60例全麻下牙科治疗患者的回顾性研究

发布时间：2018-07-07 21:33

本文选题：口腔全麻技术 + 儿童口腔　；参考：《吉林大学》2014年硕士论文

【摘要】：目的：对不合作儿童进行全身麻醉下牙科治疗的情况进行回顾性研究，并评价全麻下牙科治疗的效果及相关影响因素。方法： 1、本文对吉林大学口腔医院儿童口腔科2011年12月至2013年7月进行全麻下牙科治疗的60例不合作患儿的病历资料进行回顾性研究。包括患儿的基本情况（年龄及性别）、选择全麻的原因、全麻患儿的牙科治疗内容（术式及牙数）、治疗时间及术中术后的不良反应。 2、设置60例全麻下牙科治疗患者为观察组，选择2013年1月至2013年7月的门诊进行浅、中龋的龋齿充填术患儿60例作为对照组1，2013年1年至2013年7月的门诊进行根管治疗术患儿60例作为对照组2。观察组及两个对照组在性别和年龄方面的差异无统计学意义。复诊检查患者出现术后并发症的情况，分析其成功率，并对常规龋齿充填、根管治疗同全麻下进行相同术式的治疗效果进行对比。结果： 1、全麻下治疗牙科疾病患儿男性38名、女性22名，年龄17～192个月，平均60.25个月。在3～4岁的儿童分布趋于集中倾向。家长选择全麻下进行治疗的最主要原因是患儿不配合，占总人数的90%（54/60）。人均治疗牙齿11.42颗，每颗牙平均花费时间17.34min。根管治疗术最多占43.50%，其次为间接盖髓术25.70%、龋齿充填术16.20%、活髓切断术7.59%、拔牙术3.50%、窝沟封闭术2.63%、纤维桩0.58%、成品冠0.29%。出现口腔全麻不良反应发烧1例，黏膜压迫性水肿1例，全身酸痛1例，创伤性口角炎2例，咬合不适3例。 2、龋齿充填术（浅、中龋）：三个月观察组成功率为95.50%，对照组1为90.18%；六个月观察组成功率为88.29%，对照组1为82.14%。根管治疗术：三个月观察组成功率为98.32%，对照组2为93.56%；六个月观察组成功率为95.97%，对照组2为89.49%。三个月及六个月两种术式的成功率，全麻治疗显著高于常规治疗，，差异有统计学意义(P＜0.05)。结论： 3-4岁儿童的牙科恐惧症是选择全麻下牙科治疗主要因素。牙髓病、根尖周病的根管治疗是全麻治疗中最主要的治疗方法。不合作儿童全麻下进行龋齿充填术和根管治疗术可以获得最佳治疗效果，术后可能出现短暂的发热、咬合不适等不良反应。
[Abstract]:Objective: to evaluate the effect of dental treatment under general anesthesia and related factors in noncooperative children. Methods: 1. The medical records of 60 uncooperative children undergoing general anesthesia from December 2011 to July 2013 in the Department of Children's Stomatology, Jilin University Stomatology Hospital were retrospectively studied. Including the child's basic situation (age and sex), the reasons for choosing general anesthesia, The contents of dental treatment (method and number of teeth), treatment time and adverse reaction after operation and operation of children with general anesthesia. 2. 60 cases of dental treatment under general anesthesia were selected as the observation group, and the outpatients from January 2013 to July 2013 were selected as the observation group. 60 children with moderate caries were treated as control group and 60 children with root canal therapy were used as control group from 2013 to 2013. There was no significant difference in sex and age between the observation group and the two control groups. The postoperative complications were analyzed, and the results of routine dental caries filling, root canal therapy and general anesthesia were compared. Results: 1. 38 male and 22 female children with dental diseases were treated under general anesthesia. Their age ranged from 17 to 192 months (mean 60.25 months). Children aged 3 or 4 tend to be concentrated. The main reason for parents to choose general anesthesia is the lack of cooperation, accounting for 90% of the total number (54 / 60). 11.42 teeth were treated per capita, and the average time per tooth was 17.34 min. Root canal therapy accounted for 43.50%, followed by indirect pulp capping 25.70, caries filling 16.20, active pulp incision 7.59, extraction 3.50, fossa and sulcus closure 2.63, fiber post 0.58, and finished product crown 0.29. There were 1 case of fever, 1 case of mucosal compression edema, 1 case of systemic soreness, 2 cases of traumatic horn inflammation, 3 cases of malocclusion and 2 cases of dental caries filling. Middle caries): the observed composition power was 95.50 in three months, 90.18 in control group 1, 88.29 in six months, and 82.14 in control group 1. Root canal therapy: the observed composition power was 98.32 in three months, 93.56 in control group 2, 95.97 in six months and 89.49 in control group 2. The success rate of three and six months operation was significantly higher in general anesthesia than that in routine treatment (P < 0.05). Conclusion: dental phobia in children aged 3-4 years is the main factor of choosing dental treatment under general anesthesia. Root canal treatment of pulp disease and periapical disease is the most important method in general anesthesia. Dental caries filling and root canal therapy under general anesthesia can obtain the best therapeutic effect in children with non-cooperative children. There may be transient fever, malocclusion and other adverse reactions after operation.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R782.054

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