水合氯醛灌肠在幼儿期龋病治疗中的催眠效果

目的 观察幼儿期不同年龄组龋病治疗中应用10%水合氯醛灌肠的临床催眠效果。方法 选择156例需做口腔治疗的幼儿期龋病患儿,按年龄分为A、B两组,分别在口腔治疗前给予10%水合氯醛灌肠。观察并比较两组患儿药物起效时间、治疗操作时间、睡眠维持时间、成功率及不良反应。结果 灌肠起效时间,A组短于B组,睡眠维持时间A组长于B组,差异均具有统计学意义。临床催眠效果方面,两组合计成功率为85.26%,其中A组显效率为53.95%,B组显效率为20.00%,差异具有统计学意义;A组成功率(93.42%)高于B组(77.50%),差异有统计学意义。结论 幼儿期龋病治疗中10%水合氯醛灌肠催眠安全可靠,成功率高,且年龄越小,起效越快,维持睡眠时间越长,显效率及成功率越高。

Hypnotic effect of chloral hydrate enema in infancy caries during dental treatment

Objective To observe the clinical sedative effect using 10% chloral hydrate enema during dental treatment for different age groups which have suffered from caries.Methods One hundred and fifty-six cases of dental treatment infants who had got caries were included in this study,they were divided into two groups A and B by age, and were given 10% chloral hydrate enema before the dental treatment respectively.To observe and compare the two groups of children with the drug effecting time,treatment operation time,sleeps maintain time,success rate and adverse reactions.Results Group A showed shorter time than group B in enema working time,and group A showed longer time than group B in maintain time of sedation,with significant difference.The two combination metered success rate is 85.26% in clinical sedative effect, and group A is 53.95% while group B is 20.00% in significant efficiency,there is statistically significant difference;Group A (93.42%) had higher success rate than group B (77.50%),with significant difference.Conclusion Hypnotic effect by 10%chloral hydrate enema in infancy caries during dental treatment is safe and reliable,and has high success rate.The smaller age has the faster drug effecting time,the longer sleep time,the higher efficiency and success rate.