PEDODONTİ KLİNİĞİNE AĞRI ŞİKAYETİYLE BAŞVURAN HASTALARDA ANALJEZİK KULLANIMININ DEĞERLENDİRİLMESİ

Esra Hato, Merve ERKMEN ALMAZ
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Abstract

AIM: The aim of this study was to evaluate the use of analgesics, the doses used and the level of knowledge of patients about analgesics in patients presenting with pain to the pediatric dentistry clinic. MATERIALS AND METHODS: A questionnaire was applied to the parents of 120 children aged 3-15 years who referred to ……. University Faculty of Dentistry, Department of Pediatric Dentistry, with pain. The questionnaire included following data; the duration of the pain, the type and dose of the analgesic used, the intensity of the pain before and following analgesic use based on the VAS scale, knowledge about the maximum daily dose of the analgesic used. The data were analyzed statistically with Chi-square and Mann-Whitney U test. RESULTS: One hundred and twenty patients were included in the study. The mean age of children using analgesics was 8.2±2.6 years. Paracetamol was the most frequently used analgesic in this population (64,2%) followed by ibuprofen (45%). 18,3% of children were taking more than one analgesic. Although 66,6% of the parents were unaware of the maximum daily dose, only three of the children exceeded this limit (using paracetamol). Also 65% of the parents were unaware of side effects of the analgesics. Parents taking analgesics on medical advice were not more aware of the maximum daily dose. CONCLUSIONS: A large portion of the parents were unaware of the maximum daily dose and side effects of analgesics used in children. Dentists treating cases with pain should inform patients about the use of analgesics, side effects and maximum doses.
评估以疼痛为主诉到口腔正畸诊所就诊的患者的镇痛药使用情况
目的:本研究旨在评估儿童牙科门诊疼痛患者的镇痛剂使用情况、使用剂量以及患者对镇痛剂的了解程度。 材料和方法:对 120 名 3-15 岁儿童的家长进行了问卷调查,这些儿童在 .......大学牙科学院儿童牙科系。调查问卷包括以下数据:疼痛持续时间、所用镇痛剂的类型和剂量、使用镇痛剂前后的疼痛强度(基于 VAS 量表)、对所用镇痛剂每日最大剂量的了解。数据采用卡方检验(Chi-square)和曼-惠特尼U检验(Mann-Whitney U test)进行统计分析。 结果:研究共纳入 120 名患者。使用镇痛药的儿童平均年龄为(8.2±2.6)岁。扑热息痛是该人群中最常用的镇痛药(64.2%),其次是布洛芬(45%)。18.3%的儿童服用一种以上的镇痛药。虽然 66.6% 的家长不知道每日最大用药量,但只有 3 名儿童(使用扑热息痛)超过了这一限制。此外,65% 的家长不了解镇痛药的副作用。根据医嘱服用镇痛药的家长对每日最大剂量的了解程度并不高。 结论: 大部分家长不了解儿童止痛药的每日最大剂量和副作用。牙医在治疗疼痛患者时应告知患者镇痛药的使用方法、副作用和最大剂量。
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