摘要
目的重度低龄儿童龋患儿年龄普遍偏小,在牙齿治疗中容易出现牙科畏惧症(DF)。文中探讨儿童牙科全身麻醉技术对DF患儿口腔相关生活质量及对儿童生长发育和营养摄入的影响。方法回顾性分析2019年9月至2020年12月就诊于南京医科大学附属儿童医院口腔科因无法配合门诊龋齿治疗患儿临床资料。比较全身麻醉治疗前后和束缚治疗前后儿童口腔生活质量,膳食调查分析、咀嚼功能、人体成分及体格测量的变化。结果牙科全身麻醉技术治疗后6个月儿童ECOHIS总分,对儿童及家庭的影响,并与治疗前比较,差异均有统计学意义(P<0.05);束缚治疗后6个月儿童ECOHIS总分、儿童心理障碍、社交障碍及对家庭的影响与治疗前比较,差异无统计学意义(P>0.05),治疗后6个月儿童的口腔疼痛、口腔功能与治疗前相比,差异有统计学意义(P<0.05)。全麻治疗和束缚6个月后儿童的体重指数、蛋白质百分比、骨骼肌百分比、体脂百分比、摄入的能量、脂肪、蛋白质、铁、锌、维生素A、维生素B1、维生素B2、烟酸、叶酸和胆固醇,咀嚼功能、体格生长与各自治疗前相比较差异均有统计学意义(P<0.05);而无机盐百分比、维生素D、碳水化合物、钙、维生素C和维生素E的比较,差异无统计学意义(P>0.05)。结论牙科全身麻醉技术减少儿童对看牙的恐惧,提高了儿童的生活质量及营养摄入,有利于恢复儿童的口腔健康和生长发育。
Objective Children with severe and juvenile caries are generally younger in age and are prone to dental phobia(DF)in dental treatment.To investigate the effects of dentalgeneral anesthesia(DGA)on oral quality of life,growth and nutrition intake in children with DF.Methods The changes of oral quality of life,dietary survey analysis,masticatory function,body composition and physical measurement were compared before and after general anesthesia treatment and restraint treatment.Results The total ECOHIS scores of children at 6 months after the treatment of dental general anesthesia were statistically significant compared with those before the treatment(P<0.05).There were no statistically significant differences in ECOHIS scores,psychological disorders,social disorders and the effects on family in children at 6 months after restrained treatment(P>0.05),while there were statistically significant differences in oral pain and oral function in children at 6 months after restrained treatment(P<0.05).There were significant differences in the children′sBMI,protein percentage,the percentage of skeletal muscle,body fat percentage,intake of energy,fat,protein,iron,zinc,vitamin A,vitamin B1,vitamin B2,nicotinic acid,folic acid and cholesterol,chewing function,physical growth in children at 6 months after DGA and restrained treatmentcompared with before their treatment(P<0.05);There was no significant difference in percentage of inorganic salt,vitamin D,carbohydrate,calcium,vitamin C and vitamin E(P>0.05).Conclusion The treatment of DGA reduces children’s dental fear,improves children’s quality of life and nutritional intake,which will conducive to restore children’s oral health and growth.
作者
汤根兄
龚爱秀
贾立周
李荣
TANG Gen-xiong;GONG Ai-xiu;JIA Li-zhou;LI Rong(Department of Stomatology,Children’s Hospital of Nanjing Medical University,Nanjing 210008,Jiangsu,China;Department of Child Health Clinic,Children’s Hospital of Nanjing Medical University,Nanjing 210008,Jiangsu,China;Department of Central Laboratory,Bayannur Hospital,Bayannur 015000,Inner Mongolia,China)
出处
《医学研究生学报》
CAS
北大核心
2022年第1期46-50,共5页
Journal of Medical Postgraduates
基金
国家自然科学基金(82060438)。
