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全身麻醉下牙科治疗前儿科患者一般健康状况的评估:一项回顾性研究。

Evaluation of Pediatric Patients' General Health Status Prior to Dental Treatment Under General Anesthesia: A Retrospective Study.

作者信息

Bardakçı Enes, Yıldız Şemsettin, Yazmacı Betül, Doğan Mehmet Emin, Mumcu Kübra, Doğan Mehmet Sinan

机构信息

Department of Pediatric Dentistry, Faculty of Dentistry, Harran University, Sanliurfa 63050, Turkey.

Department of Pediatric Dentistry, Faculty of Dentistry, Gaziantep University, Gaziantep 27410, Turkey.

出版信息

Children (Basel). 2025 Jul 8;12(7):903. doi: 10.3390/children12070903.

DOI:10.3390/children12070903
PMID:40723096
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12293203/
Abstract

: Dental treatment is typically performed under general anesthesia for children who have difficulty cooperating, as well as for those with mental or physical disabilities requiring special care. This study aims to categorize and evaluate the systemic disease or syndrome status, age, and gender of children who require dental treatment under general anesthesia. : In this study, the ages, sexes, disabilities (if any), and systemic diseases of patients requiring dental treatment under general anesthesia (GA) between the ages of 1 and 15 were analyzed. The patients were categorized based on having difficulties cooperating or having mental or physical disabilities that require special care. : In this study, data from 1666 patients were examined. A total of 955 patients (57.32%) were male, while 711 (42.67%) were female. Overall, 232 (13.9%) patients with disabilities or systemic diseases visited the clinic, including 49 who had epilepsy (2.9%), the highest number among the systemic disease group. This finding was statistically significant in the 4-6 age group ( < 0.00). : Among patients with special needs, epilepsy emerged as a disorder that requires the most dental treatment. We believe that providing dental treatment for children with neurological diseases, such as epilepsy, in a fully equipped operating room will be beneficial in managing complications that may arise during treatment.

摘要

对于难以配合的儿童以及有精神或身体残疾需要特殊护理的儿童,牙科治疗通常在全身麻醉下进行。本研究旨在对需要在全身麻醉下进行牙科治疗的儿童的全身疾病或综合征状况、年龄和性别进行分类和评估。:在本研究中,分析了1至15岁需要在全身麻醉(GA)下进行牙科治疗的患者的年龄、性别、残疾情况(如有)和全身疾病。患者根据是否难以配合或是否有需要特殊护理的精神或身体残疾进行分类。:在本研究中,检查了1666名患者的数据。共有955名患者(57.32%)为男性,711名(42.67%)为女性。总体而言,232名(13.9%)有残疾或全身疾病的患者到诊所就诊,其中49名患有癫痫(2.9%),在全身疾病组中人数最多。这一发现在4至6岁年龄组中具有统计学意义(<0.00)。:在有特殊需求的患者中,癫痫是需要牙科治疗最多的疾病。我们认为,在设备齐全的手术室为患有癫痫等神经疾病的儿童提供牙科治疗,将有助于处理治疗过程中可能出现的并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4283/12293203/2c2c996ed8b1/children-12-00903-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4283/12293203/2c2c996ed8b1/children-12-00903-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4283/12293203/2c2c996ed8b1/children-12-00903-g001.jpg

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Impact of Covid-19 pandemic on children with special needs requiring general anaesthesia for the treatment of dental disease: the experience of the Brescia Children's Hospital, Lombardy, Italy.新冠大流行对有特殊需要的儿童的影响,这些儿童因牙科疾病需要全身麻醉治疗:意大利伦巴第布雷西亚儿童医院的经验。
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Estimates of epilepsy prevalence, psychiatric co-morbidity and cost.
癫痫患病率、精神共病和成本的估计。
Seizure. 2023 Apr;107:162-171. doi: 10.1016/j.seizure.2022.06.010. Epub 2022 Jun 23.
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Dental Treatment under General Anesthesia in Pre-School Children and Schoolchildren with Special Healthcare Needs: A Comparative Retrospective Study.有特殊医疗需求的学龄前儿童和学龄儿童在全身麻醉下的牙科治疗:一项比较性回顾性研究。
J Clin Med. 2022 May 6;11(9):2613. doi: 10.3390/jcm11092613.
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