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AN EFFECT OF SLEEPING HOURS PRIOR TO PROCEDURE ON CHLORAL HYDRATE SEDATION FOR PEDIATRIC DENTAL PATIENT

소아환자에서 치료 전 수면 시간이 chloral hydrate 진정 효과에 미치는 영향

  • Maeng, Yu-Jin (Department of Pediatric Dentistry, Sacred Heart Hospital, Hallym University) ;
  • Oh, So-Hee (Department of Pediatric Dentistry, Sacred Heart Hospital, Hallym University)
  • 맹유진 (한림대학교 성심병원 소아치과) ;
  • 오소희 (한림대학교 성심병원 소아치과)
  • Received : 2010.12.02
  • Accepted : 2011.10.25
  • Published : 2011.11.30

Abstract

Sedative method and its effect are affected by diverse variables: dosage and intake method of drug, weight, gender, patient compliance, sleeping hours prior to procedure, treatment hours, health status, type of used drugs are the factors. This study is conducted with empirical observation that shorter the sleeping hours before the day of chloral hydrate sedation, the effectiveness is larger; and therefore to actually recognize the correlation between chloral hydrate/hydroxyzine sedation and sleeping hours of child patient prior to sedation. The subjects were those children whose sleeping hours were similar to each other at the ages ranging from 2 to 5 years old totaling 37 children. Total 11 of them received pulp treatment. Sedative effect was evaluated by the same assessor with Houpt's rating scale. Sedative effect in relation with prior day's sleeping hours evaluated with simple regression analysis. Sedative effect in relation with pulp treatment was analyzed with independent t-test. Sleeping hours prior to sedation and sedation effect have negative correlation. No significant correlation is found between pulp treatment and sedation effect(p>0.05).

소아치과 분야에서 chloral hydrate와 hydroxyzine를 이용한 진정 요법은 가장 보편화된 방법이지만 진정 효과는 약물의 용량, 연령, 체중, 술 전 환아의 수면 시간, 술 전 공복유지 유무, 환아의 건강 상태에 따라 좌우 될 수 있다. 본 연구는 경험적으로 chloral hydrate 진정 요법 시행 전날 수면 시간이 짧을수록 진정 효과가 더 크다는 점에 착안하여 협조전 단계 환아에서 chloral hydrate/hydroxyzine을 이용한 진정 치료 시 치료 전 수면 시간과 진정 효과의 관계에 대해 알아보고자 시행 하였다. 한림대 소아치과에 내원한 환자 중 사전 조사에서 1일 평균 수면 시간이 비슷한 만 2-5세 아이들 37명을 대상으로 chloral hydrate/hydroxyzine 진정 요법 하 치료를 시행하였다. 치수 치료를 포함하여 수복치료를 요하는 아이들을 대상으로 하였으며 치수치료를 한 환자는 총 11명이었다. 진정 효과는 동일한 평가자에 의해 Houpt 등의 rating scal에 따라 점수를 산정하여 단순회귀 분석법으로 평가하였고 치수 치료 유무에 따라 진정 효과가 달라지는지 여부를 t-test로 평가하여 다음과 같은 결과를 얻었다. 1. Houpt 등의 rating scale 중 sleep, crying 항목은 전날 수면 시간에 따라 유의하지는 않지만 반비례 상관관계를 지닌다(p>0.05). 2. Movement, overall behavior는 전날 수면 시간에 따라 유의하게 반비례하는 상관관계를 나타냈다(p<0.05). 3. 치료 내용에 따른 진정 요법 효과의 차이는 보이지 않았다(p>0.05). 실험 결과 진정 전 수면 시간이 짧을수록 진정 효과가 높은 것으로 나타났다.

Keywords

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