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全身麻醉在儿童口腔疾病治疗中的应用
引用本文:刘金蓉,邹廷前,敖川北,王敏,陈锦,徐世姣,刘明海,孙勇.全身麻醉在儿童口腔疾病治疗中的应用[J].临床口腔医学杂志,2016(6).
作者姓名:刘金蓉  邹廷前  敖川北  王敏  陈锦  徐世姣  刘明海  孙勇
作者单位:荆门市二医口腔医院儿童牙病科 湖北 荆门 448000
摘    要:目的:评价全身麻醉在不配合儿童口腔疾病治疗中的临床疗效。方法:收集4—12岁患口腔疾病需治疗病例59例,分别对捆绑强制性多次复诊完成治疗和全麻一次性完成口腔疾病治疗进行临床效果对比评估。结果:全麻下对不配合儿童进行口腔治疗能缩短疗程、提高医疗质量,改善口腔整体卫生水平,减少继发龋、充填物脱落率(P<0.05),减轻治疗过程给患儿带来的恐惧、焦虑等负面情绪,有效提高患者的依从性(P<0.05)。结论:对于不配合治疗儿童进行全麻一次性治疗耗时短、疗效高,可降低心理恐惧和焦虑,保护患儿的心理健康,提高患儿的依从性。

关 键 词:儿童口腔  全身麻醉  心理健康  继发龋  依从性

Application of general anesthesia in the treatment of children's dental diseases
Abstract:Objective:To evaluate the clinical effect of general anesthesia in the treatment of children's dental diseases. Method:59 children aged from 4 to 12 who needed oral treatment were randomly divided into two groups, that were sever-al follow-up visits by binding force of oral treatment and one-visit under the condition of general anesthesia. Then the clini-cal efficacy of two groups were compared. Result:Application of general anesthesia in the treatment of children without co-operation had shorten visiting time, improve the clinical quality and oral health condition, decrease the rate of secondary caries and restoration falling, relief children's dental fear and anxiety which may strength the treatment adherence(P<0.05). Conclusion:Applying general anesthesia for one-visit oral disease treatment to children without cooperation could have high efficacy with short time, which could relief children's dental fears and anxiety so as to protect children's mental health and improve the clinical compliance.
Keywords:Pediatric Dentistry  General anesthesia  Mental health  Secondary caries  Clinical compliance
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