精准医学杂志2025，Vol.40Issue(5)：408-412,5.DOI:10.13362/j.jpmed.202540114
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
Application effect of Indicator of Sedation Need in decision-making for intravenous sedation and ge-neral anesthesia in stomatology
摘要
Abstract
Objective To investigate the application effect of Indicator of Sedation Need(IOSN)in decision-making for intravenous sedation and general anesthesia in stomatology.Methods A total of 68 patients who attended Pain-Free Dentistry Center of our hospital from July 2023 to May 2024 and received dental treatment under intravenous sedation or general anesthesia were enrolled,and according to the method of sedation,the patients were divided into intravenous sedation group with 33 patients and general anesthesia group with 35 patients.The patients were scored using the specific items in IOSN to analyze the application of IOSN in decision-making for the two methods of sedation,and the IOSN tool consisted of three core components,i.e.,Modified Dental Anxiety Scale(MDAS),Medical and Behavioral Indicator Score(MBIS),and Dental Treatment Complexity Score(DTCS).Results There 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 specific sedation technique by the patient or a shortened course of treatment.Conclusion IOSN is an effective tool for assisting dentists in deciding the method of sedation.On the basis of IOSN score,health education for patients and doctor-patient communi-cation should be strengthened to address their subjective preferences,thereby enhancing the scientific rigor and compliance of deci-sion-making.关键词
镇静需求量表/口腔疾病/静脉镇静/麻醉,全身/牙科治疗焦虑Key words
Indicator of sedation need/Oral diseases/Intravenous sedation/Anesthesia,general/Dental anxiety分类
医药卫生引用本文复制引用
靖无迪,景泉,马林,王爽,王欣欣,万阔..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[J].精准医学杂志,2025,40(5):408-412,5.基金项目
北京协和医院中央高水平医院临床科研专项(专科提升计划)(2022-PUMCH-B-035) （专科提升计划）
