Erkmen Almaz Merve, Akbay Oba Aylin, Saroglu Sonmez Isil
Department of Pediatric Dentistry, Faculty of Dentistry, Kirikkale University, KirikkaleTurkey.
Department of Pediatric Dentistry, Faculty of Dentistry, Adnan Menderes University, AydinTurkey.
Eur Oral Res. 2019 Sep;53(3):113-118. doi: 10.26650/eor.20190023. Epub 2019 Sep 1.
The aims of this study were to investigate post-operative complications in pediatric patients 24 and 72 hours after general anesthesia (GA) and to identify any associations between dental procedures and complications.
One hundred and thirty three healthy pediatric patients who had undergone dental treatment under GA (age range: two to nine years) were included in this study. The project was designed as a prospective, observational study supported by a questionnaire that collected data on children's post-operative complaints. Preoperative data were obtained from patients' files and included age, gender, medical condition and admission type (inpatient or outpatient) variables. The postoperative complaints were assessed either by phone contact or by face-to-face interviews using a questionnaire 24 and 72 hours after treatment.
69.9% of children reported one or more complaints after 24 hours and 35.3% after 72 hours. Coughing and pain (27.1%), inability to eat (24.8%), psychological changes (24.1%) and a sore throat (21.1%) were the most common complaints during the first day. After 72 hours, the severity and rate of the complications decreased significantly (p < 0.05).
Post-operative complaints following dental treatment under GA tended to be of mild severity and were mainly limited to the first day after the procedure.
本研究旨在调查小儿患者全身麻醉(GA)后24小时和72小时的术后并发症,并确定牙科手术与并发症之间的任何关联。
本研究纳入了133例在全身麻醉下接受牙科治疗的健康小儿患者(年龄范围:2至9岁)。该项目设计为一项前瞻性观察性研究,辅以一份收集儿童术后不适数据的问卷。术前数据从患者档案中获取,包括年龄、性别、健康状况和入院类型(住院或门诊)变量。治疗后24小时和72小时通过电话联系或使用问卷进行面对面访谈来评估术后不适情况。
69.9%的儿童在24小时后报告了一项或多项不适,72小时后为35.3%。咳嗽和疼痛(27.1%)、无法进食(24.8%)、心理变化(24.1%)和喉咙痛(21.1%)是第一天最常见的不适。72小时后,并发症的严重程度和发生率显著下降(p<0.05)。
全身麻醉下牙科治疗后的术后不适往往严重程度较轻,且主要局限于术后第一天。