소아 진정 시 구강 협점막하로 투여한 Midazolam의 효과에 관한 연구
The Sedative Effects of Submucosal Midazolam in Children
이영은, 김윤희, 백광우, 박미경, 정상혁,
소속 상세정보
이영은 ( Lee Young-Eun ) - 이화여자대학교 의과대학 임상치의학대학원 소아치과학교실
김윤희 ( Kim Yoon-Hee ) - 이화여자대학교 의과대학 목동병원 치과학교실
백광우 ( Baek Kwang-Woo ) - 이화여자대학교 의과대학 목동병원 치과학교실
박미경 ( Park Mi-Kyung ) - 이화여자대학교 의과대학 임상치의학대학원 소아치과학교실
정상혁 ( Jung Sang-Hyuk ) - 이화여자대학교 의과대학 임상치의학대학원 소아치과학교실
KMID : 0980220050050020101
Abstract
Purpose: This retrospective study assessed the effectiveness of submucosal (SM) midazolam (M), oral chloral hydrate (CH), hydroxyzine (H), and nitrous oxide (N) 99 uncooperative pediatric dental patients over 182 sedation sessions.
Methods: Selection criteria included good medical health (ASA I), from 2 to 6 years of age, uncooperative behavior, and the need for restorations and dental surgery. The children who was administerated with CH H, N was Group 1 (48 case). The children who was administerated with CH, H, N, M was Group 2 (51 case). All the patients received oral CH (50-70 mg/Kg), H (1 mg/Kg) and N (less than 50%). Additionally the Group 2 received SM midazolam (0.1-0.2 mg/kg). Behavior response was rated as quiet (Q), crying (C), movement (M), or struggling (S) every 5 minutes through operative procedures. Behavior response rating was assigned to Houpt scale of Overall behavior. Data was analyzed using Chi-Square Test.
Results: The Group 2 had more effective (88.2%) than the Group 1 (68.8%)(P = 0.05). Also, vomiting response decreased in the Group 2 (94.4%) than those with oral administration of chloral hydrate alone without SM midazolam (77.1%)(P = 0.05).
Conclusions: SM midazolam improved the quality of sedation and vomiting response.
키워드
Chloral hydrate; Conscious sedation; Hydroxyzine; Nitrous oxide; Submucosal midazolam
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