哪些人会因牙科治疗而接受镇静，原因是什么？
Who is referred for sedation for dentistry and why?
作者信息
Boyle C A, Newton T, Milgrom P
机构信息
Department of Sedation and Special Care Dentistry, King's College London Dental Institute at Guy's, King's College and St Thomas' Hospitals, Tower Wing, London, SE1 9RT, UK.
出版信息
Br Dent J. 2009 Mar 28;206(6):E12; discussion 322-3. doi: 10.1038/sj.bdj.2009.251.
OBJECTIVE
To assess referrals to sedation, examining dental anxiety and background of patients, and compare these characteristics to those referred to a restorative dentistry clinic.
DESIGN
Descriptive, cross sectional survey.
SUBJECTS AND METHODS
Subjects were 100 consecutive new patients in sedation and special care and 50 new patients in restorative dentistry at Guy's and St Thomas NHS Foundation Trust. A questionnaire included demographics, self-reported oral health and dental attendance, and dental fear. Information from the patients records was taken: ASA classification, previous sedation or general anaesthesia, alcohol and tobacco use, and medications.
RESULTS
The best predictors of referral were dental anxiety level and an irregular attendance. The most important fears were seeing, hearing and feeling the vibrations of the dental drill, and the perception of an accelerated heart rate. Other factors such as general, mental and dental health and alcohol use were related to referral but less important.
CONCLUSIONS
Referral is consistent with the goal of the sedation clinic to see anxious patients. Referring general practitioners are able to identify these patients.
目的
评估镇静治疗的转诊情况，调查患者的牙科焦虑及背景，并将这些特征与转诊至修复牙科诊所的患者进行比较。
设计
描述性横断面调查。
对象与方法
研究对象为盖伊和圣托马斯国民保健服务信托基金连续收治的100例接受镇静及特殊护理的新患者以及50例修复牙科新患者。问卷内容包括人口统计学信息、自我报告的口腔健康及看牙情况，以及牙科恐惧。收集患者病历中的信息：美国麻醉医师协会（ASA）分级、既往镇静或全身麻醉情况、烟酒使用情况及用药情况。
结果
转诊的最佳预测因素为牙科焦虑水平和看牙不规律。最主要的恐惧是看到、听到和感觉到牙钻的震动，以及感觉心率加快。其他因素，如总体健康、精神健康、口腔健康及饮酒情况与转诊有关，但重要性稍低。
结论
转诊符合镇静诊所诊治焦虑患者的目标。转诊的全科医生能够识别这些患者。
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