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[与全身麻醉相关的牙科损伤及预防措施]

[Dental injury associated with general anesthesia and the preventive measures].

作者信息

Ueda Nobuhiro, Kirita Tadaaki, Imai Yuichiro, Inagake Kotaro, Matsusue Yumiko, Inoue Satoki, Kawaguchi Masahiko, Furuya Hitoshi

机构信息

Department of Oral and Maxillofacial Surgery, Nara Medical University, Kashihara 634-8521.

出版信息

Masui. 2010 May;59(5):597-603.

Abstract

BACKGROUND

It is generally recognized that dental injury during general anesthesia is an important problem. We retrospectively evaluated the profiles of dental injuries during general anesthesia and associated factors for the development of dental injury.

METHODS

From January 1999 to December 2008, all medical records of the patients with dental injury during general anesthesia were reviewed.

RESULTS

Of 30,845 patients who underwent general anesthesia in the period, the dental injury developed in 110 patients (0.36%) during general anesthesia. The incidence of dental injury was higher in patients above 60 years of age, The patients who had received mouth guards had significantly lower incidence of dental injury compared with those without mouth guards (0.06% vs. 0.37%, P < 0.05). The left upper incisors were involved most commonly in the development of dental injury, and the timing of dental injury was most frequent at the time of tracheal intubation.

摘要

背景

一般认为,全身麻醉期间的牙齿损伤是一个重要问题。我们回顾性评估了全身麻醉期间牙齿损伤的情况以及牙齿损伤发生的相关因素。

方法

回顾1999年1月至2008年12月期间全身麻醉期间发生牙齿损伤患者的所有病历。

结果

在此期间接受全身麻醉的30845例患者中,110例(0.36%)在全身麻醉期间发生牙齿损伤。60岁以上患者牙齿损伤的发生率较高,使用口护具的患者牙齿损伤的发生率明显低于未使用口护具的患者(0.06%对0.37%,P<0.05)。左上切牙最常发生牙齿损伤,牙齿损伤最常发生在气管插管时。

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