North Sarah, Davidson Lesley E, Blinkhorn Anthony S, Mackie Iain C
Department of Paediatric Dentistry, Charles Clifford Dental Hospital, Sheffield, and School of Dentistry, University of Manchester, UK.
Int J Paediatr Dent. 2007 Mar;17(2):105-9. doi: 10.1111/j.1365-263X.2006.00790.x.
The purpose of this study was to monitor the effect of an interruption in a service for children who were scheduled to have dental extractions under general anaesthesia (GA). The reasons for offering GA and the treatment given while the service was not available, together with the history of the pain, antibiotic usage and alterations to the number of teeth extracted were recorded.
When the GA extraction service stopped, the children who were scheduled to have their teeth extracted were placed on a waiting list. When the service recommenced 6 months later, the children were invited to attend a reassessment. Relevant data were collected at this visit using a proforma.
A total of 321 children had their extractions delayed. Only 249 of these attended for a reassessment. During the waiting period, 102 parents (41.0%) reported that their children required analgesics, 71 (28.5%) stated that their children's sleep was disturbed and 82 (32.9%) recorded problems with eating. One hundred and twenty-three children (49.4%) had received antibiotics, with 49 (19.6%) having been prescribed two or more courses. The majority of treatment plans (85.5%) remained unchanged.
Many children who had had their extractions delayed suffered further pain and disruption to their life.
本研究旨在监测一项针对计划在全身麻醉（GA）下进行拔牙的儿童服务中断所产生的影响。记录了提供全身麻醉的原因、服务不可用时所给予的治疗，以及疼痛史、抗生素使用情况和拔牙数量的变化。
当全身麻醉拔牙服务停止时，计划拔牙的儿童被列入等候名单。6个月后服务重新开始时，邀请这些儿童参加重新评估。此次就诊时使用一份表格收集相关数据。
共有321名儿童的拔牙被推迟。其中只有249名儿童参加了重新评估。在等待期间，102名家长（41.0%）报告说他们的孩子需要镇痛药，71名（28.5%）表示孩子的睡眠受到干扰，82名（32.9%）记录了饮食方面的问题。123名儿童（49.4%）使用了抗生素，其中49名（19.6%）被开了两个或更多疗程的药。大多数治疗计划（85.5%）保持不变。
许多拔牙被推迟的儿童遭受了进一步的疼痛和生活干扰。
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