儿童全麻下牙科治疗指征的探讨

R. Andreeva
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引用次数: 0

摘要

全身麻醉是一种对儿童进行药理学行为管理的方法。全麻治疗儿童主要分为3组:早期龋病儿童(ECC);焦虑儿童和有特殊健康需要的儿童。本文的目的是评估全麻下治疗的主要适应症。回顾性研究的监测对象是396名儿童,分为3个年龄组:5岁以下、6 - 12岁和12岁以上。回顾性研究包括确定在全麻下治疗的儿童的相对比例,由于指征,记录在医疗记录中。第一组患儿中发生ECC的占95%(188例),全麻患儿中发生ECC的占47.5%。有特殊健康需要(SHN)的儿童——接受全麻治疗的儿童中有67名患者(17%),第三年龄组接受治疗的儿童中有80.64%。行为管理问题占第二组所有适应症的78.4%,占所有年龄组的47%。因呕吐反射增强而接受麻醉治疗的儿童的相对比例为1.51%,手术治疗的儿童的相对比例为2.27%,在所有年龄组中均不显著。结果表明,GA下牙科治疗的主要适应症为:儿童ECC-主要原因;焦虑儿童是全身麻醉的第二大常见适应症,有特殊健康需要的儿童是《全面麻醉法》规定的第三大常见治疗原因。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Study of the indications of dental treatment of children under general anesthesia
General anesthesia is a method of pharmacological behavior management of children. The children treated under general anesthesia (GA) are mainly 3 groups: children with early childhood caries (ECC);  anxious children and children with special health needs. The aim of this article is to  assess the main indications for the treatment under general anesthesia. Subject of monitoring of the retrospective  research are 396 children divided  into three age groups: up to 5 years, between 6 and 12 years and over 12 years.. The retrospective study includes determining the relative proportions of children treated under general anesthesia due to the indications, documented on medical records. Children with ECC are 95%  (188) of the children in the first group and 47.5% of all the children treated under general anesthesia. Children with specific health needs (SHN) - 67 patients (17%) of all treated children under general anesthesia and 80.64% of the children treated in the third age group. The behavioral management problem is - 78.4% of all indications for the second group and (47%) for all age groups. The relative share of children treated with narcosis due to an increased reflex for vomiting - 1.51% and surgical procedures - 2.27% is insignificant for all age groups. This result demonstrates the main indications for dental treatment under GA, which are: children with ECC- the main reason;  anxious children - the second most common indication for general anesthesia  and children with special health needs - the third most common cause of treatment under the GA.
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