利多卡因与阿替卡因在下颌磨牙不可复性牙髓炎麻醉中的作用比较
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摘要
目的分析利多卡因与阿替卡因在下颌磨牙不可复性牙髓炎麻醉中的作用。方法选取2013年1月~2016年12月因下颌磨牙不可复性牙髓炎在我院行牙髓摘除术的96名患者,随机分为利多卡因组及阿替卡因组,每组各48例。在行牙槽神经浸润麻醉时,分别采用2%利多卡因+1︰100 000肾上腺素进行神经阻滞麻醉和采用4%阿替卡因+1︰100 000肾上腺素进行神经阻滞麻醉。观察记录两组患者的麻醉起效时间,术中、术后VAS疼痛评分以及对手术麻醉效果的满意度,对比两种麻醉方式的麻醉效果。结果阿替卡因组患者的术中、术后麻醉起效时间均短于利多卡因组(P<0.05),阿替卡因组患者的疼痛评分显著低于利多卡因组(P<0.05),阿替卡因组患者的麻醉效果满意率显著高于利多卡因组(P<0.05)。结论在下颌磨牙不可复性牙髓炎需进行牙髓摘除术时,选用阿替卡因进行局部麻醉,可以缩短麻醉起效时间,效果显著。
Objective To analyze the effects of Lidocaine and Articaine on mandibular molars irreversible pulpitis anesthesia of mandibular molars.Methods From January 2013 to December 2016,96 patients with irreversible pulpitis of mandibular molars underwent pulpotomy in our hospital were selected and randomly divided into the Lidocaine group and the Articaine group,48 patients in each group.In the anesthesia of alveolar nerve infiltration,2% Lidocaine+1︰100 000 adrenaline was used for nerve block anesthesia and 4% altecaine +1 ︰ 100 000 adrenaline was used for nerve block anesthesia,respectively.The anaesthetic onset time,intraoperative and postoperative VAS pain scores,and satisfaction degree with surgical anesthesia were recorded and observed between the two groups.The difference in anesthetic effects between the two anesthesia methods was compared.Results The time of onset of intraoperative and postoperative anesthesia in the Articaine group was shorter than that in the Lidocaine group(P <0.05),the pain score in the Articaine group was significantly lower than that in the Lidocaine group(P<0.05),the satisfaction rate of anesthesia effect in the Articaine group was significantly higher than that in the Lidocaine group(P<0.05).Conclusion In the case of mandibular molar irreversible pulpitis requiring endodontic surgery,selective use of Articaine for local anesthesia can shorten the onset time of anesthesia,the effect is significant.
Objective To analyze the effects of Lidocaine and Articaine on mandibular molars irreversible pulpitis anesthesia of mandibular molars.Methods From January 2013 to December 2016,96 patients with irreversible pulpitis of mandibular molars underwent pulpotomy in our hospital were selected and randomly divided into the Lidocaine group and the Articaine group,48 patients in each group.In the anesthesia of alveolar nerve infiltration,2% Lidocaine+1︰100 000 adrenaline was used for nerve block anesthesia and 4% altecaine +1 ︰ 100 000 adrenaline was used for nerve block anesthesia,respectively.The anaesthetic onset time,intraoperative and postoperative VAS pain scores,and satisfaction degree with surgical anesthesia were recorded and observed between the two groups.The difference in anesthetic effects between the two anesthesia methods was compared.Results The time of onset of intraoperative and postoperative anesthesia in the Articaine group was shorter than that in the Lidocaine group(P <0.05),the pain score in the Articaine group was significantly lower than that in the Lidocaine group(P<0.05),the satisfaction rate of anesthesia effect in the Articaine group was significantly higher than that in the Lidocaine group(P<0.05).Conclusion In the case of mandibular molar irreversible pulpitis requiring endodontic surgery,selective use of Articaine for local anesthesia can shorten the onset time of anesthesia,the effect is significant.
引文
[1]彭敏,杨小民,朱智敏.4%阿替卡因与2%利多卡因对上后牙不可复性牙髓炎患者麻醉效果的比较[J].现代口腔医学杂志,2011,25(2):156-157.
[2]兰俊,金磊,苏寒.碧兰麻用于牙髓治疗的麻醉效果分析[J].医学研究生学报,2014,27(1):67-69.
[3]孔洁.碧兰麻与利多卡因在牙体牙髓病麻醉治疗中的效果及安全性比较[J].中外医学研究,2016,14(5):23-24.
[4]Hosseini HR,Parirokh M,Nakhaee N,et al.Efficacy of articaine and lidocaine f or buccal infiltration of first maxillary molars with symptomatic irreversible pulpitis:a randomized double-blinded clinical trial[J].Iran Endod J,2016,11(2):79-84.
