The anaesthetic management of handicapped young adults is often difficult. However, few examples were found in the literature that attempted to specifically measure the frequency of general anaesthesia in the dental treatment of this group of patients. This paper focuses on the management of mentally or physically handicapped young patients undergoing extractions at a specialist dental service in Southern France. A survey of 184 young patients treated during a 39-month period, either under general (34 cases) or local (150 cases) anaesthesia was carried out. A minimum one-year follow-up period was used for each patient. The main characteristics of the patients who received general or local anaesthesia were compared and the factors which indicated the choice of general rather than local anaesthesia were assessed. This study attempts to define precise selection criteria, including dental and non-dental factors. Limited past treatment history was found to be a strong indicator of the need for general anaesthesia. The results of this study suggest that non-dental background factors were also important. The need for general anaesthesia was markedly increased in the groups with severe behavioural disturbances or low levels of contact with the general dental practitioner. If provision of regular dental services for disabled young patients can significantly reduce the need for general anaesthesia, care will have to be taken in developing the relationships between the hospital and general dental practitioner.

译文

残疾年轻人的麻醉处理通常很困难。但是,在文献中发现很少有实例试图专门测量这一组患者在牙科治疗中全身麻醉的频率。本文重点研究在法国南部一家专科牙科诊所接受拔牙手术的弱智或弱智年轻患者的管理。对在39个月内接受全身麻醉(34例)或局部麻醉(150例)的184例年轻患者进行了调查。每位患者的随访时间最少为一年。比较了接受全身麻醉或局部麻醉的患者的主要特征,并评估了指示选择全身麻醉而非局部麻醉的因素。这项研究试图定义精确的选择标准,包括牙科和非牙科因素。发现有限的既往治疗史是需要全身麻醉的有力指标。这项研究的结果表明,非牙科背景因素也很重要。在行为严重障碍或与普通牙科医生接触水平低的组中,全身麻醉的需求明显增加。如果为残疾的年轻患者提供定期牙科服务可以大大减少全麻的需求,则必须注意建立医院与普通牙科医生之间的关系。

+1
+2
100研值 100研值 ¥99课程
检索文献一次
下载文献一次

去下载>

成功解锁2个技能,为你点赞

《SCI写作十大必备语法》
解决你的SCI语法难题!

技能熟练度+1

视频课《玩转文献检索》
让你成为检索达人!

恭喜完成新手挑战

手机微信扫一扫,添加好友领取

免费领《Endnote文献管理工具+教程》

微信扫码, 免费领取

手机登录

获取验证码
登录