国际口腔医学杂志 ›› 2018, Vol. 45 ›› Issue (6): 739-744.doi: 10.7518/gjkq.2018.06.020

• 综述 • 上一篇    

全身麻醉下儿童口腔疾病治疗家长接受度现况的研究进展

赵金,赖光云,汪俊()   

  1. 上海交通大学医学院附属第九人民医院儿童口腔科,上海市口腔医学重点实验室,上海市口腔医学研究所,国家口腔疾病临床研究中心 上海 200011
  • 收稿日期:2018-02-27 修回日期:2018-05-14 出版日期:2018-11-01 发布日期:2018-11-16
  • 通讯作者: 汪俊 E-mail:wangjun202@126.com
  • 作者简介:赵金,硕士,Email: ZJ123@sjtu.edu.cn
  • 基金资助:
    上海交通大学医学院附属第九人民医院临床研究助力计划(JYLJ010)

Advances in the status of parental acceptance of treatment under dental general anesthesia for children

Jin Zhao,Guangyun Lai,Jun Wang()   

  1. National Clinical Research Center of Stomatology, Shanghai 200011, China
  • Received:2018-02-27 Revised:2018-05-14 Online:2018-11-01 Published:2018-11-16
  • Contact: Jun Wang E-mail:wangjun202@126.com
  • Supported by:
    This study was supported by Clinical Research Program of the Ninth People's Hospital Affiliated to School of Medicine of Shanghai Jiao Tong University(JYLJ010)

摘要:

全身麻醉下,儿童口腔疾病治疗可以一次性完成儿童口内所有患牙的治疗,在国外已被大多数医生及患者家属认可。自全身麻醉下口腔治疗在我国开展以来,越来越多的家长接受或主动选择这项技术来解决儿童的口腔问题。合理使用全身麻醉技术,可以避免患儿治疗中疼痛、减轻患儿负面情绪、提高治疗效率、改善患儿生活质量。在我国,许多家长由于不了解或是对儿童口腔全身麻醉技术认知有误,经常不接受全身麻醉,最终放弃治疗,延误患儿病情,导致患儿口腔健康状况进一步恶化。本文主要就家长对全身麻醉下儿童口腔疾病治疗的接受情况、影响其接受度的相关因素及家长对于全身麻醉下儿童口腔疾病治疗的认知误区进行简要综述。

关键词: 儿童口腔, 全身麻醉, 家长接受度, 麻醉安全性, 影响因素

Abstract:

Because all necessary treatments can be completed during a single visit, dental general anesthesia (DGA) has been accepted by most doctors and parents in foreign countries. Since the application of DGA in China, an increasing number of parents have chosen or accepted this technique to solve children’s dental problems. Rational utilization of DGA in children can prevent pain and negative emotions during treatment, increase treatment efficiency, and improve quality of life. However, many parents still do not accept DGA and eventually give up dental treatment for their children due to their lack of knowledge about general anesthetics, leading to treatment delays and deterioration of their children’s oral health. This article mainly summarizes the status of parental acceptance of treatment under DGA, the factors affecting parental acceptance of DGA, and the cognitive mistakes of parents in children’s DGA.

Key words: pediatric dentistry, general anesthesia, parental acceptance, anesthesia safety, influencing factor

中图分类号: 

