아동의 비만도가 진정요법의 효과에 미치는 영향
The influence of obesity on pediatric conscious sedation
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본 연구의 목적은 소아의 비만도가 진정요법의 효과에 미치는 영향을 알아보는 것이다. 삼성서울병원 소아치과에 내원한 환자 중 ASA I 또는 II에 해당하는 40명의 환아 (평균연령 30.5개월, 평균신장 91.3cm, 평균체중 14.3kg)를 대상으로 chloral hydrate(60mg/kg) 및 hydroxyzine(25mg)을 사용하여 진정요법을 시행하였다. 환아의 체중과 신장을 이용하여 환아 각각의 비만도를 계산하였고 Broadsky’s scale을 이용하여 편도선의 크기를 측정하였다. 진정요법에 대한 결과는 Houpt’s scale(수면, 움직임, 울음, 전반적인 행동지수)을 이용하여 평가하였다. 환아의 비만도는 진정효과중 움직임과 울음에 대하여는 통계학적으로 유의한 차이를 만들지 않았으나 비만도가 증가할수록 전반적인 행동지수가 유의하게 나빠지는 결과를 보였다.
Abstract
Objective: This study was conducted to investigate as to whether obesity have any effects on conscious sedation outcomes. Methods: Forty children (mean age 30.5 months, mean height and weight were 91.3 cm, 14.3 kg respectively) were sedated with chloral hydrate (60 mg/kg) and hydroxyzine (25 mg). The relative obesity rate of the patients was obtained by the proportion of height to weight and the tonsil size of the patients was classified by Brodsky’s scale. The overall sedation outcomes were evaluated by Houpt’s scale. The pulse and respiratory rates during sedation were also evaluated. Results: The obesity of the patients had no statistically significant effects on movement, crying during sedation. However, an increase in obesity had negative effects on the overall conscious sedation outcomes. Conclusion: This investigation demonstrated that increased obesity may cause detrimental effects on pediatric conscious sedation outcomes.
참고문헌 (21)
- "Increasing pediatric obesity in the United States", 141, pp.535~540 (1987)
- "Bruce treadmill test in children:normal value in a clinic population", 41, pp.69~75 (1978)
- "Relationship of childhood weight status to morbidity in adults", 86, pp.273~284 (1971)
- "Relationship of excess weight in children and adults", 75, pp.263~273 (1960)
- "Childhood antecedents of adult obesity", pp.6~9 (1976)
- "Sedation in pediatric dentistry", 109, pp.564~569 (1984)
- "Diagnosis and treatment of respiratory problems in sedation and anesthesia for dentistry", 39, pp.150~156 (1992)
- "Should the parents remain with the child in the dental operatory", pp.150~163 (1962)
- "Modern assessment of tonsils and adenoids hloral hydrate dosage for young children ASDC J Dent for Child", pp.1551 364~1569 369 (1989)
- "Overdose with chloral hydrate:a pharmacological and therapeutic review", 149, pp.686~689 (1988)
- "Sedation of children for technical procedure:current standard of practice", 31, pp.137~142 (1992)
- "Chloral hydrate and other drugs used in sedating younger children:A survey of the American Academy of Pedodontic Diplomates", 5, pp.252~256 (1983)
- "Project USAP the use of sedative agents in pediatric dentistry:1991 update", 15, pp.36~40 (1993)
- "Management of the refractory young child with chloral hydrate:dosage selection", 54, pp.22~29 (1987)
- "Chloral hydrate sedation:a simple technique", 15, pp.884~890 (1994)
- "Therapeutic assessment of chloral hydrate premedication for pediatric dentistry", 31, pp.191~196 (1984)
- "Pulse oximetry monitoring of sedated pediatric dental patients", 32, pp.237~240 (1985)
- "Primary care and Guideline for healthy weight", 341, pp.427~434 (1999)
- "Evaluation pulmonary function and polysomnography in obese children and adolescents", 21, pp.176~193 (1996)
- "Sleep associated breathing disorders in morbidly obese children", 115, pp.992~997 (1999)
- "Recent developments in pulse oximetry", 76, pp.1018~1038 (1992)