ORAL COMPLICATIONS ASSOCIATED WITH ENDOTRACHEAL GENERAL ANESTHESIA

全身麻醉氣管插管併發之口腔組織傷害

陳肇禎(Jaw-Jen Chen) ； 林珍榮(Luciana Susetio) ； 趙繼慶(Chi-Ching Chao)

《Acta Anaesthesiologica Sinica》 28卷2期 (1990/06) Pp. 163-169

摘要

A series of 745 consecutive cases of endotracheal anesthesia were collected at the National Taiwan University Hospital. Evaluation of the oral conditions was performed before, during and after the anesthesia. Injuries to oral structures were recorded. An 18 % incidence of oral injuries was noted and the frequency for dental damage was 12.1 %. Maxillary incisors, especially the left ones, were accident-prone. Risk factors identified in this study included large decay or restoration, advanced periodontitis, presence of dental prosthesis, shedding deciduous tooth, class II jaw relationship and anterior crowding. More than one third of the complications occurred during the maintenance or emergence stage of the anesthesia. Recommendations for prevention and management of this problem were given.

關鍵字

Endotracheal anesthesia ； Dental risk factors ； Oral complications

並列摘要

本文收集台大醫院745個案，皆經口腔施行氣管插管全身麻醉。麻醉前、中、後期予於口腔組織狀態之評估，所有個案皆未給予術前預防性之牙科治療措施。術前評估之不利因素，包括大齲齒窩洞、填充物、嚴重牙周病、補綴物、乳牙換牙期、第二級咬合不正及前齒序列不齊佔所有個案之74.7％（557例）。傷害發生之時期，麻醉誘導期爲61.2％（82例）。口腔組織傷害（包括唇、牙齦之挫傷、牙齒及補綴物之斷裂）之發生率爲18％（134例），牙齒傷害（包括牙齒動搖、脫落及補綴物之斷裂）爲12.1％（90例）。其中上顎門齒，尤其是左側位置爲最容易發生之部位。