在 COVID-19 疫情期间，对不合作的儿科患者进行牙齿治疗时，吸入氧化亚氮和氧气进行意识镇静的临床效果。

Clinical effectiveness of inhalation conscious sedation with nitrous oxide and oxygen for dental treatment in uncooperative paediatric patients during COVID-19 outbreak.

机构信息

Department of Neuroscience, Reproductive and Oral Sciences, School of Paediatric Dentistry, University of Naples "Federico II", Naples, Italy - Staff Member of UNESCO Chair on Health Education and Sustainable Development, University of Naples, "Federico II", Naples, Italy.

Department of Neuroscience, Reproductive and Oral Sciences, School of Paediatric Dentistry, University of Naples "Federico II", Naples, Italy.

出版信息

Eur J Paediatr Dent. 2020 Dec;21(4):277-282. doi: 10.23804/ejpd.2020.21.04.4.

DOI:10.23804/ejpd.2020.21.04.4

PMID:33337902

Abstract

AIM

The aim of this study was to evaluate the features of inhalation conscious sedation for urgent dental treatments in uncooperative paediatric patients during COVID-19 outbreak.

MATERIALS AND METHODS

Forty-two uncooperative patients, attending primary and secondary schools, were submitted to emergency dental treatments with inhalation conscious sedation using nitrous oxide and oxygen during COVID-19 pandemic. Collected data included: number of working sessions, success/failure, adverse events, side effects, number of teeth treated; type of dental procedure. Parents filled in an e-mailed questionnaire on post-discharge children status to evaluate: pain; crying; fever; vomiting; headache; drowsiness; excitability; irritability; ability to eat; need for drugs.

RESULTS

One working session was carried out in 29 patients, 2 working sessions were carried out in 6 patients and 3 working sessions were carried out in 7 patients. Success rate was 87.1%. In relation to success, there was no statistically significant difference between males and females, healthy and disabled patients, respectively; while there was a statistically significant difference between patients attending primary and secondary schools (p=0.023). No adverse events occurred. The most frequent side effect was nausea. In relation to side effects, there was no statistically significant difference between males and females, healthy and disabled patients, patients attending primary and secondary schools, respectively. In relation to e-mailed questionnaires on post-discharge children status, 29.6% of the patients had pain, 22.2% vomited, 14.8% had headache, 18.5% experienced drowsiness, 29.6% failed to eating normally, 35.2% needed to take drugs. None of the patients cried, had a fever, exhibited irritability and excitability.

CONCLUSION

Inhalation conscious sedation is a safe, practical and effective procedure with minimal side effects to perform emergency dental treatments in uncooperative paediatric patients during COVID-19 outbreak.

摘要

目的

本研究旨在评估在 COVID-19 大流行期间，对不合作的儿科患者进行紧急牙科治疗时使用吸入性镇静的特点。

材料和方法

42 名不合作的患者，来自小学和中学，在 COVID-19 大流行期间接受了使用氧化亚氮和氧气的吸入性镇静进行的紧急牙科治疗。收集的数据包括：工作次数、成功/失败、不良事件、副作用、治疗的牙齿数量；牙科手术类型。家长填写了一份关于出院后儿童状况的电子问卷，以评估：疼痛；哭泣；发热；呕吐；头痛；困倦；兴奋；易激惹；进食能力；需要药物。

结果

29 名患者进行了一次工作，6 名患者进行了两次工作，7 名患者进行了三次工作。成功率为 87.1%。在成功方面，男性和女性、健康和残疾患者之间没有统计学显著差异；而在小学和中学患者之间存在统计学显著差异 (p=0.023)。没有不良事件发生。最常见的副作用是恶心。在副作用方面，男性和女性、健康和残疾患者、小学和中学患者之间没有统计学显著差异。关于出院后儿童状况的电子问卷，29.6%的患者有疼痛，22.2%的患者呕吐，14.8%的患者头痛，18.5%的患者困倦，29.6%的患者无法正常进食，35.2%的患者需要服药。没有患者哭泣、发热、表现出发脾气和兴奋。