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比较接受牙科全身麻醉和清醒镇静服务的儿童患者情况。

Comparing the profile of child patients attending dental general anaesthesia and conscious sedation services.

作者信息

Hariharan S, Hosey M T, Bernabe E

机构信息

Division of Population and Patient Health, King's College London Dental Institute at Guy's, King's College and St. Thomas' Hospitals, London, United Kingdom.

出版信息

Br Dent J. 2017 May 12;222(9):683-687. doi: 10.1038/sj.bdj.2017.406.

Abstract

Aims To compare the profile of paediatric patients receiving dental treatment under general anaesthesia (GA) or conscious sedation (CS). A second aim was to explore whether there is an overlap between the two patient groups.Design This service evaluation study was based on sociodemographic and clinical data extracted from clinical records of patients attending dental appointments for GA or CS services at King's College Hospital. Sociodemographic and clinical differences between GA and CS groups were explored using logistic regression models.Results Data from 113 children (58 GA and 55 CS) were analysed. There were differences between groups in terms of age and numbers of quadrants and teeth treated, but not in terms of sex, ethnicity or deprivation scores. In the adjusted model, older children and those having more teeth treated were more likely to be in the GA than in the CS group. An overlap between the GA and CS groups was found, with 50% of children aged four to nine years having two to four teeth treated in both groups.Conclusion Age and number of teeth treated were the main characteristics associated with receiving care under GA or CS. Some overlap between children receiving dental treatment under GA or CS existed despite demographic and clinical differences between both groups.

摘要

目的 比较接受全身麻醉(GA)或清醒镇静(CS)下牙科治疗的儿科患者情况。第二个目的是探讨两组患者之间是否存在重叠。设计 这项服务评估研究基于从国王学院医院接受GA或CS服务的牙科预约患者临床记录中提取的社会人口统计学和临床数据。使用逻辑回归模型探讨GA组和CS组之间的社会人口统计学和临床差异。结果 分析了113名儿童(58名接受GA,55名接受CS)的数据。两组在年龄、治疗的象限和牙齿数量方面存在差异,但在性别、种族或贫困得分方面没有差异。在调整模型中,年龄较大的儿童和接受治疗牙齿较多的儿童比CS组更有可能接受GA。发现GA组和CS组之间存在重叠,50%的4至9岁儿童在两组中都接受了2至4颗牙齿的治疗。结论 年龄和治疗的牙齿数量是与接受GA或CS治疗相关的主要特征。尽管两组在人口统计学和临床方面存在差异,但接受GA或CS牙科治疗的儿童之间存在一些重叠。

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