深度镇静在儿童埋藏牙拔除术中的应用  

Clinical application of deep sedation in extraction of children's imbedded teeth

作　　者：胡开进[1] 薛洋[1] 张国良[2] 周宏志[1] 秦瑞峰[1] 敖建华[1] 侯锐[1] 孔亮[1] 孟凡文[1] 杨擎天[1] 何洁[1] 

机构地区：[1]西安第四军医大学口腔医院颌面外科,710032 [2]西安第四军医大学口腔医院麻醉科,710032

出　　处：《实用口腔医学杂志》2009年第1期77-79,共3页Journal of Practical Stomatology

基　　金：口腔医院资助临床创新基金项目(编号:2001058312543026)

摘　　要：目的:评价深度镇静(咪达唑仑联合氯胺酮镇静)下行儿童埋藏牙拔除术的效果,探讨其利弊。方法:选择2005-03～2007-03需拔除埋藏牙的患儿187例(年龄6～12岁)。术前由专业麻醉医生给予咪达唑仑0.1 mg/kg+氯胺酮1 mg/kg肌注。观察镇静起效时间、维持时间并给予患儿镇静评分。结果:187例患儿在深度镇静下均能很好的配合完成手术,且术中及术后未见任何并发症发生。起效时间为3～5 min,平均3.5 min;维持时间为45～50 min,平均46.5 min。镇静评分均在3分以上,其中4分者131例,5分者56例。结论:在深度镇静下行儿童埋藏牙拔除术,麻醉药物起效快,代谢时间短,副作用少,效果显著,值得临床推广。Objective：To assess the effects of deep sedation （sedation with ketamine/midazolam） in extraction of children＇s imbedded teeth and evaluate its advantages and disadvantages. Methods： 187 children aged from 6 to 12 with embedded teeth were chosen for the study. Intramuscular midazolam 0.1 mg/kg with ketamine 1 mg/kg were administered by an anesthetist before teeth extraction. Maximum level of sedation time, duration time and sedation levels were recorded. Results： All the children could endure the operation under the deep sedation. No complication happened during or after the operation. It took 3 -5 min （averaged 3.5 min） to achieve the maxi- mum level of sedation, which could keep 45 -50 min （ averaged 46.5 min）. Sedation levels were all above 3 in all cases, among which 131 got 4 points and 56 got 5 points. Conclusion： Deep sedation is effective, quick and with rare side effects. Deep sedation is recommended in children＇s imbedded teeth extraction.

关 键 词：深度镇静 儿童 埋藏牙拔除术 

分 类 号：R782.11[医药卫生—口腔医学]