中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
16期
25-27
,共3页
口腔科%牙科恐惧症%七氟醚%麻醉%效果
口腔科%牙科恐懼癥%七氟醚%痳醉%效果
구강과%아과공구증%칠불미%마취%효과
Dentistry%Dental phobia%Sevoflurane%Anesthesia%Effect
目的：评价七氟醚吸入麻醉应用于口腔科儿童恐惧症患儿临床治疗效果。方法：64例被诊断为牙科恐惧症的患儿按年龄分为学龄前组（n=34）和学龄组（n=30），两组患儿在七氟醚吸入麻醉下开展滞留乳牙拔除、根管治疗和龋齿填充治疗。记录两组患儿吸入麻醉诱导和苏醒情况；比较两组患儿麻醉过程中平均动脉压和血氧饱和度变化情况；记录两组患儿麻醉过程中不良反应发生情况。结果：所有患儿均在七氟醚吸入麻醉下顺利完成口腔疾病治疗。两组吸入麻醉诱导时意识消失时间、疼痛反应消失时间和睫毛反射消失时间比较差异均无统计学意义（P>0.05）；两组苏醒时意识恢复时间比较差异无统计学意义（P>0.05）；两组吸入前、吸入后和治疗中血氧饱和度和平均动脉压差异比较差异均无统计学意义（P>0.05）；两组恶心呕吐和躁动伴恶心呕吐发生率比较差异无统计学意义（P>0.05），学龄前组躁动发生率高于学龄组（P<0.05）。结论：七氟醚吸入麻醉应用于牙科恐惧症患儿口腔疾患治疗安全有效，对呼吸和血流动力学影响较小，术后并发症较少，值得临床推广应用。
目的：評價七氟醚吸入痳醉應用于口腔科兒童恐懼癥患兒臨床治療效果。方法：64例被診斷為牙科恐懼癥的患兒按年齡分為學齡前組（n=34）和學齡組（n=30），兩組患兒在七氟醚吸入痳醉下開展滯留乳牙拔除、根管治療和齲齒填充治療。記錄兩組患兒吸入痳醉誘導和囌醒情況；比較兩組患兒痳醉過程中平均動脈壓和血氧飽和度變化情況；記錄兩組患兒痳醉過程中不良反應髮生情況。結果：所有患兒均在七氟醚吸入痳醉下順利完成口腔疾病治療。兩組吸入痳醉誘導時意識消失時間、疼痛反應消失時間和睫毛反射消失時間比較差異均無統計學意義（P>0.05）；兩組囌醒時意識恢複時間比較差異無統計學意義（P>0.05）；兩組吸入前、吸入後和治療中血氧飽和度和平均動脈壓差異比較差異均無統計學意義（P>0.05）；兩組噁心嘔吐和躁動伴噁心嘔吐髮生率比較差異無統計學意義（P>0.05），學齡前組躁動髮生率高于學齡組（P<0.05）。結論：七氟醚吸入痳醉應用于牙科恐懼癥患兒口腔疾患治療安全有效，對呼吸和血流動力學影響較小，術後併髮癥較少，值得臨床推廣應用。
목적：평개칠불미흡입마취응용우구강과인동공구증환인림상치료효과。방법：64례피진단위아과공구증적환인안년령분위학령전조（n=34）화학령조（n=30），량조환인재칠불미흡입마취하개전체류유아발제、근관치료화우치전충치료。기록량조환인흡입마취유도화소성정황；비교량조환인마취과정중평균동맥압화혈양포화도변화정황；기록량조환인마취과정중불량반응발생정황。결과：소유환인균재칠불미흡입마취하순리완성구강질병치료。량조흡입마취유도시의식소실시간、동통반응소실시간화첩모반사소실시간비교차이균무통계학의의（P>0.05）；량조소성시의식회복시간비교차이무통계학의의（P>0.05）；량조흡입전、흡입후화치료중혈양포화도화평균동맥압차이비교차이균무통계학의의（P>0.05）；량조악심구토화조동반악심구토발생솔비교차이무통계학의의（P>0.05），학령전조조동발생솔고우학령조（P<0.05）。결론：칠불미흡입마취응용우아과공구증환인구강질환치료안전유효，대호흡화혈류동역학영향교소，술후병발증교소，치득림상추엄응용。
Objective:To investigate the application effects of sevoflurane inhalation anesthesia in children phobia in dentistry.Method:64 patients diagnosed as dental phobia were divided into preschool group and school-age group. Stranded deciduous unplug,root canal therapy and dental caries filling were carried under sevoflurane anesthesia in the two groups. Inhalation anesthesia induction and emergence situation were recorded in the two groups. The mean arterial pressure and oxygen saturation changes during anesthesia were compared between the two groups. Adverse events during anesthesia were recorded. Result:All patients were successfully complete treatment of oral diseases under sevoflurane anesthesia. When inhalation anesthesia induction,the differences of loss of consciousness time,the pain disappeared reaction time and eyelash reflex time between the two groups were not statistically significant(P>0.05). When waking, the consciousness recovery times between the two groups were not statistically significant(P>0.05). Before inhalation, after inhalation and during therapy,the differences of oxygen saturation and mean arterial pressure between the two groups were not statistically significant(P>0.05). The incidences of nausea and vomiting and restlessness associated with nausea and vomiting were no significant difference(P>0.05). The incidence of restless in the preschool group was higher than the school-age group(P<0.05).Conclusion:Sevoflurane anesthesia used in treatment of oral diseases in children with dental phobia was safe and effective. It had less impact on the respiratory and hemodynamic,and fewer postoperative complications. It is worthy of clinical application.
