水合氯醛灌肠在幼儿期龋病治疗中的催眠效果
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摘要
目的观察幼儿期不同年龄组龋病治疗中应用10%水合氯醛灌肠的临床催眠效果。方法选择156例需做口腔治疗的幼儿期龋病患儿,按年龄分为A、B两组,分别在口腔治疗前给予10%水合氯醛灌肠。观察并比较两组患儿药物起效时间、治疗操作时间、睡眠维持时间、成功率及不良反应。结果灌肠起效时间,A组短于B组,睡眠维持时间A组长于B组,差异均具有统计学意义。临床催眠效果方面,两组合计成功率为85.26%,其中A组显效率为53.95%,B组显效率为20.00%,差异具有统计学意义;A组成功率(93.42%)高于B组(77.50%),差异有统计学意义。结论幼儿期龋病治疗中10%水合氯醛灌肠催眠安全可靠,成功率高,且年龄越小,起效越快,维持睡眠时间越长,显效率及成功率越高。
Objective To observe the clinical sedative effect using 10%chloral hydrate enema during dental treatment for different age groups which have suffered from caries.Methods One hundred and fifty-six cases of dental treatment infants who had got caries were included in this study,they were divided into two groups A and B by age,and were given 10% chloral hydrate enema before the dental treatment respectively.To observe and compare the two groups of children with the drug effecting time,treatment operation time,sleeps maintain time,success rate and adverse reactions.Results Group A showed shorter time than group B in enema working time,and group A showed longer time than group B in maintain time of sedation,with significant difference.The two combination metered success rate is 85.26%in clinical sedative effect,and group A is 53.95% while group B is 20.00%in significant efficiency,there is statistically significant difference;Group A(93.42%)had higher success rate than group B(77.50%),with significant difference.Conclusion Hypnotic effect by 10%chloral hydrate enema in infancy caries during dental treatment is safe and reliable,and has high success rate.The smaller age has the faster drug effecting time,the longer sleep time,the higher efficiency and success rate.
Objective To observe the clinical sedative effect using 10%chloral hydrate enema during dental treatment for different age groups which have suffered from caries.Methods One hundred and fifty-six cases of dental treatment infants who had got caries were included in this study,they were divided into two groups A and B by age,and were given 10% chloral hydrate enema before the dental treatment respectively.To observe and compare the two groups of children with the drug effecting time,treatment operation time,sleeps maintain time,success rate and adverse reactions.Results Group A showed shorter time than group B in enema working time,and group A showed longer time than group B in maintain time of sedation,with significant difference.The two combination metered success rate is 85.26%in clinical sedative effect,and group A is 53.95% while group B is 20.00%in significant efficiency,there is statistically significant difference;Group A(93.42%)had higher success rate than group B(77.50%),with significant difference.Conclusion Hypnotic effect by 10%chloral hydrate enema in infancy caries during dental treatment is safe and reliable,and has high success rate.The smaller age has the faster drug effecting time,the longer sleep time,the higher efficiency and success rate.
引文
[1]张红梅,夏斌,王建红,等.全身麻醉和束缚牙科治疗对不合作患儿牙科焦虑水平的影响[J].北京大学学报(医学版),2015,47(1):134-136.
[2]袁艳,陈静,宋昕.婴幼儿检查前水合氯醛灌肠效果影响因素分析[J].华西医学,2011,26(7):1101-1102.
[3]程翠霞.水合氯醛灌肠时用药温度对灌肠效果的影响[J].中国医药指南,2016,10(14):130-131.
[4]刘忠雁,刘梅.水合氯醛在婴幼儿镇静给药方法中的应用[J].临床合理用药,2015,8(10B):84-85.
[5]武华,席慧萍.肛管插入不同深度及不同体位时对婴幼儿水合氯醛灌肠效果影响[J].陕西医学杂志,2010,39(9):1269-1270.
[6]李洁.10%水合氯醛口服与保留灌肠在儿童镇静中的临床效应及安全性比较[J].中国临床研究,2015,28(8):1101-1103.
[7]Ramsay M A,Savege T M,Simpion B R,et al.Controlled sedation with alphaxalone-alphadolone[J].Br Med J,1974,2(5920):656-659.
[8]Hamzah H S,Gao X,Yung Yiu C K,et al.Managing dental fear and anxiety in pediatric patients:A qualitative study from the public's perspective[J].Pediatr Dent,2014,36(1):29-33.
[9]American Academy of Pediatric Dentistry.Guideline on use of anesthesia personnel in the administration of office based deep sedation or general anesthesia to the pediatric dental patient[S].Reference Manual,2012,34(5):170-172.
[10]夏斌,秦满,葛立宏.儿童口腔科医师实施行为管理相关问题调查分析[J].现代口腔医学杂志,2007,21(3):313-314.
[11]杨富生,樊淑梅,杨少敏.儿童口腔科患儿的行为诱导[J].牙体牙髓牙周病学杂志,2004,14(11):640-641.
[12]夏斌,秦满,韩烨,等.儿童口腔科门诊治疗需求特征分析及对策[J].北京大学学报(医学版),2013,45(1):92-93.
