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影响儿童牙科手术口服三甲丙咪嗪镇静效果的因素:一项回顾性研究。

Factors affecting efficacy of oral trimeprazine sedation for dental procedures in children: A retrospective study.

作者信息

Bello Lanre L

机构信息

Department of Pediatric Dentistry & Orthodontics, King Saud University College of Dentistry, P.O. Box 60169, Riyadh 11545, Saudi Arabia.

出版信息

Saudi Dent J. 2011 Apr;23(2):87-90. doi: 10.1016/j.sdentj.2011.01.004. Epub 2011 Feb 3.

Abstract

OBJECTIVE

To investigate the influence of factors such as age, gender and pre-operative behavior rating on the outcome of sedation using oral trimeprazine during dental treatment of children.

METHOD

Records of children who received dental treatment under sedation with oral trimeprazine between 2000 and 2007 were reviewed and the following data were obtained: age and weight of patient at the time of treatment, gender, behavior classification prior to sedation, dose of medication used, efficacy of sedation and treatment accomplished. Descriptive statistics, cross-tabulations and χ (2) analysis were done.

RESULT

Forty-eight sedation sessions met the inclusive criteria for children whose mean age was 4.92 (SD 1.65, range 3.0-8.0) years and mean weight was 18.23 (SD 4.82, range: 12.0-31.0) kg. Overall, 54.2% (26/48) of the sedations were rated successful, 20.8% (10/48) were partially successful and 25.0% (12/48) not successful. Younger children 3-5 years, and those with only negative pre-operative behavior rating had more successful sedation sessions than older, 6-8 years or children with definitely negative pre-operative behavior rating (X (2) = 8.165, p = .017) and (X (2) = 17.258, p = .001), respectively.

CONCLUSION

Variables such as patient's age and pre-operative behavior but not gender and type of treatment could predict outcome of dental sedation using trimeprazine in children.

摘要

目的

探讨年龄、性别及术前行为评分等因素对儿童牙科治疗中使用口服异丙嗪镇静效果的影响。

方法

回顾2000年至2007年间接受口服异丙嗪镇静牙科治疗的儿童记录,获取以下数据:治疗时患者的年龄和体重、性别、镇静前行为分类、用药剂量、镇静效果及治疗完成情况。进行描述性统计、交叉表分析和χ²分析。

结果

48例镇静符合纳入标准,儿童平均年龄为4.92岁(标准差1.65,范围3.0 - 8.0岁),平均体重为18.23千克(标准差4.82,范围:12.0 - 31.0千克)。总体而言,54.2%(26/48)的镇静被评为成功,20.8%(10/48)部分成功,25.0%(12/48)不成功。3 - 5岁的年幼儿童以及术前行为评分为阴性的儿童比6 - 8岁的年长儿童或术前行为评分为绝对阴性的儿童有更多成功的镇静(χ² = 8.165,p = 0.017)和(χ² = 17.258,p = 0.001)。

结论

患者年龄和术前行为等变量而非性别和治疗类型可预测儿童使用异丙嗪进行牙科镇静的效果。

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本文引用的文献

1
Sedation of anxious children undergoing dental treatment.牙科治疗中焦虑儿童的镇静处理。
Cochrane Database Syst Rev. 2005 Apr 18(2):CD003877. doi: 10.1002/14651858.CD003877.pub2.
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Oral midazolam compared with diazepam-droperidol and trimeprazine as premedicants in children.
Paediatr Anaesth. 1997;7(4):287-93. doi: 10.1046/j.1460-9592.1997.d01-88.x.
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Oral premedications in paediatric day surgery.
Singapore Med J. 1996 Apr;37(2):139-42.

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