Objective: This study aimed to evaluate the postoperative complications undergoing dental general anesthesia in children and analyze the prevalence and related factors.
Methods: This prospective study involved 292 systematically healthy children (36 to 71 months old) who received extensive dental treatment under general anesthesia. Data about patients' histories, characteristics, dental and anesthesia procedure were collected. Parents or caregivers were interviewed face to face preoperation and 72 h postoperation. Data were analyzed using logistic regression.
Results: Approximately 93.5% of the enrolled children reported one or more complications. The most prevalent complication was postoperative pain, followed by weariness, agitation, problem in eating, drowsiness, oral bleeding, cough, fever, etc. The length of operative time and femininity were the risks of the postoperative pain. Nutrition status was the factor probably in association with fever.
Conclusions: The children receive longer operative time and girls show to be more susceptible to the postoperative pain. High nutrition status could be the protective factor of postoperative fever.
目的 调查并分析儿童行牙科全身麻醉治疗的术后反应和影响因素。方法 纳入292名36~71月龄接受牙科全身麻醉治疗的健康儿童，记录其各项信息。术后72 h对随访看护人进行问卷调查，调查数据采用logistic回归分析。结果 93.5%的患儿出现了至少一种术后反应，最常见的依次为疼痛、困倦、烦躁不安、进食困难、嗜睡、口内出血、咳嗽、发热等。多因素相关性分析显示：手术时长、性别为女性是术后疼痛的危险因素；营养水平高是术后发热的保护因素。结论 儿童牙科全身麻醉下手术时长与术后疼痛呈正相关，且女童更易感到疼痛，营养水平高可降低术后发热的风险。.
Keywords: dental general anesthesia; fever; postoperative pain; problem in eating; severe early childhood caries.