国际口腔医学杂志

国际口腔医学杂志 ›› 2026, Vol. 53 ›› Issue (2): 225-229.doi: 10.7518/gjkq.2026209

• 论著 • 上一篇    

重度低龄儿童龋患者全身麻醉下治疗的术后反应

张芳菲1(),刘冠楠1,黄蕾1,安钰1,朱凤华1,李静1,2()   

  1. 1.北京大学国际医院口腔科 北京 102206
    2.北京大学口腔医学院·口腔医院儿童口腔科;国家口腔医学中心 国家口腔疾病临床医学研究中心;口腔生物材料和数字诊疗装备国家工程研究中心 口腔数字医学北京市重点实验室 北京 100081
  • 收稿日期:2024-09-23 修回日期:2025-09-09 出版日期:2026-03-01 发布日期:2026-02-13
  • 通讯作者: 李静
  • 作者简介:张芳菲，主治医师，博士，Email：cara42@163.com

Postoperative morbidity in children with severe early childhood caries following dental treatment under general anesthesia

Fangfei Zhang1(),Guannan Liu1,Lei Huang1,Yu An1,Fenghua Zhu1,Jing Li1,2()   

  1. 1.Dept. of Stomatology, Peking University International Hospital, Beijing 102206, China
    2.Dept. of Pediatric Dentistry, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices & Beijing Key Laboratory of Digital Stomatology, Beijing 100081, China
  • Received:2024-09-23 Revised:2025-09-09 Online:2026-03-01 Published:2026-02-13
  • Contact: Jing Li

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摘要：

目的 总结重度低龄儿童龋患者全身麻醉下牙科治疗的术后反应，为医患沟通、术后护理提供参考。 方法 回顾性分析诊断为重度低龄儿童龋、美国麻醉医师协会健康状况分级（ASA）评分Ⅰ级、因无法配合常规治疗而进行全身麻醉下牙科治疗的患者临床资料。术后24 h进行电话随访，1周后进行临床检查。 结果 共纳入40名3~5岁儿童，平均治疗牙齿数量12.5颗，平均手术时间186 min。在24 h电话随访中，23名儿童（57.5%）出现了术后反应，其中12名儿童（30%）出现了发热症状，17名儿童（42.5%）有牙齿疼痛症状。1周后复诊时，绝大多数患儿（95%）已无不适，仅2名儿童分别有牙龈溃疡和咬合不适症状。 结论 低龄儿童全身麻醉下牙科治疗的术后反应可在数日内缓解，对患儿术后生活影响小。术后随访是必要的。

关键词: 重度低龄儿童龋, 全身麻醉, 术后反应

Abstract:

Objective　To summarize postoperative morbidity in children with severe early childhood caries following dental treatment under general anesthesia and to provide a reference for doctor–patient communication and postoperative care. Methods　This study retrospectively collected data from patients diagnosed with severe early childhood caries, classified as American Society of Anesthesiologists Physical Status (ASA) Ⅰ, who underwent dental treatment under general anesthesia due to lack of cooperation. Patients were followed up by telephone 24 hours after the procedure and received clinical examination one week later. Results　A total of 40 children aged three to five years were included, with an ave-rage number of 12.5 treated teeth and an average surgical time of 186 minutes. In the 24-hour follow-up by telephone, 23 children (57.5%) reported postoperative morbidity, with 12 children (30%) experiencing fever symptoms and 17 children (42.5%) reporting dental pain. At the one-week follow-up, 95% of the children had no symptoms, whereas only two children experienced gum ulcers and discomfort on occlusion. Conclusion　Postoperative morbidity follo-wing dental procedures under general anesthesia typically resolves within a few days and has minimal effect on the child’s postoperative quality of life. Moreover, postoperative follow-up remains essential.

Key words: severe early childhood caries, general anesthesia, postoperative morbidity

中图分类号: 

  • R788

Fig 1

Clinical case of dental rehabilitation under general anesthesia for severe early childhood cariesA：术前正面照；B：术前上颌照；C：术前下颌照；D：术后正面照；E：术后上颌照；F：术后下颌照。图 1 　重度低龄儿童龋患者全麻下牙科治疗病例"

图 2

全身麻醉下牙科治疗项目"

表 1

术后不良反应的多因素Logistic回归分析结果"

因素回归系数（B值）OR值95%置信区间P值
月龄0.1621.1760.993~1.3930.061
术前有无牙疼2.78216.1490.980~266.080.052
手术时长0.0111.0110.991~1.0320.281
拔牙数量1.6185.0441.119~22.730.035
根管治疗数量0.4791.6150.801~3.2560.180
预成冠数量0.5191.681.081~2.6090.021
常量-16.9710.013
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