Complications of Moderate Sedation Versus Deep Sedation/General Anesthesia for Adolescent Patients Undergoing Third Molar Extraction
Complications of Moderate Sedation Versus Deep Sedation/General Anesthesia for Adolescent Patients Undergoing Third Molar Extraction
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DOI：
10.1016/j.joms.2015.10.009
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发表时间：
2016-03-01
影响因子：
1.9
通讯作者：
Chuang, Sung-Kiang
中科院分区：
文献类型：
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作者：
Inverso, Gino;Dodson, Thomas B.;Chuang, Sung-Kiang
目的：观察青少年患者拔除第三磨牙时，中度镇静与深度镇静/全身麻醉的并发症，并确定两种镇静水平的并发症风险是否存在差异。材料和方法：我们从2001年1月至2010年12月对口腔颌面外科手术结果系统进行了前瞻性研究。主要预测变量为镇静程度，分为两组：中度镇静与深度镇静/全麻组。主要结果是镇静水平引起的不良并发症的发生率。采用独立样本t检验、X(2)检验和方差分析对队列特征的差异进行分析。结果：中度镇静组并发症发生率为0.5%，深度镇静/全麻组并发症发生率为0.9%。与中度镇静相比，深度镇静/全身麻醉并不显著增加不良麻醉并发症的风险(调整后的优势比1.63，95%可信区间0.95~2.81；P=0.077)。结论：我们的研究结果表明，青少年患者拔除第三磨牙时，选择中度和深度镇静/全身麻醉并不会增加不良麻醉并发症的风险。(C)2016美国口腔颌面外科协会口腔颌面外科杂志74：474-479,2016
Purpose: To examine the complications resulting from moderate sedation versus deep sedation/general anesthesia for adolescent patients undergoing third molar extraction and determine whether any differences in complication risks exist between the 2 levels of sedation.Materials and Methods: We performed a prospective study of the Oral and Maxillofacial Surgery Outcomes System from January 2001 to December 2010. The primary predictor variable was the level of sedation, divided into 2 groups: moderate sedation versus deep sedation/general anesthesia. The primary outcome was the incidence of adverse complications resulting from the sedation level. Differences in the cohort characteristics were analyzed using the independent samples t test, chi(2) test, and analysis of variance, as appropriate. Multivariable logistic regression was used to measure the effect the level of sedation had on the adverse complication rate.Results: Patients in the moderate sedation group had a complication rate of 0.5%, and patients in the deep sedation/general anesthesia group had a complication rate of 0.9%. Compared with moderate sedation, deep sedation/general anesthesia did not pose a significantly increased risk of adverse anesthesia complications (adjusted odds ratio 1.63, 95% confidence interval 0.95 to 2.81; P = .077).Conclusions: The results of our study have shown that the risk of adverse anesthesia complications is not increased when choosing between moderate and deep sedation/general anesthesia for adolescent patients undergoing third molar extraction. (C) 2016 American Association of Oral and Maxillofacial Surgeons J Oral Maxillofac Surg 74: 474-479, 2016