《全身麻醉、镇静下儿童牙病诊疗规范》解读

doi:10.7518/hxkq.2025.2025195

华西口腔医学杂志 ›› 2025, Vol. 43 ›› Issue (4): 469-477.doi: 10.7518/hxkq.2025.2025195

• 儿童口腔医学诊疗新进展 • 上一篇下一篇

《全身麻醉、镇静下儿童牙病诊疗规范》解读

张琼¹^,²(), 邹静²()

^1.口腔疾病防治全国重点实验室国家口腔医学中心国家口腔疾病临床医学研究中心四川大学华西口腔医院锦江门诊部，成都 610041
^2.口腔疾病防治全国重点实验室国家口腔医学中心国家口腔疾病临床医学研究中心四川大学华西口腔医院儿童口腔科，成都 610041

收稿日期:2025-05-01 修回日期:2025-06-06 出版日期:2025-08-01 发布日期:2025-08-29
通讯作者: 邹静 E-mail:qiongzhang@scu.edu.cn;zoujing@scu.edu.cn
作者简介:张琼，副教授，四级专家，四川大学华西口腔医院锦江门诊部副主任，中华口腔医学会儿童口腔医学专业委员会常务委员，四川省口腔医学会儿童口腔医学专业委员会副主任委员、青年学组组长，四川省口腔医学会口腔激光医学专业委员会常务委员，主持国家自然科学基金、四川省科技厅和成都市科技局科研基金等5项科研项目，发表SCI及核心期刊论文50余篇。研究成果荣获中华医学科技奖三等奖，四川省科技厅、成都市科技局科学技术进步奖三等奖。副主编《儿童口腔医学实验教程》，参编《儿童口腔科诊疗与操作常规》等6部专著。参与的《儿童口腔医学（全英文）》本科课程荣获国家级和四川省线下一流本科课程。|张琼，副教授，博士，E-mail：qiongzhang@scu.edu.cn|邹静，教授/主任医师，博士生导师，四川大学华西口腔医院儿童口腔科主任，四川大学华西口腔医学院儿童口腔医学教研室主任。国际牙医学院中国区院士，国家临床重点专科负责人，国家一流本科课程负责人，国家首批医学专业研究生示范课程负责人。任中华口腔医学会理事，中华口腔医学会第七届儿童口腔医学专业委员会主任委员，国家口腔医学中心儿童口腔专科联盟轮值主任委员，中华口腔医学会镇静镇痛专业委员会副主任委员，中华口腔医学会口腔医学标准工作专家委员会委员，国家卫生健康委儿童早期矫治规范化诊疗项目专家委员会主任委员，国家口腔医学质控中心儿童口腔亚专业组组长，四川省口腔医学会儿童口腔医学专业委员会主任委员，四川省卫生计生委学术技术带头人，四川省卫生计生委突出贡献中青年专家，医疗卫生援黔专家团核心专家。International Journal of Oral Science、《中华口腔医学杂志》《华西口腔医学杂志》《国际口腔医学杂志》《上海口腔医学》《中国口腔医学继续教育杂志》编委。|承担多项国际合作课题、国家自然科学基金及省部级科研课题，其中参研的2项课题获教育部科技进步奖一等奖，1项获中华医学科技奖二等奖，负责的课题获中华医学科技奖三等奖、四川省科技进步奖三等奖、成都市科技进步奖三等奖各1项。作为第一/通讯作者发表50余篇SCI论文和160余篇核心期刊论文。担任国家卫生健康委“十四五”规划教材《儿童口腔医学》主编，《儿童口腔科临床诊疗与操作常规》《儿童口腔医学实验教程》主编，担任《中国儿童错畸形早期矫治专家共识及病例解析》副主编，参编《华西口腔住院医师手册》《儿童及妊娠期妇女口腔预防保健》《实用牙体牙髓病治疗学》《实用龋病学》《现代龋病学》等28部专著。作为第一负责人制订《上颌第一恒磨牙异位萌出诊治专家共识》《年轻恒牙龋诊治专家共识》，参与制订《婴儿龋防治指南》《乳牙牙髓病诊疗指南》《儿童间隙保持器的临床应用》等10项团体标准/指南/规范制订。
基金资助:
国家自然科学基金(82170947)

Interpretation of Standard on Clinical Dental Treatment for Children under General Anesthesia Orsedation

Zhang Qiong¹^,²(), Zou Jing²()

^1.State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Dept. of Jinjiang Outpatient, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
^2.State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Dept. of Pediatric Dentistry, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China

Received:2025-05-01 Revised:2025-06-06 Online:2025-08-01 Published:2025-08-29
Contact: Zou Jing E-mail:qiongzhang@scu.edu.cn;zoujing@scu.edu.cn
Supported by:
National Natural Science Foundation of China(82170947)

摘要/Abstract

摘要：

2023年5月，中华口腔医学会颁布了《全身麻醉、镇静下儿童牙病诊疗规范》团体标准。该规范是在组织全国知名医学院校口腔医学领域开展儿童全身麻醉、镇静治疗的专家，参考国内外研究成果，广泛征求意见的基础上，反复讨论、修改后而制定的适合我国全身麻醉、镇静下儿童牙病的诊疗与评价体系，以统一和规范相关医疗行为。本文对该规范进行深入梳理，并结合四川大学华西口腔医院儿童口腔团队12年来全身麻醉下儿童牙病诊疗的临床经验和研究成果，对全身麻醉下儿童牙病诊疗中的安全考量、治疗方案选择、术后并发症防控、术后随访及口腔健康维护等问题进行解读，以期为儿童口腔医务人员开展相关工作提供参考。

关键词: 儿童牙病, 全身麻醉, 诊疗, 规范, 解读

Abstract:

In May 2023, the Chinese Stomatological Association promulgated the group standard of “Standard on Clinical Dental Treatment for Children under General Anesthesia Orsedation”. These specifications were formulated through broad-based expert consultation, iterative revisions, and a comprehensive review of relevant literature, incorporating the collective expertise of nationally recognized authorities in the field. The standard establishes a unified evaluation system and clinical guidelines tailored to China’s medical context, aiming to regulate related medical practices. This paper aims to provide an in-depth interpretation of the standard, integrating the clinical research and experiences from the Pediatric Dentistry Department of West China Hospital of Stomatology, Sichuan University, in performing dental treatments under general anesthesia in last 12 years. It particularly focuses on interpreting key aspects, including safety considerations, treatment protocol selection, prevention and management of postoperative complication, postoperative follow-up, and oral health maintenance, to provide a reference for medical staffs to understand and apply them in clinical practice.

Key words: dental diseases in children, general anesthesia, diagnosis and treatment, specification, interpretation

中图分类号:

R788

张琼, 邹静. 《全身麻醉、镇静下儿童牙病诊疗规范》解读[J]. 华西口腔医学杂志, 2025, 43(4): 469-477.

Zhang Qiong, Zou Jing. Interpretation of Standard on Clinical Dental Treatment for Children under General Anesthesia Orsedation[J]. West China Journal of Stomatology, 2025, 43(4): 469-477.

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《全身麻醉、镇静下儿童牙病诊疗规范》解读

Interpretation of Standard on Clinical Dental Treatment for Children under General Anesthesia Orsedation

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