日间全麻下儿童牙病治疗麻醉管理规范  

Standardized management for children's dental treatment under ambulatory general anesthesia

作　　者：刘冰[1] 冯彩华[1] 朱伟[1] 张亚秋[1] 王凤娟[1] 张国良[1] 张惠[1] 

机构地区：[1]第四军医大学口腔医学院麻醉科,陕西西安710032

出　　处：《麻醉安全与质控》2017年第2期81-84,共4页Perioperative Safety and Quality Assurance

基　　金：陕西省科技统筹创新工程计划项目(2014 KTCL03-05)

摘　　要：日间全麻下儿童牙病治疗是指在全身麻醉下对儿童复杂牙病进行一次性治疗并保证儿童在麻醉当天可以回家。因医疗条件、技术和观念等限制,我国全麻下儿童牙病治疗起步晚,但临床需求大。日间全麻下儿童牙病治疗难点在于麻醉。充分掌握准确的患儿选择标准,完善的场地、设备及人员配置,全面的麻醉前准备,细节化的麻醉管理,认真的麻醉记录和随访等才能保障麻醉安全、提高麻醉质量和舒适度。目前,我国尚无日间全麻下儿童牙病治疗相关的麻醉选择及规范。本文根据第四军医大学口腔医院麻醉科对于儿童牙病舒适化治疗日间麻醉选择及各方面的规范做一系统总结。Children＇s dental treatment under ambulatory general anesthesia is to treat all the decayed teeth and the children can go home safely at the same day. Owing to the restriction of medical condition, technology and conception, children＇s dental treatment under general anesthesia started late in our country but it has large demand. The difficult part of children＇s dental treatment under ambulatory general an- esthesia lies in the anesthesia. In order to guarantee the safety of anesthesia and improve the quality and comfort, it＇s essential to have the criteria of patient selection, thorough configuration of facility and staff, well-prepared, detailed anesthesia management, complete records and follow-ups. Nowadays, there are no selection and guideline of anesthesia related to children＇s dental treatment under general anesthe- sia. The aim of this work is to summarize the experience we had, and try to make standardized management for children＇s dental treetment under ambulatory general anesthesia.

关 键 词：日间全麻 儿童牙病 龋齿 麻醉管理 

分 类 号：R782.054[医药卫生—口腔医学]