A holistic approach for postoperative pain management in children receiving dental treatment under general anesthesia: a randomized clinical trial
10.12016/j.issn.2096-1456.2022.06.007
- Author:
LIU Bing
1
,
2
,
3
;
WANG Peijuan
1
,
2
,
3
;
ZHANG Yaqiu
1
,
2
,
3
;
FENG Caihua
1
,
2
,
3
;
WANG Jun
4
;
ZHANG Hui
1
,
2
,
3
Author Information
1. State Key Laboratory of Military Stomatology &
2. National Clinical Research Center for Oral Disease &
3. Shaanxi Engineering Research Center for Dental Materials and Advanced Manufacture, Department of Anesthesiology, School of Stomatology, Fourth Military Medical University
4. Department of Anesthesiology, Shaanxi Provincial General Hospital of Armed Police
- Publication Type:Journal Article
- Keywords:
children;
dental treatment;
ambulatory anesthesia;
postoperative pain;
postoperative pain management;
preemptive analgesia;
instructions to parents for pain management;
web-based assessment system;
painless treatment;
comfort therapy;
randomized controlled trial
- From:
Journal of Prevention and Treatment for Stomatological Diseases
2022;30(6):427-432
- CountryChina
- Language:Chinese
-
Abstract:
Objective : To investigate the efficacy of a holistic approach for postoperative pain management in children receiving dental treatment under general anesthesia in day-surgery operating room.
Methods:A total of 120 children, aged 3-7 years, of American Society of Anesthesiologists physical status Ⅰ or Ⅱ, with ≥ 10 treated teeth, receiving comprehensive dental treatment under general anesthesia from January 2020 to August 2020 were enrolled in this trial and randomly allocated into the holistic approach group (group H, n=60) and including preemptive analgesia, instructions to parents for pain management and web-based assessment system (assessment pain by scanning the quick response code 4, 6, and 24 hours postoperatively) and the control group (group C, n=60) only scanning the quick response code. Pain, face, legs, activity, cry and consolability (FLACC) scale was used to assess the level of pain 2 h postoperatively and the parents postoperative pain measure (PPPM) was used to assess the level of pain 4, 6, and 24 h postoperatively in two groups.
Results: The FLACC scores of group H 2 h postoperatively were significantly lower than group C (P <0.05). The incidences of significant pain (PPPM scores ≥ 6) 4, 6 and 24 h postoperatively in group H were lower than group C (P <0.05). Altogether, 91.7% of parents in group H and 71.6% in group C assessed the level of pain of children over time. The compliance rate of parents in group H was significantly higher than group C (P <0.05).
Conclusion : The holistic approach had a positive effect on reducing postoperative pain for children receiving dental treatment under general anesthesia in the day-surgery operating room.
- Full text:疼痛综合管理策略在儿童日间全麻下口腔治疗中应用的随机对照研究.pdf
