Pinar DEMİR, Sacide DUMAN, Uğur AKDAĞ, Osman SARAÇ, Gülsüm DURUK

Genel Anestezi Altında Diş Tedavisi Sonrası Hastaların Postoperatif Konforunun Değerlendirilmesi

Amaç: Postoperatif konforun kapsamlı bir şekilde değerlendirilmesi ve iyileştirilmesi, çocukların gelecekteki diş fobisinin üstesinden gelmek için önemlidir. bu çalışmanın amacı genel anestezi altında dental tedavi sonrası; postoperatif ağrı ve komplikasyonların dental prosedürlerle ilişkisini FLACC ağrı değerlendirme skalasıyla incelemektir. Yöntemler: Çalışmaya 3-8 yaş arası sağlıklı, kooperatif olmayan çocuklar dahil edildi. Sistemik ya da genetik hastalığı olan çocuklar ve mental retarde çocuklar çalışma dışı tutuldu. Hastaların demografik bilgileri, diş tedavileri, ameliyat süreleri ve ameliyat sonrası konforu kaydedildi. Hastaların ameliyat sonrası konforları diş hekimi tarafından FLACC skalası ile değerlendirildi. Hastaların FLACC skorları (0, 20, 40, 60 ve 120. dakika) ve postoperatif komplikasyonları (0, 60, 120, 240 dakika) kaydedildi. Bulgular: Hastaların ortalama yaşı 5.23 (±2.24) operasyon süresi 98.43 (±31.5) dakika ve çekilen diş sayısı 1.15 (±1.23)'dir. Postoperatif ağrıyı takiben en sık komplikasyonlar sırasıyla; %52.05 ile boğaz ağrısı, %50.68 ile bulantı, %41.09 ile oral kanama ve %24.65 ile uyuklamadır. En az görülen komplikasyonlar %12.32 ile ateş ve %13.69 ile nazal kanama olmuştur. FLACC skoru 4 ve üzeri olan hasta yüzdesi % 63.01’dir. Operasyon süresi uzadıkça ( >90 dakika) ve çekilen diş sayısı ( >4) arttıkça hastanın postoperatif konforunun azaldığı görüldü. Sonuçlar: FLACC skorlamasının yeterli olduğu ve skalanın içerdiǧi kriterlerin kullanımı ile postoperatif konforun objektif şekilde değerlendirildiği görülmüştür.

Anahtar Kelimeler:

Dental genel anestezi, diş tedavisi, FLACC, postoperatif hasta konforu, dental anksiyete.

Evaluation of Postoperative Comfort of Patients After Dental Treatment Under General Anesthesia

Objective: Comprehensive evaluation and improvement of postoperative comfort is important to overcome children's future dental phobia. The aim of this study is after dental treatment under general anesthesia; To examine the relationship between postoperative pain and complications with dental procedures using the FLACC pain assessment scale. Methods: Healthy non-cooperative children aged 3-8 years were included in the study. Children with systemic or genetic diseases and children with mental retardation were excluded from the study. Demographic information, dental treatments, operation times and postoperative comfort of the patients were recorded. Postoperative comforts of the patients were evaluated with FLACC scale by the dentist. The patients' FLACC scores (0, 20, 40, 60 and 120 minutes) and postoperative complications (0, 60, 120, 240 minutes) were recorded. Results: The mean age of the patients is 5.23 (±2.24), the operation time is 98.43 (±31.5) minutes and the number of extracted teeth is 1.15 (± 1,23). Following postoperative pain, the most common complications are; Sore throat (52.05%), nausea (50.68%), oral bleeding (41.09%) and drowsiness (24.65%). The least common complications were fever (12.32%) and nasal bleeding (13.69%). The percentage of patients with a FLACC score of 4 and above is 63.01%. It was observed that the postoperative comfort of the patient decreased as the operation time extended ( > 90 minutes) and the number of extracted teeth ( > 4) increased. Conclusions: It was observed that FLACC scoring was sufficient and postoperative comfort was evaluated objectively by using the criteria included in the scale.

Keywords:

Dental general anesthesia, dental treatment, FLACC, postoperative patient comfort, dental anxiety,

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