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장애인 환자의 치과치료를 위한 전신마취 시 협조도와 마취 유도 방법에 대한 통계적 고찰
Clinico-statistical Analysis of Cooperation and Anesthetic Induction Method of Dental Patients with Special Needs

대한치과마취과학회지 2009년 9권 1호 p.9 ~ 16

서광석, 신터전, 김현정, 한희정, 한진희, 김혜정, 장주혜,

소속 상세정보

서광석 ( Seo Kwang-Suk ) - 서울대학교 치과병원 마취통증의학과
신터전 ( Shin Teo-Jeon ) - 서울대학교 치의학대학원 치과마취과학교실
김현정 ( Kim Hyun-Jeong ) - 서울대학교 치과병원 치과마취과
한희정 ( Han Hee-Jung ) - 서울대학교 치과병원 치과마취과
한진희 ( Han Jin-Hee ) - 서울대학교 치과병원 치과마취과
김혜정 ( Kim Hye-Jung ) - 서울대학교 치과병원 치과마취과
장주혜 ( Chang Ju-Hea ) - 서울대학교 치과병원 장애인구강진료실

KMID : 0980220090090010009

Abstract

Background: This study aimed to evaluate the cooperative levels of dental patients requiring general anesthesia during dental treatments. Anesthetic induction methods for patients were also recorded and analyzed using descriptive statistics.

Methods: Total 566 patients who visited Seoul National University Dental Hospital Clinic for Persons with Disabilities were reviewed on pre-anesthetic review and anesthesia records. The cooperative levels of patients were graded by 4 levels and induction methods used for the patients during general anesthesia application were analyzed.

Results: More than half of patients(55.8%) were willing to receive the anesthetic induction(cooperative level 1), 18.6% were minimally cooperative(level 2), 20.8% needed physical restraint prior to induction(level 3), and 4.8% was poorly cooperative and induction procedure was performed under an unconscious condition after ketamine intramuscular injection(level 4). There was no gender difference in cooperative levels(P=0.11). Patients over 30 years revealed better cooperation levels compared to other age groups(P<0.05). For patients of level 1, 53.5% were anesthetized in a way of intravenous induction, while 77.1% out of patients of level 3 were anesthetically induced through inhalation method.

Conclusion: Many dental patients with special needs were not cooperative to receive anesthetic induction. Additional behavioral support may be applied to poorly cooperative patients for the safe and successful clinical outcome.