- 期刊
無全身麻醉學齡前兒童牙科治療狀況與全身麻醉孩童之比較
Comparison of Factors and Trend Analysis of Treatments of Dental Caries under General Anesthesia and Non-general Anesthesia in Preschool Children
摘要
研究目的：本研究是分析全民健保資料庫200萬人抽樣檔，探討台灣孩童在全身麻醉與無全身麻醉下各項齲齒治療狀況的橫斷面研究。方法：在2000-2006年期間，3-5歲全身麻醉下牙科治療孩童有92位，並根據年齡、性別和就醫地區都市化程度配對隨機抽樣276位無全身麻醉下牙科治療孩童，以曼惠特尼U檢定比較兩組因齲齒於牙科進行各項治療之指標。結果：在填補平均顆數及面數上，全身麻醉組3歲、男童及中度都市化程度地區顯著大於無全身麻醉組（p < 0.001）。在根管治療顆數、治療平均總顆數（填補、根管治療及拔牙顆數相加）、牙齒治療加權分數（填補平均面數＋根管治療顆數x 3＋拔牙治療顆數x 4）這三種指標上，全身麻醉組於不同年齡、性別、就醫地區都市化程度，均顯著多於無全身麻醉組（p < 0.01）。在拔牙平均顆數上，全身麻醉組無論年齡、性別、高與中度都市化地區顯著多於無全身麻醉組（p < 0.05）。結論：考量年紀、性別及就醫地區都市化程度，根管治療顆數、治療平均總顆數、齲齒嚴重分數指標較高者傾向以全身麻醉方式進行齲齒治療。
並列摘要
Purpose: This is a cross-sectional study of the treatment status of children who had underwent dental treatment with general anesthesia or non-general anesthesia for dental caries in Taiwan, based on 2 million sample files taken from the National Health Insurance Database of 2010. Methods: During 2000-2006, 92 children, aged between 3-5 years old underwent dental treatment with general anesthesia; they were randomly sampled and matched by age, gender and urbanization degree with 276 children who underwent treatment with non-general anesthesia. The two groups were evaluated through the Mann-Whitney U test for various treatment indexes of caries in dentistry. Results: In terms of the average number and surface area of fillings, at the age of 3, boys and moderately urbanized areas; the general anesthesia group was significantly larger than the non-general anesthesia group (p < 0.001). In regard to three indicators: the number of root canal treatments, the average total number of treatments, (the number of fillings, root canal treatments and extractions) and the weighted score of dental treatment (the average number of fillings + the number of root canal treatments x 3 + the number of treatments for tooth extraction x 4), the general anesthesia group had a significantly higher score than the non-general anesthesia group regardless of age, gender, and degree of urbanization (p < 0.01). As for the average number of teeth extracted, the general anesthesia group had a significantly higher score than the non-general anesthesia group, regardless of age, gender, and high and moderate urbanization areas (p < 0.05). Conclusions: Within the groups of age, gender, and the degree of urbanization, patients with a higher number of root canal treatments, the average total number of treatments, and the severity of dental caries tend to favor being treated with general anesthesia.