111例全身麻醉下儿童牙齿治疗效果评价  

Evaluation of therapeutic effect of children's dental treatment under general anesthesia: 111 cases report

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）》2014年第1期35-38,共4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:评价全身麻醉下儿童牙齿治疗的临床效果及其影响因素。方法:回顾2008年8月至2012年6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228位18岁以下患者的病历资料,从中随机选择111份有3个月以上复查记录或计划外再治疗记录的病例,对计划外再治疗的原因进行分类归纳,用Kaplan-Meier法绘制生存曲线,用Cox比例风险模型对影响计划外再治疗因素进行分析。结果:111例患者共有1 415颗牙齿接受了治疗,在复查期内没有计划外再治疗的为1 026颗,占77.0%,牙齿平均生存时间为815 d。首次计划外再治疗出现时间的中位数为215 d,充填体严重缺陷约占首次计划外再治疗原因的50%。性别、年龄、龋坏牙总数、全身麻醉治疗原因、居住地等因素对患者的计划外再治疗没有影响。结论:全身麻醉下的牙齿治疗从总体上看可以获得良好效果,术后患者的定期复查非常重要。Objective ： To retrospectively evaluate the efficiency of dental treatment under general anes- thesia （GA） in child patients, and analyze the related factors. Methods： The records of patients treated under GA in the Department of Pediatric Dentistry, Peking University School and Hospital of Stomatolo- gy, between Aug 2008 and Jun 2012 were collected and analyzed. Two hundred and twenty eight records were found, of which 111 patients under 18 years old who were recalled more than 3 months after GA were selected randomly. The unplanned treatments including caries, failed restoration, root canal treat- ment and space maintenance fall-off etc. were recorded and analyzed. The survival rate and median sur- vival time of the teeth were calculated, and a multivariate analysis was performed by Cox proportional hazard model. Results： Totally, there were 1 415 teeth treated under GA. The median survival time was 825 days, 77.0% of the teeth were present during their recall period. The median time of the first un- planned treatment was 215 days, and the failed restoration was the main reason for the unplanned treat- ment. Other factors such as the age at treatment, gender, total number of decayed teeth, reason for GA, and living place were found unassociated with the survival rate. Conclusion： The effect of dental treat- ment under GA is satisfied. Regular dental visit after GA is very important for children＇ s dental health.

关 键 词：麻醉 全身 儿童 牙科治疗 治疗结果 

分 类 号：R788[医药卫生—口腔医学]