Objective:To analyze the postoperative response and influencing factors of general dental anesthesia in children through a case-control study.Methods:One hundred and thirty-six children underwent general dental anes-thesia were selected and divided into poor prognosis group and good prognosis group.General data of patients were collected,and univariate and multivariate conditional Logistic regression analysis was used to screen out the factors related to adverse reactions after general anesthesia.Results:Among 136 children,1 case was missed follow-up af-ter surgery and excluded the survey.Among children included,41 cases had postoperative adverse reactions,with an incidence of 30.37％.The results of univariate analysis showed that the postoperative extubation time＜2 h in the good prognosis group was higher than that in the poor prognosis group(P＜0.05),and the preoperative malnu-trition,total number of treated teeth,total number of extractions and sedation were lower than those in the poor prognosis group(P＜0.05).Multivariate Logistic regression analysis showed that preoperative malnutrition(OR=10.359,95％CI:4.429-24.416),more total treated teeth(OR=60.223,95％CI:18.852-192.379)and more to-tal extractions(OR=68.499,95％CI:15.252-307.618)were the risk factors for postoperative adverse reactions in children undergoing elective dental general anesthesia(P＜0.05).Conclusion:Preoperative malnutrition,the num-ber of treated teeth,and the number of extracted teeth are the risk factors of postoperative adverse reactions in chil-dren,and timely intervention should be given during clinical surgical treatment.
关键词
儿童/牙科全身麻醉/术后反应/影响因素
Key words
children/dental general anesthesia/postoperative reaction/influencing factors
维普
万方数据