龄前组(P<0.05),但口渴、进食困难发生率低于对照组(均P<0.05)。结论:3岁以下婴幼儿较3～6岁学龄前儿童DGA下治疗牙数量更少,时间更短,虽然术后烦躁发生率较高,但是疼痛、口渴和进食困难发生率更低。对于3岁以下婴幼儿牙科疾病,DGA技术是较为安全、高效的解决办法。
Abstract:
Objective:To compare the application data of dental general anesthesia(DGA)in toddlers and preschoolers.Methods:A total of 647 children receiving general anesthesia for dental treatment were collected.Children were divided into two groups according to age.,including 135 cases in toddler group(under 3 years old)and 512 cases in preschool group(3～6 years old).Details of gender,age,concomitant diseases,reasons for treatment,number of teeth treated,treatment types,operation time,anesthesia effect evaluation and postoperative complications were collected and analysed.Results:The median age was 47(38～56)months,and the patients with other diseases accounted for 32.25%,and the difference between the two groups was not statistical significant(P>0.05).The main reasons for treatment were pain and aggressive caries,and there were significant differences between the two groups(P<0.05).The median number of teeth treated was 14(12～16),and the median treatment time was 110(95～130)minutes,which was significantly lower in the toddler group(all P<0.05).Treatments included fossa closure,extraction,filling and endodontic treatment,and the difference between the two groups was significant(all P<0.05).96.91% cases were rated as excellent in anesthesia effect evaluation,and the difference between the two groups was not significant(P>0.05).In terms of postoperative complications,the proportion of annoyance in the toddler group was significantly higher,but the incidence of thirst and eating difficulty was significantly lower(all P<0.05).Conclusion:Fewer teeth with shorter duration were treated in toddlers under 3 years old than in preschooler aged 3～6 years.Although the incidence of postoperative annoyance is higher,the incidence of pain,thirst and eating difficulty is lower.DGA technology is a safe and efficient solution for dental diseases in children under 3 years of age.

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备注/Memo

备注/Memo:
基金项目:中华口腔医学会西部口腔医学临床科研基金资助项目(CSA-W2020-02)
更新日期/Last Update: 2024-04-07