通讯作者: 胡海游, huhaiyou2010@163.com

DOI：10.12201/bmr.202611.00006

Safety and Effect Analysis of Age-stratified Anesthesia for Full-age Comfortable Oral Treatment

• 摘要：目的 观察按年龄分层制定的口腔舒适化麻醉方案在诊疗完成情况、不良反应、苏醒时间与患者评价等方面的表现。方法 选取2025年6月至2026年8月在本院舒适化诊疗中心接受口腔治疗的125例患者资料，依据年龄与发育阶段划分两组：3～17岁儿童及青少年83例接受气管插管全身麻醉（general anesthesia，GA），GA组；18岁及以上成人42例接受瑞马唑仑联合右美托咪定静脉镇静（intravenous sedation，IVS），IVS组。收集人口学资料、麻醉管理参数、术中生命体征、苏醒时间、并发症、麻醉后出院评分（post-anesthesia discharge score，PADS）与满意度。结果 125例患者均按计划完成诊疗，术中生命体征平稳，未出现严重呼吸循环抑制、喉痉挛或误吸。GA组在手术时长、诱导时间、苏醒时间与留观时间上均长于IVS组（P＜0.05），两组PADS评分接近（P＞0.05）。不良反应总发生率为2.4%，程度均较轻，两组比较差异无统计学意义（P＞0.05）。6个年龄亚组的苏醒时间、不良反应发生率与满意度相互比较差异均无统计学意义（P＞0.05）。结论 年龄分层麻醉策略用于口腔舒适化诊疗安全性好、可行性强，儿童与青少年选用GA、成人选用IVS，不良反应少见且患者接受度高，能够兼顾各年龄段的生理与心理特点，具备推广条件。

  关键词： 口腔舒适化诊疗；年龄分层；静脉镇静；全身麻醉；瑞马唑仑; ; ; ; 

   

  Abstract: Objective To observe the performance of an age-stratified anesthesia strategy for comfortable oral care with respect to treatment completion, adverse reactions, recovery time and patient evaluation. Methods Clinical records of 125 patients who received oral treatment at our comfortable care center from June 2025 to August 2026 were reviewed retrospectively. By age and developmental stage, 83 children/adolescents aged 3–17 years receiving tracheal intubation general anesthesia were assigned to the GA group, and 42 adults aged 18 years or older receiving intravenous sedation with remimazolam plus dexmedetomidine to the IVS group. Demographic data, anesthesia parameters, intraoperative vital signs, recovery time, complications, post-anesthesia discharge score (PADS) and satisfaction were collected and analyzed using SPSS 26.0. Results All 125 patients completed planned treatments uneventfully with stable intraoperative vital signs, no severe respiratory or circulatory depression, laryngospasm or aspiration. Operation duration, induction time, recovery time and post-procedure observation stay were longer in the GA group than in the IVS group (P<0.05), while PADS scores were comparable between groups (P>0.05). The overall adverse reaction rate was 2.4%, all mild, with no statistically significant difference (P>0.05). Anesthesia success rate was 100% in every case, and no significant inter-subgroup differences were found across six age strata for recovery time, adverse events or satisfaction (P>0.05). Conclusion This age-stratified anesthesia protocol for comfortable oral care is safe and feasible, with GA for children/adolescents and IVS for adults producing few adverse reactions and high patient acceptance. It addresses the specific physiological and psychological characteristics of each age group well, and is suitable for wider clinical adoption.

  Key words: Dental comfort care; Age stratification; Intravenous sedation; General anesthesia; Remimazolam

  提交时间：2026-11-05

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• 序号	提交日期	编号	操作
  1	2026-10-11	10.12201/bmr.202611.00006V1	下载

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