儿童齿科镇静方案

本文由“小麻哥的日常”授权转载

摘要译文（供参考）

不同镇静类型下儿童牙齿修复治疗后恐惧心理的变化：与父母经验和牙齿健康的关系

背景：

牙医经常使用镇静药物，如氧化亚氮吸入镇静和全身麻醉(GA)，以帮助减少患者的恐惧和管理儿科患者在治疗期间的行为。

目的：

本研究的目的是探讨与4-12岁儿童在氧化亚氮或GA下进行牙齿修复治疗后牙科恐惧变化相关的因素。

设计：

一项包含124名儿童的前瞻性队列研究，考察了在一氧化二氮(n=68)或GA(n=56)镇静下接受修复性牙科治疗的儿童中牙科恐惧、治疗访视次数和父母因素的变化。

在治疗前(T1)、完成牙科治疗后16周(T2)和29个月随访(T3)时收集数据。

结果：

在T1和T3时，两种镇静方案的牙科恐惧轻微增加，但不显著。

儿童的牙科恐惧与父母不良的牙科经验和口腔健康有关，但与就诊次数无关。

结论：

儿童牙齿恐惧的进展似乎不仅仅依赖于所使用的镇静类型，而且可能由包括治疗前的牙科恐惧和牙齿需求在内的因素预测。在确定使用哪种类型的镇静时，建议儿童牙科治疗使用镇静的牙医考虑治疗前的牙科需求、恐惧水平和父母因素。

原文摘要

Changes in Children's Dental Fear after Restorative Treatment under Different Sedation Types: Associations with Parents' Experiences and Dental Health

Background: 

Dentists often use sedative medications such as nitrous oxide inhaled sedation and general anesthesia (GA) to help decrease patient fear and manage pediatric patients' behavior during treatment.

Aim: 

The goal of this study was to examine factors associated with dental fear changes after restorative dental treatment under nitrous oxide or GA in children 4-12 years old.

Design: 

A prospective cohort study of 124 children examined changes in dental fear, number of treatment visits, and parental factors among children receiving restorative dental treatment under nitrous oxide (n=68) or GA (n=56) sedation. Data were collected at pre-treatment (T1), 16 weeks after dental treatment was completed (T2), and at 29 months follow-up (T3).

Results: 

Dental fear increased slightly, but not significantly, under both forms of sedation between T1 and T3. Children's dental fear was associated with parents' poor dental experiences and oral health, but not with number of treatment visits.

Conclusions: 

Progression of children's dental fear seems not dependent solely on type of sedation used but is likely predicted by factors including pre-treatment dental fear and dental needs. Dentists recommending sedation for children's dental care may consider pre-treatment dental need, fear levels, and parental factors when determining which type of sedation to use.

免责声明：

本微信公众平台所刊载原创或转载内容不代表米勒之声的观点或立场。文中所涉及药物使用、疾病诊疗等内容仅供医学专业人士参考。

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编辑：MiSuper.米超

校对：Michel.米萱