Ohtawa Yumi, Yoshida Mizuki, Fukuda Kenichi
Department of Oral Health Science, Division of Special Needs Dentistry and Orofacial Pain, Tokyo Dental College.
Bull Tokyo Dent Coll. 2019 Feb 28;60(1):53-60. doi: 10.2209/tdcpublication.2018-0011. Epub 2019 Jan 31.
The purpose of this study was to survey parental satisfaction with ambulatory anesthesia during dental treatment in disabled patients. Factors associated with parental preference for general anesthesia during future dental treatment in such patients were also investigated. A questionnaire was mailed to the parents of 181 disabled individuals who underwent dental treatment under ambulatory anesthesia at Tokyo Dental College Suidobashi Hospital between 2012 and 2016. A total of 71 responses were received (39.2%). The mean patient age was 18 years, and disabilities included autism spectrum disorder, intellectual disability, cerebral palsy, and epilepsy. The items surveyed included dental treatment details, number of times patients received general anesthesia, type of anesthetic used, anesthesia induction method, durations of treatment and anesthesia, and the presence or absence of intraoperative or postoperative complications. Questionnaire items queried problems related to dental care, anesthesia history, preoperative anxiety, length of fasting period, induction of general anesthesia, nursing and hospital room environment, postoperative anxiety, overall evaluation, and whether the parent would prefer general anesthesia during future dental treatment. The patients were divided into 2 groups: those whose parents preferred general anesthesia during future dental treatment and those whose parents did not. The results revealed that, where disabled individuals had previously received general anesthesia during dental treatment, the parents were more likely to prefer general anesthesia during future dental treatment.
本研究的目的是调查残疾患者在牙科治疗期间家长对非住院麻醉的满意度。同时还调查了与此类患者未来牙科治疗中家长对全身麻醉的偏好相关的因素。向2012年至2016年期间在东京齿科大学水道桥医院接受非住院麻醉牙科治疗的181名残疾患者的家长邮寄了问卷。共收到71份回复(39.2%)。患者的平均年龄为18岁,残疾类型包括自闭症谱系障碍、智力残疾、脑瘫和癫痫。调查项目包括牙科治疗细节、患者接受全身麻醉的次数、使用的麻醉剂类型、麻醉诱导方法、治疗和麻醉持续时间以及术中或术后并发症的有无。问卷项目询问了与牙科护理、麻醉史、术前焦虑、禁食时间长度、全身麻醉诱导、护理和病房环境、术后焦虑、总体评价以及家长在未来牙科治疗中是否倾向于全身麻醉相关的问题。将患者分为两组:一组是家长在未来牙科治疗中倾向于全身麻醉的患者,另一组是家长不倾向于全身麻醉的患者。结果显示,残疾个体此前在牙科治疗中接受过全身麻醉的,其家长在未来牙科治疗中更倾向于全身麻醉。