一氧化二氮增高剂量在儿童牙科行为管理中的有效性和安全性。
Effectiveness and Safety of Elevated Dosages of Nitrous Oxide on Behavior Management in Pediatric Dentistry.
机构信息
*Unkel John H, DDS, MD, MPA, Residency and Medical Director, Bon Secours St Mary's Hospital Program for Advanced Pediatric Dental Education.
**Alexander C Ian, DDS, MS, Pediatric Dentist.
出版信息
J Clin Pediatr Dent. 2022 Jan 1;46(1):58-61. doi: 10.17796/1053-4625-46.1.10.
OBJECTIVE
To determine if administering a higher dosage of nitrous oxide (>50%), with a nasal hood in pediatric dental restorative procedures, can allow for a safe and more cooperative experience for the pediatric patient as measured by observable adverse reactions and the Frankl Behavior Rating Scale.
STUDY DESIGN
A retrospective chart review was completed of 200 patients total, 100 for each nitrous oxide (N2O) dosage group (≤50% vs >50%). Adverse reactions and The Frankl Behavior Rating Scale during pediatric restorative procedures with N2O were compared between the two dosage groups.
RESULTS
There were few adverse reactions for both nitrous oxide groups (≤50% vs >50%) and there was no statistical difference in the Frankl Behavior Rating Scale for each group.
CONCLUSIONS
Patients given more than 50% of nitrous oxide were not found to have an increase in adverse events. Higher concentrations of nitrous oxide (>50%) were not found to be associated with a better behavior score when completing pediatric restorative procedures.
目的
通过观察不良反应和弗兰克尔行为评分量表来确定在儿童牙科修复过程中使用鼻塞给予高剂量（>50%）一氧化二氮是否可以为儿科患者提供更安全、更合作的体验。
研究设计
对 200 名患者的病历进行了回顾性分析，每组 100 名患者，分别接受不同剂量的一氧化二氮（≤50%和>50%）。比较两组患者在使用一氧化二氮进行儿童修复过程中的不良反应和弗兰克尔行为评分量表。
结果
两组患者的不良反应均较少（≤50%和>50%），且每组的弗兰克尔行为评分量表无统计学差异。
结论
给予患者超过 50%的一氧化二氮并没有发现不良反应增加。在完成儿童修复过程时，更高浓度的一氧化二氮（>50%）与更好的行为评分无关。
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