[13]丁桂聪,王晓羽,李月梅,等.笑气镇静在儿童牙科焦虑症患者的临床应用[J].临床口腔医学杂志,2012,28(5):295-296.
[14]Pugely A J,Martin C T,Gao Y,et al.Differences in short-term complications between spinal and general anesthesia for primary total knee arthroplasty[J].J Bone Joint Surg Am,2013,95(3):193-199.
[15]关明,王恩博,刘宇,等.咪达唑仑静脉注射对儿童埋伏多生牙拔除镇静效果的临床评价[J].北京大学学报(医学版),2012,44(1):120-123.
[16]Al-Jundi S H,Mahmood A J.Factors affecting preoperative anxiety in children undergoing general anaesthesia for dental rehabilitation[J].Eur Arch Paediatr Dent,2010,11(1):32-37.
[17]卢博一,刘冰(译),徐浩(译),等.口服镇静药在口腔疾病治疗中的临床应用[J].实用口腔医学杂志,2015,31(3):448-450.
[18]新谦,金有豫.新编药物学[M].北京:人民卫生出版社,2007:238.
[19]钟雯怡,葛颂,张绍伟,等.水合氯醛两种途径在小儿口腔治疗前镇静效果的探讨[J].口腔医学研究,2010,8(26):560-562.
[20]武宇辉,何颜霞,杨燕澜,等.水合氯醛致过敏性休克1例[J].儿科药学杂志,2010,16(6):56-57.
[21]陈桂林.2例水合氯醛灌肠致新生儿便血护理体会[J].医学信息(中旬刊),2011,11(3):1021.
[2]袁艳,陈静,宋昕.婴幼儿检查前水合氯醛灌肠效果影响因素分析[J].华西医学,2011,26(7):1101-1102.
[3]程翠霞.水合氯醛灌肠时用药温度对灌肠效果的影响[J].中国医药指南,2016,10(14):130-131.
[4]刘忠雁,刘梅.水合氯醛在婴幼儿镇静给药方法中的应用[J].临床合理用药,2015,8(10B):84-85.
[5]武华,席慧萍.肛管插入不同深度及不同体位时对婴幼儿水合氯醛灌肠效果影响[J].陕西医学杂志,2010,39(9):1269-1270.
[6]李洁.10%水合氯醛口服与保留灌肠在儿童镇静中的临床效应及安全性比较[J].中国临床研究,2015,28(8):1101-1103.
[7]Ramsay M A,Savege T M,Simpion B R,et al.Controlled sedation with alphaxalone-alphadolone[J].Br Med J,1974,2(5920):656-659.
[8]Hamzah H S,Gao X,Yung Yiu C K,et al.Managing dental fear and anxiety in pediatric patients:A qualitative study from the public's perspective[J].Pediatr Dent,2014,36(1):29-33.
[9]American Academy of Pediatric Dentistry.Guideline on use of anesthesia personnel in the administration of office based deep sedation or general anesthesia to the pediatric dental patient[S].Reference Manual,2012,34(5):170-172.
[10]夏斌,秦满,葛立宏.儿童口腔科医师实施行为管理相关问题调查分析[J].现代口腔医学杂志,2007,21(3):313-314.
[11]杨富生,樊淑梅,杨少敏.儿童口腔科患儿的行为诱导[J].牙体牙髓牙周病学杂志,2004,14(11):640-641.
[12]夏斌,秦满,韩烨,等.儿童口腔科门诊治疗需求特征分析及对策[J].北京大学学报(医学版),2013,45(1):92-93.
[13]丁桂聪,王晓羽,李月梅,等.笑气镇静在儿童牙科焦虑症患者的临床应用[J].临床口腔医学杂志,2012,28(5):295-296.
[14]Pugely A J,Martin C T,Gao Y,et al.Differences in short-term complications between spinal and general anesthesia for primary total knee arthroplasty[J].J Bone Joint Surg Am,2013,95(3):193-199.
[15]关明,王恩博,刘宇,等.咪达唑仑静脉注射对儿童埋伏多生牙拔除镇静效果的临床评价[J].北京大学学报(医学版),2012,44(1):120-123.
[16]Al-Jundi S H,Mahmood A J.Factors affecting preoperative anxiety in children undergoing general anaesthesia for dental rehabilitation[J].Eur Arch Paediatr Dent,2010,11(1):32-37.
[17]卢博一,刘冰(译),徐浩(译),等.口服镇静药在口腔疾病治疗中的临床应用[J].实用口腔医学杂志,2015,31(3):448-450.
[18]新谦,金有豫.新编药物学[M].北京:人民卫生出版社,2007:238.
[19]钟雯怡,葛颂,张绍伟,等.水合氯醛两种途径在小儿口腔治疗前镇静效果的探讨[J].口腔医学研究,2010,8(26):560-562.
[20]武宇辉,何颜霞,杨燕澜,等.水合氯醛致过敏性休克1例[J].儿科药学杂志,2010,16(6):56-57.
[21]陈桂林.2例水合氯醛灌肠致新生儿便血护理体会[J].医学信息(中旬刊),2011,11(3):1021.