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为自闭症患者进行牙科手术时的镇静处理。

Sedation of the autistic patient for dental procedures.

作者信息

Braff M H, Nealon L

出版信息

ASDC J Dent Child. 1979 Sep-Oct;46(5):404-7.

PMID:289661
Abstract

It would be wrong to draw firm conclusions in this paper, because the methodology was highly subjective. However, the authors are of the opinion that certain conclusions can be drawn: Autistic individuals, even those with wildly aberrant behavior, can frequently receive dental treatment in a routine manner, if adequately sedated. Various sedative drugs may be effective. Combinations of drugs may be successful, where individual drugs have failed. The authors found the combination of Nisentil and Phenergan, supplemented with Vistaril when needed, to be especially effective. N2O-O2 analgesia appears to be beneficial, either alone or as an adjunct to other medications.

摘要

在本文中得出确凿结论是错误的,因为该方法具有高度主观性。然而,作者认为可以得出某些结论:自闭症患者,即使是那些行为极度异常的患者,如果给予充分的镇静,可以经常以常规方式接受牙科治疗。各种镇静药物可能有效。当单一药物无效时,联合用药可能会成功。作者发现,将奈西立尔和非那根联合使用,并在需要时辅以安他乐,特别有效。笑气-氧气镇痛似乎是有益的,无论是单独使用还是作为其他药物的辅助手段。

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