- 期刊
全身麻醉下牙科治療手術時間之相關探討
A Study of Operation Time of Dental Treatment under General Anesthesia
摘要
本研究的目的是針對全身麻醉下的牙科治療，探討影響麻醉及手術時間之相關因子。研究的對象是2012年至2013年間，於林口長庚紀念醫院兒童牙科在全身麻醉下進行牙科治療的病患，收集各項手術相關記錄項目包括:患者術前基本資料、術中麻醉資料及牙科治療項目，以敘述性統計方式針對影響麻醉及手術時間之相關因子進行分析。結果顯示103個研究對象中，其平均的麻醉時間為225.19±63.25分鐘及手術時間為205.6±64.55分鐘，兩個時間皆因牙齒治療總顆數、樹脂填補顆數以及根管治療顆數增加而增長（p＜0.05），麻醉時間也會隨著手術時間增加而增加（p＜0.05）；但麻醉時間及手術時間卻與患者的年齡、性別、身心狀況及ASA的分類之間並無顯著相關性。本研究發現全身麻醉的時間主要跟手術時間及治療項目有最直接的相闕，因此有效地控制手術時間可以減少麻醉時間並提升開刀房的使用率，以利醫療資源能更有效地運用。
並列摘要
This study was to identify the associated factors which may affect the duration of general anesthesia and operation. During one year from 2012 to 2013, patients received dental treatment under general anesthesia in Linkuo medical center of Chang Gung Memorial Hospital were recruited in this study. The patients' data of demographic information, anesthesia and dental treatment were collected and analyzed. There were total 103 patients included in this study. The average anesthesia time is 225.19±63.25 min and the operation time is 205.6±64.55 min. They were significantly associated with the total number of teeth treated＂ number of teeth restored by composite resin and number of teeth treated by pulp therapy (p＜0.05) and the anesthesia time was significantly correlated with the operation time (p＜0.05). However, both anesthesia and operation time were not correlated with patients' age, gender, health condition and even ASA classification. The longer the operation time for the dental treatment was usually correlated with the longer duration of the anesthesia time. Therefore, a dental treatment with well-controlled operation time will significantly improve the efficiency of operating room utilization.