Chen X X, Jiang X, Zhong J, Zhang H M, Huang Q, Xia B
The First Outpatient Dental Clinic, Peking University School and Hospital of Stomatology & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology, Beijing 100034, China.
Department of Pediatric Dentistry, Peking University School and Hospital of Stomatology & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology, Beijing 100081, China.
Zhonghua Kou Qiang Yi Xue Za Zhi. 2017 Nov 9;52(11):661-666. doi: 10.3760/cma.j.issn.1002-0098.2017.11.003.
To assess the postoperative complications in systemically healthy children treated for dental caries under general anesthesia (GA) after discharge and analysis of the correlative factors. This prospective observational study included 124 children aged 2-8 years old who received extensive dental treatment under GA. General conditions and treatment information were obtained from questionnaires filled by the dentist and the anesthesiologist. Postoperative data were collected from a questionnaire filled by the parents in one week. Pain was assessed by using the dental discomfort questionnaire-8 (DDQ-8) pain assessment scale. The mean anesthesia time for GA procedures was 102.6 min and the mean number of treated teeth was 13.5. Approximately 66.9% (83/124) of the children had one or more postoperative complaints on the first day after the treatments. The most common complaints reported were cough, hoarseness, and dental pain followed by throat discomfort, problems in eating, swelling, weakness, sleepiness, vomiting, fever and nausea. By the seventh day after the treatment, the main complications remained were dental pain and cough, while most of other symptoms disappeared. Preoperative DDQ-8 score and the number of extracted teeth were the factors that showed a significant association with postoperative dental pain on the first day. Dental pain and pharynx discomfort were most frequently noted postoperative symptoms. Postoperative dental discomfort on the first day might be predicted by dental pain before GA and tooth extraction under GA.
评估全身健康的儿童在全身麻醉(GA)下治疗龋齿出院后的术后并发症,并分析相关因素。这项前瞻性观察性研究纳入了124名年龄在2至8岁之间、在全身麻醉下接受广泛牙科治疗的儿童。从牙医和麻醉师填写的问卷中获取一般情况和治疗信息。术后数据通过家长在一周内填写的问卷收集。使用牙科不适问卷-8(DDQ-8)疼痛评估量表评估疼痛。全身麻醉手术的平均麻醉时间为102.6分钟,平均治疗牙齿数为13.5颗。约66.9%(83/124)的儿童在治疗后的第一天有一项或多项术后不适。报告的最常见不适为咳嗽、声音嘶哑和牙痛,其次是喉咙不适、进食问题、肿胀、虚弱、嗜睡、呕吐、发烧和恶心。治疗后第七天,主要并发症仍为牙痛和咳嗽,而大多数其他症状消失。术前DDQ-8评分和拔牙数量是与术后第一天牙痛显著相关的因素。牙痛和咽部不适是最常出现的术后症状。全身麻醉前的牙痛和全身麻醉下的拔牙可能预示术后第一天的牙科不适。