Abstract:

As a special group in the treatment of stomatology，children's tolerance to pain is affected by many factors. In dental treatment for children，if we cannot choose the appropriate behavior management and pain relief，compulsory treatment will leave a psychological shadow for children，which is likely to lead to strong resistance and avoidance behavior，which will bring difficulties for subsequent treatment. With the social progress and the development of the oral medicine，children comfortable treatment is more and more accepted by medical staff and patients. Oral sedation and analgesia therapy increased the compliance of children，and alleviatefear，conducive to the development of the mental health. As the treatment of children's comfort involves many disciplines and fields，there are many challenges and risks at the same time. This article summarizes the different sedative and analgesic methods of children's oral comfort treatment and the current controversy analysis，hoping to help children's stomatology doctorand anesthesiologists.

Key words: sedation, analgesia, children's oral treatment, safety, comfort

摘要：

儿童作为口腔科治疗中的特殊群体，对疼痛的耐受程度受多种因素影响。口腔科治疗中若不能选择合适的行为管理和疼痛缓解方式，强制治疗会使患儿留下心理阴影，容易导致强烈的反抗和逃避行为，为后续治疗带来困难。随着社会进步及口腔医学的整体发展，儿童舒适化治疗被越来越多的医务人员和患者重视并接受。口腔门诊镇静镇痛治疗增加了患儿牙病治疗的依从性，缓解其口腔科恐惧心理，利于其心理健康发育。由于儿童舒适化治疗涉及多个学科和领域，在提供便利的同时也存在着诸多方面的风险和挑战。文章总结了儿童口腔舒适化治疗的不同镇静镇痛方式以及目前存在的争议，希望能对儿童口腔医生和麻醉医生的工作有所帮助。

关键词: 镇静, 镇痛, 儿童口腔治疗, 安全, 舒适