[5]黄元丁,夏辉,李晓东,等.必兰浸润麻醉与利多卡因阻滞麻醉在下颌阻生齿微创拔牙术中的临床对照研究[J].华西口腔医学杂志,2011,29(3):268-271.
[6]郭世梁,杨卫东,江卫民,等.2%利多卡因与4%阿替卡因对上颌牙齿不可复性牙髓炎患者麻醉效果比较[J].吉林医学,2014,35(9):1795-1797.
[7]Parirokh M,V Abbott P.Various strategies for pain-freeroot canal treatment[J].Iran Endod J,2014,9(1):1-14.
[8]李淑华,王茜,陈绍业.下颌后牙麻醉研究进展[J].口腔医学研究,2012,28(12):1313-1316.
[9]贺晋京.一次法根管治疗术用于感染根管的临床应用观察[J].山西医药杂志,2014,43(18):2200-2202.
[10]李晓莺,黎笔熙,郭毅,等.利多卡因联合阿替卡因在下颌后牙不可逆牙髓炎中的麻醉效果的Mete分析[J].数理医药学杂志,2015,28(3):321-325.
[11]魏会霞,毛延坤,陈靖宜,等.不同剂量利多卡因对老年患者术后认知功能障碍的影响[J].山西医药杂志,2016,45(16):1924-1926.
[12]张子川,李晓燕.利多卡因与阿替卡因对下颌磨牙不可复性牙髓炎麻醉疗效比较[J].解放军医药杂志,2015,27(7):81-84.
[13]吴松.碳酸利多卡因在下牙槽神经阻滞麻醉中的应用效果[J].临床口腔医学杂志,2012,28(8):486-487.
[14]王海芸,龚宗敏,田薇,等.复方阿替卡因与利多卡因在前牙不可复性牙髓炎治疗中麻醉效果比较及对血压的影响[J].浙江医学,2016,38(11):849-851.
[15]卢煜,刘忠俊,黄锦煜,等.阿替卡因与利多卡因在下颌第一磨牙不可复性牙髓炎治疗中浸润麻醉效果的比较[J].山西医药杂志,2017,46(7):815-817.
[2]兰俊,金磊,苏寒.碧兰麻用于牙髓治疗的麻醉效果分析[J].医学研究生学报,2014,27(1):67-69.
[3]孔洁.碧兰麻与利多卡因在牙体牙髓病麻醉治疗中的效果及安全性比较[J].中外医学研究,2016,14(5):23-24.
[4]Hosseini HR,Parirokh M,Nakhaee N,et al.Efficacy of articaine and lidocaine f or buccal infiltration of first maxillary molars with symptomatic irreversible pulpitis:a randomized double-blinded clinical trial[J].Iran Endod J,2016,11(2):79-84.
[5]黄元丁,夏辉,李晓东,等.必兰浸润麻醉与利多卡因阻滞麻醉在下颌阻生齿微创拔牙术中的临床对照研究[J].华西口腔医学杂志,2011,29(3):268-271.
[6]郭世梁,杨卫东,江卫民,等.2%利多卡因与4%阿替卡因对上颌牙齿不可复性牙髓炎患者麻醉效果比较[J].吉林医学,2014,35(9):1795-1797.
[7]Parirokh M,V Abbott P.Various strategies for pain-freeroot canal treatment[J].Iran Endod J,2014,9(1):1-14.
[8]李淑华,王茜,陈绍业.下颌后牙麻醉研究进展[J].口腔医学研究,2012,28(12):1313-1316.
[9]贺晋京.一次法根管治疗术用于感染根管的临床应用观察[J].山西医药杂志,2014,43(18):2200-2202.
[10]李晓莺,黎笔熙,郭毅,等.利多卡因联合阿替卡因在下颌后牙不可逆牙髓炎中的麻醉效果的Mete分析[J].数理医药学杂志,2015,28(3):321-325.
[11]魏会霞,毛延坤,陈靖宜,等.不同剂量利多卡因对老年患者术后认知功能障碍的影响[J].山西医药杂志,2016,45(16):1924-1926.
[12]张子川,李晓燕.利多卡因与阿替卡因对下颌磨牙不可复性牙髓炎麻醉疗效比较[J].解放军医药杂志,2015,27(7):81-84.
[13]吴松.碳酸利多卡因在下牙槽神经阻滞麻醉中的应用效果[J].临床口腔医学杂志,2012,28(8):486-487.
[14]王海芸,龚宗敏,田薇,等.复方阿替卡因与利多卡因在前牙不可复性牙髓炎治疗中麻醉效果比较及对血压的影响[J].浙江医学,2016,38(11):849-851.
[15]卢煜,刘忠俊,黄锦煜,等.阿替卡因与利多卡因在下颌第一磨牙不可复性牙髓炎治疗中浸润麻醉效果的比较[J].山西医药杂志,2017,46(7):815-817.