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目的探讨在日间门诊手术室咪达唑仑静脉镇静状态下拔除儿童上颌埋伏多生牙的临床效果。方法选择在郑州人民医院口腔科门诊就诊拔除上颌埋伏多生牙的7～14岁患儿13名,美国麻醉医师协会分级Ⅰ级,咪达唑仑静注到中度镇静,在局麻下进行拔牙手术,监测患儿生命体征。结果患儿的生命体征平稳,年龄和体重、用药总量的关系呈正相关,差异有统计学意义(P<0.05);年龄与用药剂量之间呈负相关,差异有统计学意义(P<0.05)。年龄对局部麻醉注射、及手术过程的记忆有影响,差异无统计学意义(P>0.05)。所有病例手术顺利并安全离院,离院标准评分均在12分以上,术后回访显示大部分患儿出现不同程度的顺行性遗忘。结论在日间门诊手术室采用咪达唑仑静脉镇静配合口腔局部注射麻醉拔除儿童上颌埋伏多生牙是安全有效的方法。
Objective To investigate the clinical effect of extracting maxillary ambush adulterated with midazolam intravenous in day outpatient surgery room. Methods Thirteen children aged 7-14 years old with maxillary ambush and extranodal teeth were selected for treatment at Department of Stomatology, Zhengzhou People’s Hospital. The American College of Anesthesiologists was assigned to grade I and midazolam to moderate sedation and local anesthesia. Tooth extraction surgery, monitoring of vital signs in children. Results There was a positive correlation between the vital signs in children and the relationship between age and body weight and the total amount of medication (P <0.05). There was a negative correlation between age and dosage (P <0.05 ). Age of local anesthesia injection, and the memory of the operation process, the difference was not statistically significant (P> 0.05). All cases were successfully and safely left the hospital, leaving the standard scores were more than 12 points, postoperative follow-up showed most of the children appear different degrees of antegrade oblivion. Conclusions Midazolam intravenous anesthesia combined with oral local anesthesia in the day outpatient operation room is a safe and effective method to remove the maxillary ambush in children.