全身麻醉与单纯强制束缚治疗儿童口腔疾病的效果比较
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摘要
目的探讨全身麻醉与单纯强制束缚治疗儿童口腔疾病的临床效果。方法将73例口腔疾病患儿按随机数字表法分为A组(n=37)和B组(n=36)。2组均采用常规口腔卫生宣教。在此基础上,A组采用全身麻醉行牙齿治疗术,B组采用单纯强制束缚行牙齿治疗术。观察2组治疗前、治疗后3个月、治疗后2年的菌斑指数评分、儿童口腔健康影响程度量表(ECOHIS)评分和治疗前、治疗后2年口腔健康习惯比例及治疗后2年的效果。结果与同组治疗前比较,2组治疗后3个月菌斑指数、疼痛、心理评分均降低和家庭、生活评分均升高,治疗后2年疼痛、心理评分均降低,家庭、生活评分均升高(均P<0.05);与B组比较,A组治疗后3个月菌斑指数评分和边缘继发龋、新发龋、再发龋发生率均降低(均P<0.05);与A组比较,B组治疗后2年刷牙频率≥2次·d~(-1)、刷牙时间1~3min·次~(-1)所占比例均升高,喝配方奶粉≥1次·d~(-1)、吃膨化食品≥1次·d~(-1)、吃糖果≥1次·d~(-1)所占比例均下降(均P<0.05)。结论与单纯强制束缚治疗相比,在全身麻醉下行儿童口腔疾病治疗的效果更为显著。
Objective To explore the clinical effect of general anesthesia and simple compulsory restraint in the treatment of oral diseases in children.Methods A total of 73 children with oral diseases received oral hygiene publicity and education.In addition,these children were randomly given either general anesthesia(group A,n=37)or simple compulsory shackles(group B,n=36)for dental treatment.Plaque index score and early childhood oral health impact scale(ECOHIS)score were observed before treatment and 3 months and 2 years after treatment.The proportion of children with healthy oral habits was measured before and 2 years after treatment.Results The scores of plaque index,pain and mental state decreased and scores of family and life increased in both groups 3 months after treatment.The pain and mental state scores decreased and family and life scores increased 2 years after treatment(P <0.05).Compared with group B,the score of plaque index and incidences of marginal secondary caries,new caries and recurrent caries decreased in group A 3 months after treatment(P<0.05).Compared with group A,the proportions of children with brushing frequency ≥2 times·d~(-1) and brushing time 1-3 min·times~(-1) increased,and the proportions of children drinking formula milk powder and eating puffed food or candy≥1 times·d~(-1) decreased in group B 2 years after treatment(P<0.05).Conclusion The effect of simple compulsory shackles is more significant than that of general anesthesia for treating oral diseases in children.
Objective To explore the clinical effect of general anesthesia and simple compulsory restraint in the treatment of oral diseases in children.Methods A total of 73 children with oral diseases received oral hygiene publicity and education.In addition,these children were randomly given either general anesthesia(group A,n=37)or simple compulsory shackles(group B,n=36)for dental treatment.Plaque index score and early childhood oral health impact scale(ECOHIS)score were observed before treatment and 3 months and 2 years after treatment.The proportion of children with healthy oral habits was measured before and 2 years after treatment.Results The scores of plaque index,pain and mental state decreased and scores of family and life increased in both groups 3 months after treatment.The pain and mental state scores decreased and family and life scores increased 2 years after treatment(P <0.05).Compared with group B,the score of plaque index and incidences of marginal secondary caries,new caries and recurrent caries decreased in group A 3 months after treatment(P<0.05).Compared with group A,the proportions of children with brushing frequency ≥2 times·d~(-1) and brushing time 1-3 min·times~(-1) increased,and the proportions of children drinking formula milk powder and eating puffed food or candy≥1 times·d~(-1) decreased in group B 2 years after treatment(P<0.05).Conclusion The effect of simple compulsory shackles is more significant than that of general anesthesia for treating oral diseases in children.
引文
[1]肖雨萌,夏斌,马文利,等.儿童全麻与单纯束缚下牙齿治疗的短期对比研究[J].中华口腔医学杂志,2014,49(9):525-529.
[2]周凤,夏斌,张笋,等.全身麻醉与单纯强制束缚下儿童牙齿治疗效果的对比研究[J].中华口腔医学杂志,2017,52(2):96-102.
[3]夏斌,王建红,肖雨萌,等.应用韦氏智力量表评估全身麻醉下牙齿治疗对儿童的影响[J].北京大学学报(医学版),2016,48(2):336-340.
[4]刘金蓉,邹廷前,敖川北,等.全身麻醉在儿童口腔疾病治疗中的应用[J].临床口腔医学杂志,2016,32(6):368-369,370.
[5]欧阳可雄,邹瑞,何锦泉,等.特殊需求患者气管插管全麻下拔牙病例的回顾性分析[J].口腔疾病防治,2017,25(4):235-238.
[6]张红梅,夏斌,王建红,等.全身麻醉和束缚牙科治疗对不合作患儿牙科焦虑水平的影响[J].北京大学学报(医学版),2015,47(1):134-139.
[7]王晓东.牙周维护治疗对于保持牙周长期疗效的价值探析[J].中国卫生标准管理,2015,6(2):140.
[8]路惠捷,陈铁楼,张新海,等.非外科牙周干预对口腔健康相关生活质量及牙周临床指标影响[J].临床口腔医学杂志,2015,31(12):743-746.
[9]王涛,张磊.基础治疗联合牙周维护治疗慢性牙周炎的疗效观察[J/CD].临床医药文献电子杂志,2017,4(17):3238,3240.
[2]周凤,夏斌,张笋,等.全身麻醉与单纯强制束缚下儿童牙齿治疗效果的对比研究[J].中华口腔医学杂志,2017,52(2):96-102.
[3]夏斌,王建红,肖雨萌,等.应用韦氏智力量表评估全身麻醉下牙齿治疗对儿童的影响[J].北京大学学报(医学版),2016,48(2):336-340.
[4]刘金蓉,邹廷前,敖川北,等.全身麻醉在儿童口腔疾病治疗中的应用[J].临床口腔医学杂志,2016,32(6):368-369,370.
[5]欧阳可雄,邹瑞,何锦泉,等.特殊需求患者气管插管全麻下拔牙病例的回顾性分析[J].口腔疾病防治,2017,25(4):235-238.
[6]张红梅,夏斌,王建红,等.全身麻醉和束缚牙科治疗对不合作患儿牙科焦虑水平的影响[J].北京大学学报(医学版),2015,47(1):134-139.
[7]王晓东.牙周维护治疗对于保持牙周长期疗效的价值探析[J].中国卫生标准管理,2015,6(2):140.
[8]路惠捷,陈铁楼,张新海,等.非外科牙周干预对口腔健康相关生活质量及牙周临床指标影响[J].临床口腔医学杂志,2015,31(12):743-746.
[9]王涛,张磊.基础治疗联合牙周维护治疗慢性牙周炎的疗效观察[J/CD].临床医药文献电子杂志,2017,4(17):3238,3240.