Thikkurissy S, Allen Paul H, Smiley Megann K, Casamassimo Paul S
Inpatient Dental Services, The Ohio State University College of Dentistry/Nationwide Children's Hospital Columbus, Ohio, USA.
Pediatr Dent. 2012 Jul-Aug;34(4):289-94.
The purpose of this study was to examine how acute dental pain in children is managed.
A prospective 18-item cross-sectional survey was administered to 300 parent-child dyads seeking care at a large urban tertiary care hospital emergency walk-in dental clinic.
The children's mean age was 8 years, 6 months (±3 years, 2 months). The mean duration of pain was 17.7 days. Seventy-six percent of children had been treated with at least 1 dose of over-the-counter pain medication. Acetaminophen was most commonly used (40%), followed by ibuprofen (37%). Regression analysis revealed child age to be significantly correlated with over 40% of pain management behaviors. Younger children were less likely to have received over-the-counter analgesia for dental pain (P<.05).
Parents delayed seeking dental care for over 2 weeks. Acute dental pain was most commonly managed with acetaminophen. Seeking dental care was delayed more often for older children.
本研究旨在探讨儿童急性牙痛的处理方式。
对在一家大型城市三级护理医院急诊非预约牙科诊所就诊的300对亲子进行了一项前瞻性的包含18个项目的横断面调查。
儿童的平均年龄为8岁6个月（±3岁2个月）。疼痛的平均持续时间为17.7天。76%的儿童至少接受过一剂非处方止痛药治疗。对乙酰氨基酚使用最为普遍（40%），其次是布洛芬（37%）。回归分析显示，儿童年龄与40%以上的疼痛管理行为显著相关。年龄较小的儿童因牙痛接受非处方镇痛治疗的可能性较小（P<0.05）。
家长推迟寻求牙科护理超过2周。急性牙痛最常用对乙酰氨基酚进行处理。年龄较大的儿童更常推迟寻求牙科护理。
