日间门诊全麻下拔牙的临床应用及评价

Tooth Extraction Under General Anesthesia in Outpatient Department:A Retrospective Study with 18 Cases

目的:回顾性分析日间门诊全麻下拔牙的病例资料,总结日间门诊全麻下拔牙的麻醉特点、诊疗规范、手术特点和安全性。方法:收集日间门诊全麻下拔牙病例,总结选择全麻的原因、拔除牙位、离院评价得分,分析日间门诊全麻下拔牙的麻醉特点、手术特点。根据术中情况和术后复查分析该方法的安全性。结果:共收集18个病例,男11例,女7例,年龄7～50岁。选择全麻的原因包括:无法配合手术的儿童、智障、癫痫、咽部敏感、局麻药物过敏和有紧张晕厥病史。拔除牙位主要是阻生智齿和埋伏多生牙,均采用气管内插管静吸复合麻醉。所有病例手术顺利并安全离院,离院标准评分均在13分以上。结论:严格遵从诊疗规范的情况下,日间门诊全麻下拔牙对因各种原因无法配合局麻下手术的患者是一种安全有效的治疗方法。

Objective： To evaluate the indication and security of tooth extraction under general anesthesia in outpatient department. Methods： The patients accepted tooth extractions under general anesthesia in outpatient depart- ment were included in this study. The following information were recorded and summed, including： the reason for choosing general anesthesia, the position of the teeth removed and the score of postanesthetic discharge scoring system. Results： 18 cases were collected in this study. There were 11 male and 7 females, and the range of the age was from 7 to 50 years. The reasons for choosing general anesthesia including： children cannot corporate, falling sickness, mentally challenged, pharynx sensitivity, allergenic to local anesthesia drug and patients have swoon history because of overmuch nervous in dentistry treatment. The major positions of the teeth extracted were impacted teeth and supernumerary teeth. All patients accepted endotracheal intubation intravenous-inhalation combined anesthesia. All the operations were performed successfully and all the score of postanesthetic discharge scoring system exceeded 13. Conclusion： For the patients cannot cooperate local anesthesia, tooth extracting under general anesthesia is a safe method.