State Key Laboratory of Oral Diseases, Department of Pediatric Dentistry, West China Hospital of Stomatology, National Clinical Research Center for Oral Diseases and Sichuan University, Chengdu, China.
BMC Oral Health. 2021 Dec 27;21(1):664. doi: 10.1186/s12903-021-01994-2.
Dental general anesthesia (DGA) is an effective treatment for very young children or those who have severe dental fear and mental or physical disabilities. However, the long-term impacts of DGA on oral health-related quality of life (OHRQoL) and parents' anxiety in China are still questionable. This study aimed to assess the influence of DGA on OHRQoL in Chinese children and their parents' psychological status. A total of 204 children and their parents participated in this study. The ECOHIS was applied to evaluate OHRQoL in children. The parents' anxiety was analyzed using the Chinese version of the Kessler 10 scale. The internal consistency was evaluated with Cronbach's alpha coefficient, and Wilcoxon signed-rank test was used for statistical analyses. The scores of each section of ECOHIS decreased one month after the procedure except for the self-image and social sections (P < 0.05). The scores of the Kessler 10 scale decreased one month after DGA and kept decreasing six months later (P < 0.05). The parents' Kessler 10 scores exhibited a moderately positive correlation with the children's ECOHIS scores (r = 0.480, P < 0.05). After DGA, the OHRQoL of Chinese children and their parents' mental health continued to improve. And they exhibited positive correlation.
牙科全麻(DGA)是治疗非常年幼的儿童或有严重牙科恐惧、精神或身体残疾的儿童的有效方法。然而,DGA 对口腔健康相关生活质量(OHRQoL)和中国父母焦虑的长期影响仍存在疑问。本研究旨在评估 DGA 对中国儿童 OHRQoL 和父母心理状况的影响。共有 204 名儿童及其父母参与了这项研究。使用 ECOHIS 评估儿童的 OHRQoL。采用中文版 Kessler 10 量表分析父母的焦虑情况。采用 Cronbach's alpha 系数评估内部一致性,采用 Wilcoxon 符号秩检验进行统计分析。除自我形象和社会方面外,术后一个月 ECOHIS 的各个部分的评分均降低(P<0.05)。DGA 后一个月,Kessler 10 评分降低,六个月后持续降低(P<0.05)。父母的 Kessler 10 评分与儿童的 ECOHIS 评分呈中度正相关(r=0.480,P<0.05)。DGA 后,中国儿童的 OHRQoL 和父母的心理健康持续改善,两者呈正相关。