牙科全麻技术在自闭症儿童口腔疾病治疗中的临床疗效

Application of Dental General Anesthesia in the Treatment of Oral Diseases in Children with Autism

摘要: 目的：分析牙科全麻技术在自闭症儿童口腔疾病治疗中的临床疗效。方法：收集符合标准的3~10岁患口腔疾病需行治疗的自闭症儿童25例，其中16例选择牙科全麻技术一次性完成口腔疾病治疗(全麻组)，9例选择束缚下强制性多次复诊完成治疗(束缚组)，治疗后随访观察6个月，对两组儿童进行临床效果对比评估。结果：与束缚下强制性治疗相比，全身麻醉下对自闭症儿童进行口腔疾病治疗可以减少患儿就诊次数和时间、提高治疗效率、保证治疗质量、减轻患儿的疼痛、改善口腔卫生状况，降低继发龋和充填物脱落率(P < 0.05)，有利于改善患儿的睡眠与进食状况，保护其心理健康，有效提高患儿的依从性(P < 0.05)。结论：对于患口腔疾病的自闭症儿童行全麻下一次性治疗，可有效降低患儿的应激心理，降低继发龋和充填物脱落率，提高患儿的依从性。

Abstract: Objective: To analyze the clinical effect of dental general anesthesia in the treatment of oral diseas-es in children with autism. Method: 25 children with autism who met the criteria for oral diseases aged 3~10 years were collected, of which 16 patients chose dental general anesthesia technology to complete oral disease treatment at one time (general anesthesia group), 9 cases chose compulsory multiple follow-up visits under restraint to complete treatment (restraint group). The clinical ef-fects of the two groups were evaluated for 6 months after treatment. Result: Compared with the re-straint group, the general anesthesia group can reduce the number and time of treatment, improve the efficiency and ensure the quality of treatment, reduce the pain of the children, improve the oral hygiene, reduce the secondary caries and filling shedding rate (P < 0.05), which is conducive to im-proving the sleep and eating status of the children, protecting their mental health, and effectively improving the compliance of the children (P < 0.05). Conclusion: General anesthesia for autistic children with oral diseases can effectively reduce the stress psychology of children, reduce the rate of secondary caries and filling shedding, and improve children’s compliance.