Enever G R, Nunn J H, Sheehan J K
Department of Anaesthesia, Royal Victoria Infirmary, Newcastle upon Tyne, UK.
Int J Paediatr Dent. 2000 Jun;10(2):120-5. doi: 10.1046/j.1365-263x.2000.00180.x.
An investigation was undertaken of morbidity after outpatient general anaesthesia for comprehensive dental care in a group of paediatric patients over a 1-year period. Data were collated from the patient's hospital notes and from the response to a questionnaire sent to parents/carers. Clinical data were obtained for 55 cases (age range 3-17 years) for whom parents/carers had returned questionnaires. There were 27 intellectually and/or physically impaired patients, the other 28 being anxious or phobic. After discharge, 44% of all parents/carers reported symptoms post-operatively in their child, the prevalence being similar in both groups. The symptoms were nausea/vomiting (20%), unexpected drowsiness (13%) and the need for pain relief at home (13%). Dental procedures were routine restorations (42%), or a combination of restoration, extractions and preventive care for the remainder. Only four patients had extractions only. One teenager had to be admitted for persistent nausea and vomiting, despite prophylactic measures. In conclusion, post-operative morbidity appears to be low after outpatient general anaesthesia for dental procedures, and is no greater in patients with disabilities.
对一组儿科患者在为期1年的时间里接受门诊全身麻醉进行综合牙科护理后的发病率进行了调查。数据来自患者的医院病历以及对发给家长/照顾者的问卷的回复。收集了55例（年龄范围3至17岁）家长/照顾者已回复问卷的患者的临床数据。其中有27例智力和/或身体有障碍的患者，另外28例为焦虑或恐惧症患者。出院后，所有家长/照顾者中有44%报告其孩子术后出现症状，两组的患病率相似。症状包括恶心/呕吐（20%）、意外嗜睡（13%）以及在家需要止痛（13%）。牙科手术包括常规修复（42%），其余为修复、拔牙和预防护理的组合。只有4例患者仅接受了拔牙。尽管采取了预防措施，一名青少年因持续恶心和呕吐而不得不入院。总之，牙科手术门诊全身麻醉后的术后发病率似乎较低，并且在残疾患者中并不更高。
