Investigation of postoperative complications in children after dental therapy under general anesthesia

doi:10.7518/hxkq.2020.03.010

Abstract

Abstract:

Objective This study aimed to evaluate the postoperative complications undergoing dental general anesthesia in children and analyze the prevalence and related factors. Methods This prospective study involved 292 systematically healthy children (36 to 71 months old) who received extensive dental treatment under general anesthesia. Data about patients’ histories, characteristics, dental and anesthesia procedure were collected. Parents or caregivers were interviewed face to face preoperation and 72 h postoperation. Data were analyzed using logistic regression. Results Approximately 93.5% of the enrolled children reported one or more complications. The most prevalent complication was postoperative pain, followed by weariness, agitation, problem in eating, drowsiness, oral bleeding, cough, fever, etc. The length of operative time and femininity were the risks of the postoperative pain. Nutrition status was the factor probably in association with fever. Conclusion The children receive longer operative time and girls show to be more susceptible to the postoperative pain. High nutrition status could be the protective factor of postoperative fever.

Key words: dental general anesthesia, severe early childhood caries, postoperative pain, problem in eating, fever

CLC Number:

R788

Deng Xiaoyu, Zhang Yunhan, Zou Jing, Zhang Qiong. Investigation of postoperative complications in children after dental therapy under general anesthesia[J]. West China Journal of Stomatology, 2020, 38(3): 284-289.

Figures/Tables 5

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References 35

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治疗项目	接受治疗患	平均治疗牙
治疗项目	儿比例/%	齿数/颗
乳牙牙髓摘除术或根管治疗术	97.6	6.2±3.3
乳磨牙牙髓切断术	66.1	1.6±1.6
乳牙拔除术	57.9	1.3±2.0
多生牙拔除术	3.8	0.1±0.3
乳磨牙金属预成冠修复术	99.7	7.2±1.3

相关因素	术后反应
相关因素	疼痛	无疼痛	发热	无发热
性别为女性	94（32.2%）*	33（11.3%）*	36（12.3%）	91（31.2%）
营养水平（等于或高于平均水平）	115（39.4%）*	76（26.0%）*	28（9.6%）*	163（55.8%）*
术前有脓疱或瘘管	102（34.0%）	59（20.2%）	34（11.6%）*	127（43.5%）*
年龄/月	52.5±9.0	53.9±9.6	52.7±9.9	53.1±9.0
禁食禁饮时长/min	758.5±104.5	759.8±180.1	751.1±89.5	761.6±146.8
手术时长/min	131.9±26.9*	122.0±28.7*	131.0±28.5	127.7±27.7
总治疗牙数/颗	16.9±3.1*	15.8±3.7*	16.8±3.2	16.5±3.4
拔牙总数/颗	1.6±2.0	1.8±2.1	1.5±1.6	1.7±2.2
乳牙牙髓摘除术或根管治疗数/颗	6.5±3.2*	5.7±3.5*	6.0±3.6	6.3±3.2
乳磨牙牙髓切断数/颗	1.6±1.7	1.5±1.4	1.7±1.5	1.5±1.6
乳磨牙金属预成冠修复数/颗	7.3±1.3	7.1±1.3	7.4±1.2	7.2±1.3
单位体重丙泊酚用量/（mg·kg^-1）	1.5±0.7	1.4±1.0	1.5±0.8	1.4±0.8
单位体重顺阿曲库铵用量 /（mg·kg^-1）	0.1±0.0	0.2±0.2	0.1±0.0	0.1±0.1
单位体重舒芬太尼用量/（μg·kg^-1）	0.3±0.1	0.3±0.1	0.3±0.1	0.3±0.1

相关因素	回归系数B	标准误	Wald值	P值	OR值	95%置信区间
性别为女性	0.582	0.264	4.861	0.027*	1.790	1.067~3.005
营养水平（等于或高于平均）	-0.544	0.294	3.410	0.065	0.581	0.326~1.034
手术时长/min	0.012	0.005	5.925	0.015*	1.012	1.002~1.021
总治疗牙数/颗	0.061	0.041	2.198	0.138	1.063	0.981~1.151
乳牙牙髓摘除术或根管治疗数/颗	-0.006	0.051	0.015	0.901	0.994	0.900~1.079

相关因素	回归系数B	标准误	Wald值	P值	OR值	95%置信区间
营养水平（等于或高于平均水平）	-1.547	0.288	28.868	0.000*	0.213	0.121~0.374
术前有脓疱或瘘管	-0.474	0.288	2.707	0.100	0.623	0.354~1.095