항경련제를 복용하고 있는 지적장애 환자의 외래전신마취 하 치과치료 후 합병증 발생 조사 연구
Analysis of Complications of Ambulatory General Anesthesia after Discharge in Patients Who are Taking Anticonvulsant
차민주, 서광석, 김미선, 김현정,
소속 상세정보
차민주 ( Cha Min-Joo ) - 서울대학교 치의학대학원 치과마취과학교실
서광석 ( Seo Kwang-Suk ) - 서울대학교 치의학대학원 치과마취과학교실
김미선 ( Kim Mi-Seon ) - 서울대학교 치의학대학원 치과마취과학교실
김현정 ( Kim Hyun-Jeong ) - 서울대학교 치의학대학원 치과마취과학교실
KMID : 0980220140140020095
Abstract
Background: About 60% of patients with epilepsy showed a variety of complications after returning home. The purpose of this study is to get further information and to help in the anesthetic management of the disable patients with epilepsy.
Methods: After searching the outpatient anesthesia list of Seoul National University Dental Hospital clinic of the disabled from September 2010 to March 2012, we found total 83 patient cases who were taking antiepileptic drugs. A nurse of anethesiology department called to the patient’s home after general anesthesia and got surveys with questionnaires form filled with complications at home. We enrolled total of 51 patients who agreed to participate this survey. And we also reviewed pre-anesthesia evaluation sheet, anesthesia record, and recovery and discharge record.
Results: 11 of 51 (21.6%) patients had seizure convulsion at home within 1 weeks. 33.4% of patients who had at least once seizure attack per week had a seizure attack within 3 days. And 50% of once a month frequency patients had a seizure attack within 1 week. 33% of 1 - 3 seizure attacks per year patient group had a convulsion within 1 week. But there was no seizure attack within 1 week in whom had no seizure attack history during more than 1 year.
Conclusions: After dental treatment, patient taking anticonvulsant have so many complications-especially seizure, more than we respected. We need more research about handle these problems.
키워드
Disabled Patients; Dental Treatment; Post anesthesia complication; General Anesthesia; Epilepsy
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