693例儿童全身麻醉下牙齿治疗的特征分析  

A retrospective study of 693 children's dental treatment under general anesthesia

作　　者：夏斌[1] 秦满[1] 马文利[1] 刘鹤[1] 王建红[1] 刘克英[2] 刘瑞昌[2] 杨旭东[2] 葛立宏[1] 

机构地区：[1]北京大学口腔医学院.口腔医院儿童口腔科,北京100081 [2]北京大学口腔医学院.口腔医院麻醉科,北京100081

出　　处：《北京大学学报（医学版）》2013年第6期984-988,共5页Journal of Peking University:Health Sciences

基　　金：卫生部部属(管)医院临床学科重点项目([2010]439);首都临床特色应用研究(D101100050010038) 资助~~

摘　　要：目的:回顾693例全身麻醉下儿童牙齿治疗患者的情况及相应临床治疗的特点。方法:对2001年1月至2012年12月在北京大学口腔医院儿童口腔科接受全身麻醉下牙齿治疗的693位18岁以下患者的病历资料进行回顾性研究。结果:接受该治疗的患者人数逐年递增,4岁以下患者是接受该治疗的主体,治疗不合作及残障等因素是接受全身麻醉下牙齿治疗的主要原因。本组病例平均每位患者治疗(12±4)颗牙齿,平均每颗牙齿治疗时间为0.2 h,全身麻醉下牙齿治疗后3个月以上的复查率为60.31%,接受治疗时年龄大、治疗牙齿数目少以及外地患者的复查率低。结论:患者不合作和残障是选择全身麻醉下牙齿治疗的主要原因,这种治疗方法可以安全、高效地完成儿童口腔治疗。To retrospectively analyze the clinical features of children who received dental treatment under general anesthesia （GA） and the characteristics of dental treatment. Methods： The records of 693 patients treated under GA in the Department of Pediatric Dentistry, Peking University School and Hospital of Stomatology, between Jan. 2001 and Dec. 2012 were collected and analyzed. Results： The numbers of patients treated under GA increased year-to-year. Most of them were under 4-year-old. The main reasons of dental treatment under GA were uncooperative and disabled. The average number of teeth treated was 12±4 for each child, and the average time for treating one tooth was 12 min. The 3 months follow-up rate was 60.31%, and the older, the fewer treated tooth number and out-of-town associated with the less follow-up rate. Conclusion： The main reasons of dental treatment under GA are uncooperative and disabled. GA is an effective and safe method for dental rehabilitation in children.

关 键 词：麻醉 全身 儿童口腔医学 回顾性研究 

分 类 号：R788[医药卫生—口腔医学]