Anderson H K, Drummond B K, Thomson W M
Department of Oral Sciences, School of Dentistry, University of Otago, Dunedin, New Zealand.
Int J Paediatr Dent. 2004 Sep;14(5):317-25. doi: 10.1111/j.1365-263X.2004.00572.x.
This study was intended to examine the treatment-associated change in aspects of oral-health-related quality of life (QoL) among children (and their families) undergoing dental rehabilitation under general anaesthesia (GA).
The parents or caregivers of a consecutive clinical sample of children receiving comprehensive dental treatment under GA at the University of Otago School of Dentistry, Dunedin, and the Christchurch Oral Health Centre, Christchurch, New Zealand, were interviewed by telephone before and after the treatment. Questions were asked relating to the impact of the condition on the child and the family. The post-treatment questionnaire also sought information related to parental satisfaction with the care provided under GA.
The parents or caregivers of 95 children participated in the study: 49 had treatment completed at the University of Otago School of Dentistry; and 46 were treated at the Christchurch Oral Health Centre. The child sample comprised 55.8% males and 44.2% females with a mean age of 5.1 years. Their mean dmft was 8.2. A consistent pattern of improvement was found with each indicator used. Complaints of pain, problems with eating and sleeping, and behaviour concerns showed significant improvements, with 100% improvement for children for whom frequent pre-GA problems associated with eating, sleeping and behaviour were reported. Sixty-six parents had to arrange time away from employment on the day of the GA and almost half of those incurred a loss of income. The majority of parents reported a high degree of satisfaction with the care received.
Treating young children with high disease experience in a single session under GA results in immediate improvement in oral health and aspects of their QoL for both the children and their families.
本研究旨在调查在全身麻醉（GA）下接受牙齿修复治疗的儿童（及其家庭）口腔健康相关生活质量（QoL）方面与治疗相关的变化。
对在新西兰达尼丁奥塔哥大学牙科学院和克赖斯特彻奇口腔健康中心接受GA下综合牙科治疗的连续临床样本儿童的父母或照顾者，在治疗前后进行电话访谈。询问了有关病情对儿童及其家庭影响的问题。治疗后问卷还收集了有关父母对GA下所提供护理满意度的信息。
95名儿童的父母或照顾者参与了研究：49名在奥塔哥大学牙科学院完成治疗；46名在克赖斯特彻奇口腔健康中心接受治疗。儿童样本中男性占55.8%，女性占44.2%，平均年龄5.1岁。他们的平均龋失补牙面数（dmft）为8.2。使用的每个指标都呈现出一致的改善模式。疼痛、饮食和睡眠问题以及行为问题的投诉有显著改善，对于术前经常报告有饮食、睡眠和行为问题的儿童，改善率达100%。66名家长不得不在GA当天安排请假，其中近一半人有收入损失。大多数家长对所接受的护理表示高度满意。
在GA下一次性治疗患有严重口腔疾病的幼儿，可使儿童及其家庭的口腔健康及其QoL方面立即得到改善。
