Satou T, Mukaida T, Abe E, Nozaka K, Amari E
Department of Pediatric Dentistry, School of Dentistry, Iwate Medical University.
Shoni Shikagaku Zasshi. 1990;28(3):761-9.
The purpose of this study was to evaluate the influence of minor surgery conducted in the oral cavities of children. Changes in blood pressure and pulse during minor surgery were measured using a Pulse-Wave Korotokoff Sound Record Meter GP-303S (PARAMA). The subjects consisted of 28 children (15 boys and 13 girls) who underwent minor surgery at the pediatric dental clinic of Iwate Medical University. An examination of 16 of the 28 children to determine the relationship between their physique, personality, and blood pressure was made. The following results were obtained: 1) The maximum blood pressure formed a peak at the time of the impacted supernumerary teeth extraction. This was more conspicuous in boys than in girls. The pulse rose to the highest values with the infiltration of the anesthesia, the incision, and stripping. However, no significant values based on sex difference were demonstrated. 2) The maximum blood pressure changed more intensely during surgery in boys than in girls. This was distinctly observed during extraction of the impacted supernumerary tooth. 3) Both the maximum blood pressure and pulse increased with the progress of the surgery. After the surgery, it returned nearly to the presurgical level. With extraction of a supernumerary tooth and marsupialization, the return of the blood pressure to the preoperative level was more delayed in boys than in girls. 4. The changes in blood pressure and pulse seemed to be mostly induced by mental disquietude and stress such as anxiety and fear of surgery. 5. The physique and personality were related to the changes in blood pressure and pulse during minor surgery in the oral cavity.
本研究的目的是评估在儿童口腔进行小手术的影响。使用脉搏波柯氏音记录仪GP - 303S（PARAMA）测量小手术期间的血压和脉搏变化。研究对象包括28名在岩手医科大学儿科牙科诊所接受小手术的儿童（15名男孩和13名女孩）。对28名儿童中的16名进行了检查，以确定他们的体格、性格与血压之间的关系。得到了以下结果：1）在拔除埋伏多生牙时，最高血压出现峰值。男孩比女孩更明显。脉搏在麻醉浸润、切开和剥离时升至最高值。然而，未显示出基于性别差异的显著数值。2）男孩手术期间最高血压的变化比女孩更剧烈。在拔除埋伏多生牙时明显观察到这一点。3）最高血压和脉搏均随着手术进展而升高。手术后，几乎恢复到术前水平。拔除多生牙和袋形术时，男孩血压恢复到术前水平的时间比女孩更延迟。4. 血压和脉搏的变化似乎主要由精神不安和压力引起，如对手术的焦虑和恐惧。5. 体格和性格与口腔小手术期间血压和脉搏的变化有关。
