Shaw A J, Meechan J G, Kilpatrick N M, Welbury R R
Department of Child Dental Health, University of Newcastle upon Tyne, England.
Int J Paediatr Dent. 1996 Mar;6(1):7-11. doi: 10.1111/j.1365-263x.1996.tb00201.x.
One hundred and thirty-three children aged 4-17 years were treated to assess the viability of operating a regular inhalation sedation service for extractions and minor oral surgery in children. The study evaluated treatment success, assessed parents' and children's satisfaction, and compared the cost of inhalation sedation with that of existing general anaesthesia services. Eighty-four per cent of the children had been referred for orthodontic extractions. Treatment was successfully completed for 120 of the patients; 201 permanent and 130 primary teeth were extracted and six minor surgical procedures were performed. Postal questionnaire assessment of the parents' and children's views showed that 97% were satisfied with the treatment provided. Of those parents who had previous experience of general anaesthesia, 79% stated that inhalation sedation was 'better' or 'much better' than general anaesthesia. It was estimated that the cost of providing treatment under inhalation sedation was considerable less than under general anaesthesia. It was concluded that it is viable to offer a regular inhalation sedation service for orthodontic extractions in children because it is clinically successful, acceptable to children and their parents, and cost-effective.
对133名4至17岁的儿童进行了治疗，以评估为儿童拔牙和小型口腔手术开展常规吸入镇静服务的可行性。该研究评估了治疗成功率，评估了家长和儿童的满意度，并比较了吸入镇静与现有全身麻醉服务的成本。84%的儿童因正畸拔牙而被转诊。120例患者成功完成治疗；共拔除201颗恒牙和130颗乳牙，并实施了6例小型外科手术。通过邮寄问卷对家长和儿童的意见进行评估，结果显示97%的人对所提供的治疗感到满意。在那些有过全身麻醉经历的家长中，79%表示吸入镇静比全身麻醉“更好”或“好得多”。据估计，吸入镇静下提供治疗的成本远低于全身麻醉。得出的结论是，为儿童正畸拔牙提供常规吸入镇静服务是可行的，因为它在临床上是成功的，为儿童及其家长所接受，并且具有成本效益。
