儿童行牙科全身麻醉治疗的术后反应和影响因素分析

doi:10.13701/j.cnki.kqyxyj.2024.10.009

摘要/Abstract

摘要： 目的: 通过病例对照研究分析儿童行牙科全身麻醉治疗的术后反应和影响因素。方法: 选取136例择期行牙科全身麻醉治疗的患儿,将其分为预后不良组与预后良好组。搜集两组患儿一般资料,并运用单因素及多因素条件Logistic回归分析筛选出与全身麻醉术后不良反应相关影响因素。结果: 136例患儿中有1例患儿术后失访,因此将其剔除,纳入的135例患儿术后发生不良反应41例,发生率为30.37%。单因素分析结果显示:预后良好组术后拔管时间<2 h,高于预后不良组(P<0.05),术前营养不良、总治疗牙数、拔牙总数及术前镇静低于预后不良组(P<0.05)。多因素Logistic回归分析结果显示:术前营养不良(OR=10.359,95%CI:4.429~24.416)、总治疗牙数较多(OR=60.223,95%CI:18.852~192.379)及拔牙总数较多(OR=68.499,95%CI:15.252~307.618)为择期行牙科全身麻醉治疗患儿术后发生不良反应的危险因素(P<0.05)。结论: 择期行牙科全身麻醉治疗患儿术后不良反应发生风险较高,其中术前营养不良、总治疗牙数多及拔牙总数多为增加患儿术后发生不良反应危险影响因素,临床行手术治疗期间应及时给予科学干预。

关键词: 儿童, 牙科全身麻醉, 术后反应, 影响因素

Abstract: Objective: To analyze the postoperative response and influencing factors of general dental anesthesia in children through a case-control study. Methods: One hundred and thirty-six children underwent general dental anesthesia were selected and divided into poor prognosis group and good prognosis group. General data of patients were collected, and univariate and multivariate conditional Logistic regression analysis was used to screen out the factors related to adverse reactions after general anesthesia. Results: Among 136 children, 1 case was missed follow-up after surgery and excluded the survey. Among children included, 41 cases had postoperative adverse reactions, with an incidence of 30.37%. The results of univariate analysis showed that the postoperative extubation time <2 h in the good prognosis group was higher than that in the poor prognosis group (P<0.05), and the preoperative malnutrition, total number of treated teeth, total number of extractions and sedation were lower than those in the poor prognosis group (P<0.05). Multivariate Logistic regression analysis showed that preoperative malnutrition (OR=10.359, 95%CI: 4.429-24.416), more total treated teeth (OR=60.223, 95%CI: 18.852-192.379) and more total extractions (OR=68.499, 95%CI: 15.252-307.618) were the risk factors for postoperative adverse reactions in children undergoing elective dental general anesthesia (P<0.05). Conclusion: Preoperative malnutrition, the number of treated teeth, and the number of extracted teeth are the risk factors of postoperative adverse reactions in children, and timely intervention should be given during clinical surgical treatment.

Key words: children, dental general anesthesia, postoperative reaction, influencing factors

辛昱娴, 余飞燕. 儿童行牙科全身麻醉治疗的术后反应和影响因素分析[J]. 口腔医学研究, 2024, 40(10): 895-899.

XIN Yuxian, YU Feiyan. Analysis on Postoperative Reaction and Influencing Factors in Children Undergoing Dental General Anesthesia[J]. Journal of Oral Science Research, 2024, 40(10): 895-899.

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