Blain K M, Hill F J
Unit of Paediatric Dentistry, University Dental Hospital of Manchester.
Br Dent J. 1998 Jun 27;184(12):608-11. doi: 10.1038/sj.bdj.4809708.
To determine the extent to which inhalation sedation might replace general anaesthesia for extractions in children and assess the success rate, cost and parental reaction in comparison to general anaesthesia.
A matched pair design.
Unit of paediatric Dentistry at the University Dental Hospital of Manchester, UK between December 1992 and June 1994.
Subjects aged 3 to 16 years who had been referred for extractions under general anaesthesia were used. Data were recorded for each visit and parents were asked to complete a simple post-operative questionnaire.
Treatment success was defined as completion of all treatment planned for the patient. Relative costs were derived from the time taken and staff costs.
265 subjects, mean age 7.63 (+/- 2.45) years had treatment attempted with sedation of whom 221 (83.4%) completed successfully. Young age, multiple extractions and irregular dental attendance predisposed to treatment failure, whereas orthodontic extractions had a similar success rate (97.6%) to general anaesthesia. The cost of sedation was less; parental reaction to sedation was also significantly better.
Inhalation sedation can be used for many children referred for general anaesthesia. Greater use of this technique in the primary sector is needed to reduce the number of child referrals for general anaesthesia.
确定吸入镇静在多大程度上可替代全身麻醉用于儿童拔牙，并与全身麻醉相比，评估成功率、成本及家长的反应。
配对设计。
英国曼彻斯特大学牙科医院儿童牙科科室，时间为1992年12月至1994年6月。
选取年龄在3至16岁、因需全身麻醉拔牙而前来就诊的患者。每次就诊时记录数据，并要求家长完成一份简单的术后问卷。
治疗成功定义为为患者完成所有计划的治疗。相对成本来自所花费的时间和人员成本。
265名平均年龄7.63（±2.45）岁的患者尝试接受镇静治疗，其中221名（83.4%）成功完成治疗。年龄小、拔牙数量多以及不定期看牙易导致治疗失败，而正畸拔牙的成功率（97.6%）与全身麻醉相似。镇静的成本更低；家长对镇静的反应也明显更好。
吸入镇静可用于许多因需全身麻醉前来就诊的儿童。需要在基层医疗部门更多地使用该技术，以减少儿童全身麻醉转诊的数量。
