目的:评估静吸复合全麻下婴幼儿龋治疗的效果.方法:门诊收集60名符合2002年美国儿童牙科学会重症婴幼儿龋标准的1～5岁健康儿童,其中男38人,女22人.最小年龄17个月,最大年龄60个月,龋均10.62.在静吸复合全麻下接受全口牙齿治疗,术后半年及1年复查,统计充填体保存率,继发龋出现率及经治人群的龋病发病率,使用SPSS软件进行统计学分析.结果:1年复查充填体保存率96.93%,继发龋出现率半年复查为0.32%,1年复查为4.36%,具有统计学显著差异(X2=22.069,P=0.00).龋病发病率半年复查为6.67%,1年复查为13.33%,虽无统计学差异,但增高趋势明显.结论:全麻下治疗婴幼儿龋疗程短,疗效佳,临床应用前景广阔.应注意取得患儿家长的配合,培养患儿良好的口腔卫生习惯,定期复查,以达到良好的远期效果.%Objective: To evaluate the treatment of early childhood caries under general anaesthesia.Methods: 60 (38 male and 22 female aged, 17 to 60 months) children with early childhood caries with Xdmft of 10.62 according to 2002 American standard were treated under general anaesthesia.Patients were followed-up 6 and 12 months after treatment.Retention rate of dental restoration, secondary cares rate and incidence of caries were recorded.SPSS 10.0 software package was used for statistical analysis.Results: Retention rate of dental restoration was 96.93％ 12 months after treatment.6 and 12 months after treatment secondary caries rate was 0.32％ and 4.36％ respectively(x2 = 22.069, P= 0.00) , incidence of caries was 6.67％ and 13.33％ respectively.Conclusion: Early childhood caries treated under general anaesthesia is feasible in pediatric dentistry.
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