Journal of the korean academy of Pediatric Dentistry (대한소아치과학회지)

Korean Academy of Pediatric Dentistry (대한소아치과학회)
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PULSE RATE AND OXYGEN SATURATION IN CHILDREN DURING ROUTINE RESTORATIVE DENTISTRY

소아 치과치료시 심박동과 동맥혈 산소포화도의 변화

  • Kim, Ha-Na (Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Chonbuk National University) ;
  • Baik, Byeong-Ju (Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Chonbuk National University) ;
  • Kim, Jae-Gon (Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Chonbuk National University) ;
  • Yang, Yeon-Mi (Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Chonbuk National University) ;
  • Park, Jeong-Yeol (Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Chonbuk National University)
  • 김하나 (전북대학교 치과대학 소아치과학교실) ;
  • 백병주 (전북대학교 치과대학 소아치과학교실) ;
  • 김재곤 (전북대학교 치과대학 소아치과학교실) ;
  • 양연미 (전북대학교 치과대학 소아치과학교실) ;
  • 박정렬 (전북대학교 치과대학 소아치과학교실)
  • Published : 2008.02.29
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Abstract

Pulse oximeter to monitor oxygen saturation during pediatric dental sedations enables early detection of hypoxemia. The purpose of this study was to monitor the hemoglobin oxygen saturation level and pulse rate of nonmedicated pediatric patients during routine restorative procedures to study the effect of procedure and treated jaw. We obtained data from 53 children treated at the Department of Pediatric Dentistry, Chonbuk national university hospital. Pulse rate and oxygen saturation were measured and recorded using pulse oximetry at each step of treatment. The results are as follows: 1. In non-anesthesia group, steep increase of pulse rate was observed during rubber dam application in the maxilla and during cavity preparation in the mandible. 2. In anesthesia group, pulse rate started to decrease after the rubber dam application in the maxilla, while its decrease observed since cavity preparation step in the mandible. 3. In non-anesthesia group, oxygen saturation level was relatively constant during all steps in the maxilla, but in mandible, it was higher during operation compared to its pre and post operation baseline. 4. In anesthesia group, oxygen saturation level was observed at 99% level through all steps in both jaw groups, and there was no statistical significance between the maxilla and the mandible groups(p>0.05). The purpose of this study was to evaluate the effect of routine dental treatment on the pulse rate and oxygen saturation level in nonmedicated pediatric patients during routine restorative procedures in the maxilla and mandible.

소아환자의 진정법시 사용되는 환자감시 기구 중 하나인 pulse oximeter는 산소포화도를 감시하여 조기에 저산소혈증을 발견하는데 유용하게 이용된다. 이 연구의 목적은 진정법을 시행하지 않은 소아환자에서 pulse oximeter(pulse oximeter7845, Kontron Instrument Ltd., England)를 이용하여 일상적인 수복치료시 치료단계에 따른 심박동과 동맥혈 산소포화도의 양상이 어떻게 나타나는지 알아보고자 한다. 전북대학교병원 소아치과에 내원한 53명의 어린이를 대상으로 치료전 3분과 치료후 3분을 포함하여 수복치료 단계별로 심박동과 동맥혈 산소포화도가 기록되었고, 기록된 수치를 바탕으로 다음의 결과를 얻었다. 1. 비마취군에서 상, 하악 치료군 간 심박동 변화를 비교시 상악의 경우 러버댐 장착시 심박동이 급격히 증가한데 비해 하악치료군에서는 와동 형성시 심박동이 크게 증가하였다. 2. 마취군에서 상, 하악 심박동 변화를 비교시 상악치료군에서는 러버댐 장착을 기점으로 심박동이 감소되는 양상을 보인 반면, 하악 치료군은 와동형성시점부터 심박동이 감소되었다. 3. 비마취군에서 상, 하악 치료군 간 동맥혈 산소포화도를 비교하였을 때 상악 치료군은 치료 전부터 치료 후까지 비교적 일정한 값을 나타내며 모든 단계에서 하악보다 약간 높은 값을 보인 반면, 하악 치료군은 러버댐 장착시 증가하여 유지되다가 치료 후 다시 치료 전 수준과 유사하게 감소하는 양상을 보였다. 4. 마취군에서는 모든 단계에서 동맥혈 산소포화도 값이 99% 수준에 머물고 있으며, 상악과 하악 치료군 사이에 유의한 차이는 존재하지 않았다(p>0.05).

Keywords

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