镇静需求量表工具在口腔静脉镇静与全身麻醉决策中的应用效果

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[中图分类号] R78 [文献标志码] A

Application effect of Indicator of Sedation Need in decision-making for intravenous sedation and general anesthesia in stomatologyJING Wudi， JING Quan，MA Lin， WANG Shuang，WANG Xinxin， WAN Kuo （Departmentof Stomatology，Chinese Academyof Medical Science&Peking Union MedicalCollgeHospital，Beijing100730， China）

[ABSTRACT]ObjectiveTo investigate the aplication efectof Indicatorof Sedation Need（IOSN）in decision-making for intravenoussedationandgeneralanesthesiainstomatologyMethodsAtotalof68patientswhoatendedPain-FreeDentistry Centerofour hospital from July2023 toMay 2024andreceived dentaltreatmentunderintravenous sedationorgeneralanesthesia wereenrolled，andacording tothe methodofsedation，thepatients weredividedinto intravenous sedation groupwith33patients andgeneralanesthesia group with35patients.Thepatientswerescoredusing thespecificitemsinIOSNtoanalyzetheapplication ofIOSNindecision-makingforthetwomethodsofsedation，andtheIOSNtoolconsistedof threcorecomponents，i.Modified Dental AnxietyScale（MDAS），Medicaland Behavioral Indicator Score（MBIS），and Dental Treatment Complexity Score（DTCS）. ResultsThere was no significant difference in MDAS score between the two groups （ P>0.05 ）. The general anesthesia group had a significantly higher IOSN score than the intravenous sedation group （t=4.454，P<0.05） . DTCS was the main influencing factor for the IOSN score of patients and the selection of methods of sedation （Z=-6.587，P<0.05） .Notably，the selected method of sedation for 29.4% of the patients was not consistent with the method recommended by IOSN，primarily due to the request for a specificsedationtechniquebythepatientorashortenedcourseof treatment.ConclusionIOSNisanefectivetolforassisting dentists indeciding the methodofsedation.OnthebasisofIOSNscore，healtheducationforpatientsanddoctor-patientcommunicationshouldbestrengthenedtoaddresstheirsubjectivepreferences，therebynhancingthescienticrigorandcomplianceofecision-making.

[KEYWORDS] Indicator of sedation need; Oral diseases； Intravenous sedation；Anesthesia，general; Dental anxiety

牙科焦虑作为口腔治疗中的常见障碍，可导致患者出现回避治疗及治疗依从性差等问题，从而导致口腔疾病的进展[1-3]。（剩余9456字）