Grant S M, Davidson L E, Livesey S
Doncaster Health Authority.
Br Dent J. 1998 Oct 10;185(7):347-52. doi: 10.1038/sj.bdj.4809811.
To survey the use of simple exodontia for children under general anaesthesia on an out-patient basis at a Northern Dental Hospital. To monitor any effects resulting from the introduction of the Poswillo guidelines on the referral for and treatment of patients under general anaesthesia.
A retrospective longitudinal analysis.
A Northern Dental Hospital in England.
Information was recorded from original case records of children undergoing exodontia under general anaesthesia on an out-patient basis during October between 1989 and 1997.
The mean and modal age of the children decreased from 7.7 years to 6.0 years respectively in 1989 to 5.7 years and 4.0 years in 1997. The proportion receiving a general anaesthetic for orthodontic extractions substantially decreased from 18.0% in 1989 to 0.7% in 1997 and the need for repeat dental general anaesthetics within 18 months was eliminated with the introduction of a pre-general anaesthetic screening service.
Dental treatment under general anaesthesia should continue to be available where it is justified. A separate assessment appointment reduces the prescription of general anaesthesia and minimises its usage for orthodontic extractions and the necessity for repeat general anaesthesia.
调查在一家北方牙科医院门诊为儿童在全身麻醉下进行简单拔牙术的情况。监测引入波斯维洛指南对全身麻醉患者转诊和治疗所产生的任何影响。
回顾性纵向分析。
英格兰一家北方牙科医院。
记录了1989年至1997年10月期间在门诊接受全身麻醉下拔牙术儿童的原始病例记录信息。
儿童的平均年龄和众数年龄分别从1989年的7.7岁降至6.0岁，1997年降至5.7岁和4.0岁。因正畸拔牙接受全身麻醉的比例从1989年的18.0%大幅降至1997年的0.7%，并且随着全身麻醉前筛查服务的引入，消除了18个月内重复进行牙科全身麻醉的需求。
在有正当理由的情况下，应继续提供全身麻醉下的牙科治疗。单独的评估预约减少了全身麻醉的处方，并将其用于正畸拔牙的情况降至最低，同时减少了重复进行全身麻醉的必要性。
