178名儿童口腔医生对笑气镇静及全麻的认知调查

Investigation of the cognition of 178 pediatric dentists about nitrous oxide sedation and general anesthesia

目的:了解儿童口腔医生对笑气镇静及全麻的认知情况。方法:2012-06对参加第七次全国儿童口腔医学会议的178名医生进行笑气镇静及全麻认知情况问卷调查,并对相关因素进行分析。结果:178名医生中有25人(14%)独立开展过笑气镇静;42人(23.6%)在麻醉医生的合作下开展过全麻技术;38人(21.3%)接受过不同程度的笑气镇静专科培训。医师工作所在省市GDP位于全国前10位的92名医生中有30人(32.6%)在麻醉医师合作下开展全麻技术,位于10位以后的86名医生中仅有12人(13.9%)开展过全麻技术。笑气镇静和全麻的优点,85人(47.8%)选择了避免患儿产生心理阴影;笑气镇静和全麻的缺点,选择医疗费用高,操作难度大,会出现麻醉意外分别为33.7%,29.2%,27.5%;175名(98.3%)医生在以后的工作中会建议病人使用笑气镇静或全麻。结论:目前国内开展笑气镇静及全麻技术的程度较低,可能与国内经济教育发展水平相对不高有关。

AIM： To investigate the general cognition situation of chinese pediatric dentists about the use of nitrous oxide（NO） sedation and general anesthesia. METHODS： In June, 2012 during the 7th National Congress of Pediatric Dentistry a questionnaire was delivered to delegates on the acceptance level of NO sedation and general anes- thesia and effective replies with a sample size of 178 were received. Then the related factors based on the questionnaires were further assessed. RESULTS ： 25 out of the 178 investigated pediatric dentists（ 14% ） had carried out NO sedation independently and 42 （ 23.6% ） had taken general anesthesia by anesthesiologists in the treating procedure. 38 （21.3 % ） had received professional training in the field of NO sedation. 30 out of the 92 （32.6%） from the provinces or cities ranking top 10 of GDP in China had carried out general anesthesia with the cooperation of anesthesiologists while those from the other provinces or cities only 12 out of 86（13.9% ） had carried out the technology. 85 pediatric dentists （47.8%） thought that the main advantage of NO sedation and general anesthesia was to avoid the possible psy- chological impact to the children while the disadvantage was high cost to patients （33.7%）, difficulty in canting out the procedure （29.2%） and possible risks （27.5%）. And 175 （98.3%） peadiatrician would recommend NO seda- tion and general anesthesia in future clinical work. CONCLUSION： Nitrous oxide sedation and general anesthesia are not popular in clinical pediatric dentistry in China.