Woolley S M, Hingston E J, Shah J, Chadwick B L
Cardiff University School of Dentistry, Heath Park, Cardiff, CF14 4XY.
Br Dent J. 2009 Sep 26;207(6):E11; discussion 280-1. doi: 10.1038/sj.bdj.2009.664. Epub 2009 Jul 24.
The objectives were three-fold: to investigate the level of conscious sedation training received prior to and during specialist training in paediatric dentistry; to establish the use of conscious sedation during and following specialisation; and to determine the attitudes of specialists in paediatric dentistry to conscious sedation.
A self-administered postal questionnaire was sent to all specialists in paediatric dentistry registered with the General Dental Council in January 2008. Non-responders were contacted again after a four-week period.
A response rate of 60% was achieved. Of the 122 respondents, 67 (55%) had received sedation training as an undergraduate; 89 (75%) had been trained during specialisation. All respondents performed dental treatment under sedation as a trainee and the majority used nitrous oxide inhalation sedation (NOIS). Over 90% of respondents felt that NOIS should be available to all children, both in appropriate primary care settings and in hospitals. One hundred and twenty-one (99%) respondents thought that all trainees in paediatric dentistry should have sedation training.
The most popular form of sedation amongst specialists in paediatric dentistry was NOIS. However, some of the respondents felt that children should have access to other forms of sedation in both the primary care and hospital settings. Additional research on other forms of sedation is required to evaluate their effectiveness and safety.
本研究有三个目的:调查儿童牙科专科培训之前及培训期间接受的清醒镇静培训水平;确定专科培训期间及之后清醒镇静的使用情况;并确定儿童牙科专科医生对清醒镇静的态度。
2008年1月,向在英国牙科总会注册的所有儿童牙科专科医生发送了一份自填式邮政问卷。四周后再次联系未回复者。
回复率为60%。在122名受访者中,67名(55%)在本科阶段接受过镇静培训;89名(75%)在专科培训期间接受过培训。所有受访者在实习期间都在镇静状态下进行牙科治疗,且大多数人使用笑气吸入镇静(NOIS)。超过90%的受访者认为,在适当的初级保健机构和医院,所有儿童都应能使用NOIS。121名(99%)受访者认为,所有儿童牙科实习生都应接受镇静培训。
儿童牙科专科医生中最常用的镇静方式是NOIS。然而,一些受访者认为,在初级保健机构和医院,儿童都应有机会使用其他形式的镇静。需要对其他形式的镇静进行更多研究,以评估其有效性和安全性。