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題名 | 全身麻醉下整體牙科治療之術後不適症=Complications Following Comprehensive Dental Treatment under General Anesthesia in Taipei Veterans General Hospital, Taiwan |
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作者 | 陳嘉瑜; 施文宇; | 書刊名 | 臺灣兒童牙醫學雜誌 |
卷期 | 13:2 2013.12[民102.12] |
頁次 | 頁23-28 |
分類號 | 417.6951 |
關鍵詞 | 全身麻醉; 兒童牙科整體治療; 術後不適症; Comprehensive dental rehabilitation; General anesthesia; Post-operative complication; |
語文 | 中文(Chinese) |
中文摘要 | 了解在全身麻醉下進行牙科整體治療之兒童病患,其術後各種不適症發生的情形,並探討影響之相關因素。方法:分析自西元2011年8月至2012年8月,在台北榮民總醫院接受全身麻醉下整體牙科治療,麻醉風險分級為I、II級之兒童病患,共計52位。利用前瞻性問卷調查之方式,紀錄術後不適症發生之情形作統計分析。結果:病患包括男生34人、女生18人,年齡介於2.33~13.30歲。接受全身麻醉整體牙科治療的主要原因包括:早期兒童齲齒以及贅生齒。術後當天最常見之不適症為嘴唇腫脹69.2%、嗜睡59.6%、口腔潰瘍46.1%,其次為無法進食、咳嗽、術後疼痛、暈眩噁心及嘔吐、喉嚨痛、滲血、發燒(大於38°)及肌肉痛。而症狀於術後第三天即有大幅度的改善。結論:本研究顯示,全身麻醉牙科整體治療所造成之術後不適症發生比例雖高,但大多侷限在術後三天內,而這些術後不適症狀只要經由適當的照護及藥物控制,都能復原良好。 |
英文摘要 | Background: The needs of comprehensive dental treatment under general anesthesia in young children have increased; however, few researches have been done to show the post-operative morbidity reports in Taiwan. The purposes of this study were to investigate post-operative complications associated with comprehensive dental treatment under general anesthesia in operation room. Sample and Methods: Children attending general anesthesia for dental treatment at Taipei Veterans General hospital from 2011/08 to 2012/08 were included in this survey. Data were obtained by history taking and clinical examination. Questionnaires was filled in by parents in the first 7 days after operation. Data analysis was taken by SPSS using descriptive and analytic statistics.Results: There were 34 boys and 18 girls, with age ranged from 2.33 to 13.30. The major diagnosis of comprehensive dental treatment were multiple dental caries and supernumerary tooth. The most common post-operative complication was lip swelling (69.2%), followed by nausea (59.6%) and oral ulceration (46.1%). Despite of high prevalence of postoperative complications, most of them were self eliminated gradually post operatively under proper medical care.Conclusions: post-operative complications concerning comprehensive dental treatment were common, but mostly subsided three days after operation. Pre-operation assessments and preparations for patients were crucial, as well as postoperative care. |
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