静吸复合全麻下婴幼儿龋治疗的效果评估  

Evaluation of the treatment of early childhood caries under general anaesthesia

作　　者：楚小玉[1] 王欢[1] 姜霞[1] 陈小贤[1] 董毅[1] 张红梅[1] 钟洁[1] 

机构地区：[1]北京大学口腔医院门诊部,100034

出　　处：《实用口腔医学杂志》2011年第3期398-400,共3页Journal of Practical Stomatology

摘　　要：目的：评估静吸复合全麻下婴幼儿龋治疗的效果。方法：门诊收集60名符合2002年美国儿童牙科学会重症婴幼儿龋标准的1～5岁健康儿童，其中男38人，女22人。最小年龄17个月，最大年龄60个月，龋均lO．62。在静吸复合全麻下接受全口牙齿治疗，术后半年及1年复查，统计充填体保存率，继发龋出现率及经治人群的龋病发病率，使用SPSS软件进行统计学分析。结果：1年复查充填体保存率96．93％，继发龋出现率半年复查为0．32％，1年复查为4。36％，具有统计学显著差异（x^2=22．069，P=0．00）。龋病发病率半年复查为6．67％，1年复查为13．33％，虽无统计学差异，但增高趋势明显。结论：全麻下治疗婴幼儿龋疗程短，疗效佳，临床应用前景广阔。应注意取得患儿家长的配合，培养患儿良好的VI腔卫生习惯，定期复查，以达到良好的远期效果。Objective： To evaluate the treatment of early childhood caries under general anaesthesia. Methods： 60 （38 male and 22 female aged 17 to 60 months） children with early childhood caries with Xdmft of 10.62 according to 2002 American standard were trea- ted under general anaesthesia. Patients were followed-up 6 and 12 months after treatment. Retention rate of dental restoration, secondary caries rate and incidence of caries were recorded. SPSS 10.0 software package was used for statistical analysis. Results： Retention rate of dental restoration was 96.93% 12 months after treatment. 6 and 12 months after treatment secondary caries rate was 0.32% and 4.36% respectively（x2 = 22. 069, P = 0.00）, incidence of caries was 6.67% and 13.33% respectively. Conclusion. Early childhood caries treated under general anaesthesia is feasible in pediatric dentistry.

关 键 词：儿童牙科 全身麻醉 婴幼儿龋 

分 类 号：R788.1[医药卫生—口腔医学]