Whiston S, Prendergast M J, Williams S A
Northallerton Health Authority, Archer Street Clinic, Darlington, County Durham.
Br Dent J. 1998 Apr 25;184(8):390-3. doi: 10.1038/sj.bdj.4809641.
To determine the current provision of sedation in primary dental care and investigate the knowledge and attitudes of dental practitioners and others on the use of sedation.
Qualitative interviews and postal questionnaire survey.
Health districts of Bradford (West Yorkshire) and South Durham, UK in 1996.
15 key individuals associated with NHS primary dental services were interviewed. Questionnaires were sent to all 260 NHS general dental practitioners and community dental service clinicians.
208 questionnaires (80%) were returned. 42% of respondents reported current sedation use, with oral administration the favoured technique (26%). Significant differences were found between districts for intravenous sedation use (7% Bradford, 41% South Durham, P < 0.001). Almost all participants agreed the value of sedation in dental care for adults and children, for nervous, phobic patients or in association with unpleasant forms of treatment and 45% of dentists felt that provision should be expanded. Training, availability of referral services, finance and patient demand were seen as encouraging factors.
Substantial variations in sedation provision between the two districts were associated with teaching at the nearest dental schools. Innovative use of resources could help the expansion of provision supported in this study.
确定目前基层牙科医疗中镇静治疗的提供情况，并调查牙科从业者及其他人员对使用镇静治疗的知识和态度。
定性访谈和邮寄问卷调查。
1996年英国西约克郡布拉德福德和南达勒姆的卫生区。
对15名与国民保健制度基层牙科服务相关的关键人物进行了访谈。向所有260名国民保健制度普通牙科从业者和社区牙科服务临床医生发放了问卷。
共收回208份问卷（80%）。42%的受访者报告目前使用镇静治疗，其中口服给药是最常用的技术（26%）。两个地区在静脉镇静治疗的使用上存在显著差异（布拉德福德为7%，南达勒姆为41%，P<0.001）。几乎所有参与者都认同镇静治疗在成人和儿童牙科护理中的价值，对于紧张、恐惧的患者或与不愉快的治疗方式相关的情况，45%的牙医认为应该扩大镇静治疗的提供范围。培训、转诊服务的可及性、资金和患者需求被视为鼓励因素。
两个地区在镇静治疗提供方面的显著差异与最近牙科学校的教学有关。创新性地利用资源有助于扩大本研究中所支持的镇静治疗的提供范围。
