本学附属病院高齢・障害者歯科における静脈内鎮静法の検討

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Clinicostical observation of intravenous sedation during dental treatment was performed in 168 cases treated at Fukuoka Dental College Hospital between April 1991 and April 1995. Of 168 cases, there were 119 males (70.8%) and 69 patients (41.1%) were in their twenies which was the largest age group. Patient groups consisted of the behaviour management group with 129 cases (76.8%), followed by the general management group with 27 cases (16,1%). The most common disease in these groups were mental retardation (51 cases, 39.5%) in the former and heart disease (17 cases, 63.0%) in the latter group, respectively. We administered midazolam (127 cases, 75.6%), diazepam (29 aes, 17.3%), flunit razepam (8cases, 4.8%), fentanyl citrate (4 cases, 2.3%), as the sedative agents. The percentage of dental treatments given under psychosedation (intravenous sedation, inhalation of nitrous oxide with oxygen and their combination) was 55.4% of all treatments. There were 38 cases that required intravenous sedation more than twice (53.5%). Eleven cases were administered flumazenil, an antagonist of benzodiazepines. The most common treatment was oral surgery (25.1%), followed by restorative treatments (22.1%). The most frequently used chronic medications were antiepileptics in the behaviour management group and cardiotonics, antithrombotics, and coronary vasodilators in general manegement group. Undersirable side effects during and after intravenous sedation were observed in a few cases, but no severe complications were noted .
福岡歯科大学学会の論文
1995-09-30

本学附属病院高齢・障害者歯科における静脈内鎮静法の検討

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