笑气-氧气吸入镇静结合计算机程控给药系统对儿童牙科畏惧症患者的治疗效果观察

Effectiveness of nitrous oxide and computerized delivery of anesthesia during tooth therapy for phobic child patients

目的观察笑气-氧气吸入镇静结合口腔无痛局麻仪对儿童牙科畏惧症患者的治疗效果。方法选取128例无法配合常规治疗的儿童牙科恐惧症患者,以笑气-氧气吸入镇静结合计算机程控给药系统对其进行儿童牙科治疗,手术过程中监测患者的血压(BP)心率(HR)及血氧饱和度(Sp O2),进行改良中文版儿童牙科畏惧调查表(CFSS-DS)评分、Frankl治疗依从性和Houpt行为量表评分。结果在操作过程中,BP、HR、Sp O2无明显变化(P>0.05)。治疗前后CFSS-DS评分差异无统计学意义,Frankl治疗依从性和Houpt行为量表评分有显著性提高,差异有统计学意义(P<0.05)。结论笑气-氧气吸入镇静结合计算机程控给药系统对儿童牙科畏惧症患者,具有良好的镇静、镇痛、抗焦虑作用,无严重不良反应。

Objective To evaluate the curative effect of nitrous oxide with computerized delivery system of anesthesia during tooth therapy for phobic child patients .Methods We selected 128 children with dental phobia who could not cooperate with routine treatment.We treated these patients with nitrous oxide with computerized delivery system of anesthesia during tooth therapy .During the period of treatment,blood pressure （BP）,heart rate （HR）,and oxygen saturation （SpO2） were measured.The modified Children＇s Fear Survey Schedule-Dental Subscale （CFSS-DS）,Frankl treatment compliance and Houpt behavior rating scale were recorded .Re-sults The BP,HR and SpO2 showed no statistical difference during the therapy （P 〉0.05）.After treatment,Houpt score and Frankl score were significantly increased （P 〈0.05）,but no changes in CFSS-DS score was found when compared to before treatment .Con-clusion The use of nitrous oxide combined with computerized delivery system of anesthesia as an intravenous sedation agent has satis -factory effect on these children without serious adverse reactions .