Çocuk dişhekimliğinde azot protoksit oksijen sedasyonunun etkinliğinin değerlendirilmesi
Küçük Resim Yok
Tarih
1998
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Çalışmamız azot protoksit oksijen sedasyonunun, yoğun anksieteli çocuk hastalar üzerindeki etkisini değerlendirmek amacıyla gerçekleştirilmiştir. Uygulamamızda azot protoksit oksijen çocuklara Quintiflex MDM marka cihaz ile yavaş indüksiyon yöntemiyle verilmiştir. Çalışmamızda yer alan 14' ü kız, sekizi erkek toplam 22 çocuğun sedasyon ve analjezi düzeyleri değişik skalalarla değerlendirilmiştir. Tüm prosedür süresince bir pals oksimetre aracılığıyla kan oksijen doygunlukları ve kalp atım hızları izlenmiştir. Tüm değerlerin ortalamaları Microsoft Excel 4.0 alandaki descriptive statistics, kalp atim hızı ve kan oksijen doygunluğu değerlerinin ortalamalarının farkları ise tesadüf blokları modeli ve varyans analizi uygulanarak Ege Üniversitesi Bilgisayar Araştırma ve Uygulama Merkezinde hesaplanmıştır. Beş nokta sedasyon testine göre çocuklar en yüksek sedasyon düzeyine 15. ile 25. dk' lar arası ulaşmışlardır. Venham'ın klinik anksiete değerleri dental müdahalenin gerçekleştirildiği 15. ve 25. dk' lar arası 1.76 ± 1. 81 ile 2.18 ± 1.79, Venham' ın kooperatif davranış skalası değerleri ise 1.71 ± 1.90 ve 2.27 ± 1.88 olarak saptanmıştır. Lokal anestezi yapılan 15 çocuktan altısı orta, sekizi az ve biri hiç tepki göstermemişlerdir. Kalp atim hızı ve kan oksijen doygunluğu değerleri stabil seyretmiştir. Ortalama kalp atim hızı değerleri arasındaki fark istatistiksel olarak anlamlı bulunmamıştır. Sonuç olarak çocuk diş hekimliğinde anksieteli zor hasta grubunda azot protoksit oksijen ile sedasyon güvenilir olduğu kadar özellikle diş çekimi gibi kısa süreli dental müdahaleler için oldukça etkilidir.
In this study we wanted to evaluate the effectiveness of azote protoxide oxygen sedation on severely anxious pediatric patients. We applied azote protoxide oxygen sedation with Quintiflex MDM-azote protoxide oxygen sedation device by slow induction method. the sedation and analgesia levels of the total of 22 subjects which were 14 girls and 8 boys, were evaluated according to different scales. the oxygen saturations and the heart rates of the patients were followed from a pulse oximeters device during the procedures. the means of the values were statistically calculated in microsoft excel 4.0 descriptive statistics programme. the difference of the means of the heart rate and oxygen saturation values were calculated with the pogrammes called " the coincidence blocks model and the variance analyse in Ege University Computer Research Center". According to the five points sedation test children reached the highest sedation level at the fifteenth and the tvwenty fifth minutes. Venham's clinical anxiety values were found as 1.76± 1.81 and 2.18± 1.79 in between the fifteenth and the twenty fifth minutes at when the dental treatments were performed. Venham's cooperative behavior scale values were found as 1.71 ± 1.90 and 2.27± 1.88. One out of 15 children who were applied local anaesthesia did not show any reaction , 8 of them showed mild reactions and 6 showed moderate reactions. Heart rate and oxygen saturations values were stable during the procedures. the difference between the average heart rate values was not found statistically significant. in conclusion , in pediatric dentistry especially in the severely anxious patient group azote protoxide oxygen sedation is found very safe and especially very effective in short duration dental treatments like deciduous teeth extractions.
In this study we wanted to evaluate the effectiveness of azote protoxide oxygen sedation on severely anxious pediatric patients. We applied azote protoxide oxygen sedation with Quintiflex MDM-azote protoxide oxygen sedation device by slow induction method. the sedation and analgesia levels of the total of 22 subjects which were 14 girls and 8 boys, were evaluated according to different scales. the oxygen saturations and the heart rates of the patients were followed from a pulse oximeters device during the procedures. the means of the values were statistically calculated in microsoft excel 4.0 descriptive statistics programme. the difference of the means of the heart rate and oxygen saturation values were calculated with the pogrammes called " the coincidence blocks model and the variance analyse in Ege University Computer Research Center". According to the five points sedation test children reached the highest sedation level at the fifteenth and the tvwenty fifth minutes. Venham's clinical anxiety values were found as 1.76± 1.81 and 2.18± 1.79 in between the fifteenth and the twenty fifth minutes at when the dental treatments were performed. Venham's cooperative behavior scale values were found as 1.71 ± 1.90 and 2.27± 1.88. One out of 15 children who were applied local anaesthesia did not show any reaction , 8 of them showed mild reactions and 6 showed moderate reactions. Heart rate and oxygen saturations values were stable during the procedures. the difference between the average heart rate values was not found statistically significant. in conclusion , in pediatric dentistry especially in the severely anxious patient group azote protoxide oxygen sedation is found very safe and especially very effective in short duration dental treatments like deciduous teeth extractions.
Açıklama
Anahtar Kelimeler
Diş Hekimliği
Kaynak
İstanbul Üniversitesi Diş Hekimliği Fakültesi Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
32
Sayı
4
