攀枝花市家长对儿童口腔全麻接受度影响因素的调查及分析  

A survey and analysis of the influencing factors of parents′acceptance of childhood oral general anesthesia in Panzhihua

作　　者：杨玉娇 王金华[1] YANG Yujiao;WANG Jinhua(Department of Oral Prevention,Stomatological Hospital of Chongqing Medical University,Chongqing401147,China)

机构地区：[1]重庆医科大学附属口腔医院口腔预防科,重庆401147

出　　处：《中国当代医药》2025年第6期136-140,共5页China Modern Medicine

摘　　要：目的调查攀枝花市口腔疾病患儿的家长对采用牙科全身麻醉技术(DGA)治疗儿童口腔疾病的接受度,分析相关影响因素,为口腔疾病患儿建议DGA治疗方案时的医患沟通提供参考。方法采用方便抽样法,选择2023年1月至12月就诊于攀枝花学院附属医院口腔科18岁以下儿童的家长,让其现场填写问卷并当场回收,分析家长对儿童口腔全麻接受度的影响因素。结果单因素分析结果显示,不同与患儿的关系、家庭所在地区、家长是否听说过DGA治疗、家长是否有过全麻经历、患儿目前是否有牙痛等急性症状麻醉方式、认为DGA治疗是否会影响孩子的智力发育、认为DGA治疗是否会影响孩子的记忆力、家长认为孩子需治疗的牙齿颗数、家长此前陪同孩子看牙的次数的视觉模拟评分法(VAS)值比较,差异有统计学意义(P<0.05)。多因素分析结果提示,父亲(β=0.148,B=9.095,95%CI:4.527~13.664)、有全麻经历(β=0.138,B=7.982,95%CI:3.645~12.320)、听说过DGA治疗(β=0.285,B=16.473,95%CI:11.948~20.998)、有牙痛急性症状(β=0.119,B=9.111,95%CI:3.514~14.707)以及认为DGA不会影响孩子智力发育(β=-0.139,B=-8.639,95%CI:-13.430~-3.847)是接受度的影响因素(P<0.05)。结论攀枝花市患儿家长对DGA的接受度大多处于中低水平,其原因是多方面的,当口腔医生向有相关症状患儿的家长建议该治疗方案时,应多向家长所担心的问题进行耐心介绍与讲解,提高患儿家长对该治疗方式的认知度,帮助他们做出更优的选择。Objective To investigate the acceptance of dental general anesthesia(DGA)among parents of children with oral diseases in Panzhihua,and analyze related influencing factors,so as to provide reference for doctor-patient communication when recommending DGA treatment for children with oral diseases.Methods Convenient sampling method was used to select parents of children under 18 years old who were admitted to the Stomatology Department of the Affiliated Hospital of Panzhihua College from January to December 2023.They were asked to fill in the questionnaire and the questionnaire were collected on the spot.The influencing factors of parents'acceptance of children's oral general anesthesia were analyzed.Results Univariate analysis results show that there were statistically significant differences in visual analogue scale(VAS)value in different relationship with children,family area,parents have heard of DGA treatment,parents had general anesthesia experience,children with acute symptoms such as toothache anesthesia,think DGA treatment will affect the child's intellectual development,think DGA treatment will affect the child's memory,parents think children need treated teeth,parents had accompanied the number.The results of the multivariate analysis indicated that the father(β=0.148,B=9.095,95%CI:4.527-13.664),with previous general anesthesia experience(β=0.138,B=7.982,95%CI:3.645-12.320),had heard of DGA treatment(β=0.285,B=16.473,95%CI:11.948-20.998),with acute toothache symptoms(β=0.119,B=9.111,95%CI:3.514-14.707)and believed DGA would not affect children's intellectual development(β=-0.139,B=8.639,95%CI:-13.430--3.847)were influencing factors for acceptance(P<0.05).Conclusion The acceptability of DGA by parents of children with children in Panzhihua is mostly at a medium to low level,which is due to various reasons.When dentists suggest the treatment plan to parents of children with related symptoms,they should patiently introduce and explain the problems that parents are worried about,so as to improve their awa

关 键 词：儿童口腔医学 牙科全身麻醉技术 接受度 影响因素 

分 类 号：R614[医药卫生—麻醉学]