  • R788
[1] 曹采方 . 对牙周病和龋齿患病率的思考——如何解读第三次全国口腔健康流行病学调查的资料[J]. 中华口腔医学杂志, 2013,48(5):257-259.
doi: 10.3760/cma.j.issn.1002-0098.2013.05.001
Cao CF . Consideration on the prevalence of perio-dontitis and dental caries——how to unscramble the third national oral health epidemiological investiga-tion[J]. Chin J Stomatol, 2013,48(5):257-259.
doi: 10.3760/cma.j.issn.1002-0098.2013.05.001
[2] 戴泰鸣, 马丽霞, 任晓敏 , 等. 口腔治疗中牙科畏惧症患儿的行为管理[J]. 护士进修杂志, 2013,28(20):1846-1847.
doi: 10.3969/j.issn.1002-6975.2013.20.008
Dai TM, Ma LX, Ren XM , et al. Behavior manage-ment for dental fare children in dental treatment[J]. J Nurs Train, 2013,28(20):1846-1847.
doi: 10.3969/j.issn.1002-6975.2013.20.008
[3] 汪俊 . 儿童牙病患者疼痛和焦虑的控制[J]. 中国实用口腔科杂志, 2011,4(1):15-18.
Wang J . Pain and anxiety control in pediatric den-tistry[J]. Chin J Pract Stomatol, 2011,4(1):15-18.
[4] Thomason HT . General anesthesia in pediatric den-tistry[J]. J Am Dent Assoc, 1951,42(1):26-28.
doi: 10.14219/jada.archive.1951.0018 pmid: 14784407
[5] Venkataraghavan K, Shah J, Kaur M , et al. Pro-activeness of parents in accepting behavior manage-ment techniques: a cross-sectional evaluative study [J]. J Clin Diagn Res, 2016, 10(7): ZC46-ZC49.
doi: 10.7860/JCDR/2016/18378.8162 pmid: 27630952
[6] Murphy MG, Fields HW, Machen JB . Parental accep-tance of pediatric dentistry behavior management techniques[J]. Pediatr Dent, 1984,6(4):193-198.
[7] Peretz B, Zadik D . Parents’ attitudes toward behavior management techniques during dental treatment[J]. Pediatr Dent, 1999,21(3):201-204.
pmid: 10355013
[8] Eaton JJ , McTigue DJ, Fields HW, et al. Attitudes of contemporary parents toward behavior management techniques used in pediatric dentistry[J]. Pediatr Dent, 2005,27(2):107-113.
pmid: 15926287
[9] Alammouri M . The attitude of parents toward be-havior management techniques in pediatric dentistry[J]. J Clin Pediatr Dent, 2006,30(4):310-313.
doi: 10.17796/jcpd.30.4.m73568r0t74962m3 pmid: 16937857
[10] Elango I, Baweja DK, Shivaprakash PK . Parental acceptance of pediatric behavior management techni-ques: a comparative study[J]. J Indian Soc Pedod Prev Dent, 2012,30(3):195-200.
doi: 10.4103/0970-4388.105010 pmid: 23263421
[11] Peretz B, Kharouba J, Blumer S . Pattern of parental acceptance of management techniques used in pedia-tric dentistry[J]. J Clin Pediatr Dent, 2013,38(1):27-30.
doi: 10.1186/1477-7819-11-217 pmid: 24579279
[12] Luis de León J, Guinot Jimeno F, Bellet Dalmau LJ . Acceptance by Spanish parents of behaviour-manage- ment techniques used in paediatric dentistry[J]. Eur Arch Paediatr Dent, 2010,11(4):175-178.
doi: 10.1007/BF03262739 pmid: 20840827
[13] Muhammad S, Shyama M, Al-Mutawa SA . Parental attitude toward behavioral management techniques in dental practice with schoolchildren in Kuwait[J]. Med Princ Pract, 2011,20(4):350-355.
doi: 10.1159/000323758 pmid: 21576996
[14] Boka V, Arapostathis K, Vretos N , et al. Parental acceptance of behaviour-management techniques used in paediatric dentistry and its relation to parental dental anxiety and experience[J]. Eur Arch Paediatr Dent, 2014,15(5):333-339.
doi: 10.1007/s40368-014-0119-y pmid: 24676547
[15] 陈旭, 金世富, 刘红波 . 家长对儿童牙科行为管理技术的接受度调查[J]. 上海口腔医学, 2008,17(5):475-478.
