西安市1002名家长对儿童牙科全身麻醉技术认知及接受度调查

目的：了解家长对儿童牙科全身麻醉技术（dental general anesthesia，DGA）的认知和接受程度并分析其可能的影响因素。方法：向2011年11月．2012年3月间前来第四军医大学121腔医学院儿童口腔科就诊的1002名初、复诊患儿家长解释DGA后由家长完成调查问卷，数据采用SPSSll．0软件行统计学分析。家长对DGA的接受度采用相对数形式统计，利用X^2检验明确不同因素是否影响家长对DGA的接受。结果：儿童口腔治疗常见的行为诱导方法中，家长对DGA的熟悉程度较低，仅有6．69％的家长听说并对其有所了解。在医生提出建议时，20．76％的家长会接受该技术，61．98％的家长担心麻醉药物的副作用，同时分别有超过33．33％的家长认为全麻技术会对患儿大脑及身体发育产生影响。经统计学分析，家长对DGA的接受度与家庭月收入，家长最高学历及地域因素有关P〈0．05）。结论：DGA在国内儿童口腔医学领域是一种新兴牙科行为诱导技术，患儿家长对其了解较少，接受度普遍偏低。医生在选择该方法时应做好解释工作并获得家长的知情同意。

Investigation on cognition and acceptance level on dental general anesthesia of 1002 parents in the city of Xi'an

Objective： To investigate parental cognition and acceptability on dental general anesthesia （DGA） applied in pediatric dentistry and raise some possible affected factors to better serve the clinical work. Method： During November 2011 to March 2012, 1002 parents who took their children to the department of pediatric dentistry, School of Stomatology, Fourth Military Medical University were investigated. One clinical worker was assigned to explain the DGA technique and parent then filled the questionnaire. SPSS 11.0 software was used for statistical analysis. Cognition and acceptance level of parents was expressed by the way of relative number while X^2 test was used to make it clear which factor would further affect parents＇ acceptance. Result： DGA in pediatric dentistry had the least familiar level by parents and only 6.69 % of them had heard of it and knew something about the technique. Only 20.76 % of the parents would accept this technique when clinical dentists recommended and among the investigated samples 61.98 % of them worried about the side effects of anesthetic. More than 33.33 % of the parents respectively believe that children＇s physical and brain development would be hurt under DGA. Monthly income of a family, the educational level of parents and geological factors were the statistically significant affected factors on parents＇ acceptance of DGA. Conclusion： DGA is a newly developing behavior management technique in pediatric dentistry in recent years. Parents have a low cognition and acceptance level of it. Pediatric dentists should do a better explain work in clinical work.