全身麻醉气管插管牙齿损伤与保护  

Peri-anesthetic dental trauma in general aesthesia with tracheal intubation and the trauma prevention

作　　者：王鑫智(综述) 张林忠(审校)[2] WANG Xinzhi;ZHANG Linzhong(Department of Anesthesiology,Shanxi Medical University,China,030001 Taiyuan;Department of Anesthesiology,the Second Hospital of Shanxi Medical University)

机构地区：[1]山西医科大学麻醉学院,太原030001 [2]山西医科大学第二医院麻醉科

出　　处：《实用口腔医学杂志》2024年第5期708-713,共6页Journal of Practical Stomatology

基　　金：山西省回国留学人员科研资助项目(编号:2021-170)。

摘　　要：围麻醉期牙科创伤(PADT)是麻醉期间发生的牙科创伤,其发生会妨碍患者进食,影响术后康复乃至心理健康。自然衰老会使牙齿及牙周组织稳定性下降,随着老年手术患者的比例逐年增高,麻醉医生在经口气管插管时常常面临棘手的情况,这对麻醉医生提出了新挑战。近年来,牙齿保护在围术期医学中越来越受到关注,许多保护产品相继问世。文章就PADT的致损原因、并发症处理、保护措施及创新评估做一综述,为临床实践提供帮助。Peri-anesthetic dental trauma(PADT)occurs during anesthesia,which may obstruct eating,affect postoperative recovery and even mental health of patients.Natural aging decreases the stability of teeth and periodontal tissue.As the percentage of elderly surgical patients increases year by year,anesthesiologists are confronted with tricky situations during oral tracheal intubation frequently,which poses a new challenge for anesthesiologists.In recent years,dental protection has received increasing attention in perioperative medicine and many protective products have been introduced.This article reviews the causes of damage,treatment of the complications,protective measures and innovative evaluation in PADT,so as to assist clinical practice.

关 键 词：全身麻醉 牙齿损伤 牙齿保护 

分 类 号：R782.054[医药卫生—口腔医学]