Chen X, Jin SF, Liu HB . Survey of parental accep-tance rate to behavior management techniques used in pediatric dentistry[J]. Shanghai J Stomatol, 2008,17(5):475-478.
[16] 吴永正 . 家长对儿童牙科行为管理技术的接受度调查 [J]. 全科口腔医学杂志, 2015, 2(8): 47, 49.
Wu YZ . Survey of parental acceptance rate to be-havior management techniques used in pediatric den-tistry[J]. Gener J Stomatol, 2015, 2(8): 47, 49.
[17] 刘芬, 周志斐, 邬礼政 , 等. 西安市1 002名家长对儿童牙科全身麻醉技术认知及接受度调查[J]. 临床口腔医学杂志, 2013,29(3):156-158.
Liu F, Zhou ZF, Wu LZ , et al. Investigation on cog-nition and acceptance level on dental general ane-sthesia of 1 002 parents in the city of Xi’an[J]. J Clin Stomatol, 2013,29(3):156-158.
[18] 周静 . 儿童牙科畏惧症相关因素分析与调查研究[D]. 南宁: 广西医科大学, 2015.
Zhou J . The investigation and analysis of childreny’s dental fare[D]. Nanning: Guangxi Medical Univer-sity, 2015.
[19] Rashewsky S, Parameswaran A, Sloane C , et al. Time and cost analysis: pediatric dental rehabilitation with general anesthesia in the office and the hospital settings[J]. Anesth Prog, 2012,59(4):147-153.
doi: 10.2344/0003-3006-59.4.147
[20] 陈旭, 金世富, 刘红波 . 家长接受儿童牙科全麻技术的可能影响因素分析[J]. 上海口腔医学, 2010,19(2):151-154.
doi: 10.7666/d.y1487754
Chen X, Jin SF, Liu HB . Analysis of possible factors that impact parents to accept dental general anesthesia[J]. Shanghai J Stomatol, 2010,19(2):151-154.
doi: 10.7666/d.y1487754
[21] 郑雪飞, 张健, 刘高成 , 等. 问卷调查乌鲁木齐市570名儿童家长对牙科全身麻醉技术的接受程度[J]. 广东牙病防治, 2014,22(6):305-307.
Zheng XF, Zhang J, Liu GC , et al. Investigation on cognition and acceptance level on dental general anesthesia of 570 parents in Urumqi[J]. J Dent Prev Treat, 2014,22(6):305-307.
[22] 陈静, 易春梅 . 牙科患儿家属拒绝全麻原因分析及对策[J]. 齐鲁护理杂志, 2013,19(4):22-23.
doi: 10.3969/j.issn.1006-7256.2013.04.011
Chen J, Yi CM . Analysis of the causes of refusing general anesthesia in parents of children patients in dental department and countermeasures[J]. J Qilu Nurs, 2013,19(4):22-23.
doi: 10.3969/j.issn.1006-7256.2013.04.011
[23] Amin MS, Harrison RL . Change in parental oral health practices following a child’s dental treatment under general anaesthesia[J]. Eur Arch Paediatr Dent, 2006,7(2):116-120.
doi: 10.1007/BF03320826 pmid: 17140539
[24] Oliveira AC, Paiva SM, Pordeus IA . Parental accep-tance of restraint methods used for children with intellectual disabilities during dental care[J]. Spec Care Dentist, 2007,27(6):222-226.
doi: 10.1111/j.1754-4505.2007.tb01753.x pmid: 18683803
[25] Tsai CL, Tsai YL, Lin YT , et al. A retrospective study of dental treatment under general anesthesia of children with or without a chronic illness and/or a disability[J]. Chang Gung Med J, 2006,29(4):412-418.
pmid: 17051840
[26] Davidson A, Vutskits L . The new FDA drug safety communication on the use of general anesthetics in young children: what should we make of it[J]. Pae-diatr Anaesth, 2017,27(4):336-337.
doi: 10.1111/pan.13122
[27] Taskinen H, Kankaala T, Rajavaara P , et al. Self-reported causes for referral to dental treatment under general anaesthesia (DGA): a cross-sectional survey[J]. Eur Arch Paediatr Dent, 2014,15(2):105-112.
doi: 10.1007/s40368-013-0071-2 pmid: 23918236
[28] Coolidge T, Irwin SP, Leyster KA , et al. Determinants of receiving intravenous sedation in a sample of den-tally-fearful patients in the USA[J]. SAAD Dig, 2012,28:52-60.
[29] Sykes P . How safe is dental anesthesia[J]. Anesth Pain Control Dent, 1992,1(1):46-48.
