摘要
目的:随访在全身麻醉下行龋病治疗的患儿,分析全麻下龋病治疗对儿童口腔健康及生长发育的近期影响。方法:收集2017年2月-2018年1月在上海交通大学医学院附属第九人民医院儿童口腔科进行全身麻醉下龋病治疗并符合研究标准的全部病例。经患儿家长知情同意,研究者在术前、术后随访时检查患儿口腔情况,记录身高、体重,检测龋活跃性。采用SPSS 25.0软件包对数据进行统计学分析。结果:治疗前患儿平均龋均值为14.02,夜奶喂养及过早人工喂养的患儿龋均值明显偏高。术后3个月时龋病复发率为25.67%,6个月时龋病复发率为50%。治疗后患儿龋活跃性发生明显改变,3次随访结果中,龋活性值在术后3个月时最低。全麻治疗后患儿用餐时间显著缩短,进食次数及摄入甜食的频率明显下降,刷牙时间明显延长。术后BMI处于正常范围的儿童数量显著增加。结论:全身麻醉下龋病治疗可在短期内显著降低患儿的龋活跃性,改善患儿的口腔健康行为和发育情况。但大部分患儿治疗后仍具有较高的龋复发风险。
PURPOSE:To study changes of children caries activity after treatment under general anesthesia,and to analyze effect of caries treatment under general anesthesia on oral health behavior and growth index of children.METHODS:Patients who met criteria and were treated under general anesthesia were included in this study.Informed consent for this study was obtained from parents.Before and after treatment,children’s oral health conditions were examined;height,weight were recorded;the caries activity was evaluated.In addition,questionnaires related to oral health behavior and early childhood oral health impact scales were fulfilled by parents.The patients were followed for 6 months after treatment.The data were analyzed using SPSS 25.0 software package.RESULTS:The average dmft of children before treatment was 14.02.Patients with supplemental feeding during sleep and additional bottle feeding in the first 6 months had higher dmft.The incidence of caries relapse was 25.67% after 3 months and 50% after 6 months.Caries activity decreased dramatically after treatment.Among three follow-up results,Cariostat scores at the 3 rd month were the lowest.After general anesthesia,the eating frequency and sweets intake decreased obviously,and the time for tooth-brushing was longer,while the children’s mealtime was significantly shorter.The number of children in normal BMI range significantly increased after dental general anesthesia.CONCLUSIONS:Dental general anesthesia can reduce caries activity and improve oral health behavior,nutritional status,physical and mental health of children in a short term.However,a large number of patients were still at a high risk of caries relapse after treatment.
作者
赵金
赖光云
汪俊
ZHAO Jin;LAI Guang-yun;WANG Jun(Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology. Shanghai 200011, China)
出处
《上海口腔医学》
CAS
CSCD
北大核心
2019年第4期391-396,共6页
Shanghai Journal of Stomatology
基金
国家重点研发计划（2017YFC0840100,2017YFC0840110）
关键词
儿童龋病
全身麻醉
龋活跃性
BMI
Childhood caries
General anesthesia
Caries activity
BMI
