[全身麻醉下儿童牙科治疗术后并发症的调查]
[Investigation of postoperative complications in children after dental therapy under general anesthesia].
作者信息
Deng Xiao-Yu, Zhang Yun-Han, Zou Jing, Zhang Qiong
机构信息
State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Pediatric Dentistry, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.
出版信息
Hua Xi Kou Qiang Yi Xue Za Zhi. 2020 Jun 1;38(3):284-289. doi: 10.7518/hxkq.2020.03.010.
OBJECTIVE
This study aimed to evaluate the postoperative complications undergoing dental general anesthesia in children and analyze the prevalence and related factors.
METHODS
This prospective study involved 292 systematically healthy children (36 to 71 months old) who received extensive dental treatment under general anesthesia. Data about patients' histories, characteristics, dental and anesthesia procedure were collected. Parents or caregivers were interviewed face to face preoperation and 72 h postoperation. Data were analyzed using logistic regression.
RESULTS
Approximately 93.5% of the enrolled children reported one or more complications. The most prevalent complication was postoperative pain, followed by weariness, agitation, problem in eating, drowsiness, oral bleeding, cough, fever, etc. The length of operative time and femininity were the risks of the postoperative pain. Nutrition status was the factor probably in association with fever.
CONCLUSIONS
The children receive longer operative time and girls show to be more susceptible to the postoperative pain. High nutrition status could be the protective factor of postoperative fever.
目的
本研究旨在评估儿童牙科全身麻醉术后并发症，并分析其发生率及相关因素。
方法
这项前瞻性研究纳入了292名系统健康的儿童（36至71个月大），他们在全身麻醉下接受了广泛的牙科治疗。收集了患者病史、特征、牙科及麻醉程序等数据。术前及术后72小时对家长或照料者进行面对面访谈。采用逻辑回归分析数据。
结果
约93.5%的入选儿童报告了一种或多种并发症。最常见的并发症是术后疼痛，其次是疲倦、烦躁、进食问题、嗜睡、口腔出血、咳嗽、发热等。手术时间长短和女性性别是术后疼痛的风险因素。营养状况可能是与发热相关的因素。
结论
手术时间较长的儿童以及女孩似乎更容易出现术后疼痛。高营养状况可能是术后发热的保护因素。
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