pmid: 1392682
[30] Weddell JA, Jones JE . Chapter 15 hospital dental services for children and the use of general anes-thesia[J]. McDonald Avery Dent Child Adolesc, 2011: 277-295.
[31] 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.
doi: 10.3969/j.issn.1671-167X.2016.02.029
Xia B, Wang JH, Xiao YM , et al. Children’s intelli-gence quotient following general anesthesia for dental care: a clinical observation by Chinese Wechsler Young Children Scale of intelligence[J]. J Peking Univ (Health Sci), 2016,48(2):336-340.
doi: 10.3969/j.issn.1671-167X.2016.02.029
[32] Anderson HK, Drummond BK, Thomson WM . Changes in aspects of children’s oral-health-related quality of life following dental treatment under general anaesthesia[J]. Int J Paediatr Dent, 2004,14(5):317-325.
doi: 10.1111/j.1365-263X.2004.00572.x pmid: 15330997
[33] Nelson TM, Xu Z . Pediatric dental sedation: challen-ges and opportunities[J]. Clin Cosmet Investig Dent, 2015,7:97-106.
[34] EzEldeen M, Gizani S, Declerck D . Long-term out-come of oral health in patients with early childhood caries treated under general anaesthesia[J]. Eur Arch Paediatr Dent, 2015,16(4):333-340.
doi: 10.1007/s40368-014-0167-3 pmid: 25526934
[35] Jankauskiene B, Narbutaite J . Changes in oral health-related quality of life among children following dental treatment under general anaesthesia. A sys-tematic review[J]. Stomatologija, 2010,12(2):60-64.
[1] 刘玲玲,刘树泰. 上颌腭侧软组织厚度的测量方法及影响因素[J]. 国际口腔医学杂志, 2019, 46(2): 234-237.
[2] 徐晶, 张晓蓉. 正畸治疗对上气道形态影响的研究进展[J]. 国际口腔医学杂志, 2017, 44(5): 544-449.
[3] 陈李彤,王勇,吕培军. 口腔医疗服务利用水平的影响因素[J]. 国际口腔医学杂志, 2016, 43(6): 668-671.
[4] 霍欢 殷家悦 艾红军. 树脂粘接剂在全瓷修复中的应用进展[J]. 国际口腔医学杂志, 2016, 43(5): 554-559.
[5] 葛艳萍,陈西文,朱智敏. 影响可摘局部义齿修复满意度的相关因素[J]. 国际口腔医学杂志, 2015, 42(2): 194-198.
[6] 程旭 石冰. Abbe瓣术式发展、手术效果评估方法及影响因素[J]. 国际口腔医学杂志, 2015, 42(1): 44-47.
[7] 章筱悦 陈振琦. 唇腭裂患者的牙周健康状况及其影响因素[J]. 国际口腔医学杂志, 2014, 41(4): 463-467.
[8] 谭咏梅 招少萍 闫文娟 张海兰 吕文杰 周丽娟. 一次根管治疗术与两次根管治疗术术后短期临床疗效的比较[J]. 国际口腔医学杂志, 2014, 41(3): 277-280.
[9] 鲁颖娟 常少海. 微种植体初期稳定性的影响因素[J]. 国际口腔医学杂志, 2013, 40(3): 403-405.
[10] 吴卫锋综述 郭淑娟 吴亚菲审校. 成牙骨质细胞的研究进展[J]. 国际口腔医学杂志, 2011, 38(1): 95-97.
[11] 姜春苗 安舒综述 王军审校. 正畸治疗过程中影响转矩的因素[J]. 国际口腔医学杂志, 2011, 38(1): 115-118.
[12] 莫文娟综述 李彦审校. 影响颌面硅橡胶赝复体颜色的因素[J]. 国际口腔医学杂志, 2010, 37(01): 109-109~112.
[13] 张洁综述 李长义审校. 牙科材料耐磨损性能的影响因素[J]. 国际口腔医学杂志, 2009, 36(6): 723-725.
[14] 左志刚综述 胡敏审校. 正畸治疗导致牙根吸收的影响因素和诊断评估[J]. 国际口腔医学杂志, 2009, 36(1): 111-111~113.
[15] 范旭升,李志华. 镍钛合金弓丝机械性能的研究进展[J]. 国际口腔医学杂志, 2008, 35(S1): -.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
[1] 张京剧. 青年期至中年期颅面复合体变化的头影测量研究[J]. 国际口腔医学杂志, 1999, 26(06): .
[2] 王昆润. 修补颌骨缺损的新型生物学相容材料[J]. 国际口腔医学杂志, 1999, 26(06): .
[3] 张新春. 桩冠修复与无髓牙的保护[J]. 国际口腔医学杂志, 1999, 26(06): .
[4] 轩东英. 不同赋形剂对氢氧化钙抗菌效果的影响[J]. 国际口腔医学杂志, 1999, 26(05): .
[5] 蔡霞,李成章. 前列腺素E_2受体EP亚型在牙周炎发病机制中的作用[J]. 国际口腔医学杂志, 2005, 32(06): 461 -462 .
[6] 李佳岭1 李小兵2 李佳园3. 内收下切牙对下切牙区牙槽骨改建的影响[J]. 国际口腔医学杂志, 2011, 38(4): 392 -394 .
[7] 陈哲1 王璟2综述 王虎3审校. 音乐疗法在口腔领域中的应用[J]. 国际口腔医学杂志, 2011, 38(6): 734 -737 .
[8] 李励芸 魏文佳 孟翔峰. 长期水储存对玻璃陶瓷与牙本质间树脂粘接界面的影响[J]. 国际口腔医学杂志, 2013, 40(4): 436 -439 .
[9] 周晗 张陶 岳源 乔梦婷 李燕 肖丽英. 葡萄多酚和茶多酚抗变异链球菌活性的比较[J]. 国际口腔医学杂志, 2011, 38(6): 643 -648 .
[10] 顾倩平 孟箭 孟庆飞 张杰 李志萍. 尼妥珠单抗联合多西他赛-顺铂-氟尿嘧啶治疗晚期口腔癌的短期疗效观察[J]. 国际口腔医学杂志, 2011, 38(6): 652 -655 .