复方阿替卡因对患儿牙体牙髓病无痛麻醉效果研究
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摘要
目的分析复方阿替卡因对患儿牙体牙髓病无痛麻醉效果,为临床麻醉提供参考。方法选取治疗牙体牙髓病,需局部麻醉的患儿160例,随机分为观察组和对照组各80例,观察组给予复方阿替卡因局部浸润麻醉,对照组给予利多卡因局部浸润麻醉,分析两组患者麻醉效果。结果观察组麻醉总有效率(97.6%)显著高于对照组(83.7%)(P<0.05),观察组无痛率(80.0%)显著高于对照组(57.5%)(P<0.05),麻醉前后两组患者心率均未出现明显变化(P>0.05)。结论儿童牙体牙髓无痛麻醉中,采用复方阿替卡因麻醉效果显著,能够提高麻醉效果。
Objective To analyze the anesthesia effect of compound articaine on children's dental pain,and provide reference for clinical anesthesia. Methods 160 children who were treated with gums painless dental anesthesia in hospital from May 2015 to October 2015 were selected,then patients were divided into observation group(80 cases) and control group(80 cases). Observation group patients were taken clinical anesthesia of compound articaine anesthesia,while control group patients were taken clinical anesthesia of Procaine hydrochloride anesthesia,and anesthetic effects of patients were compared. Results Total effective rate of anesthesia of observation group(97. 6%) was significantly higher than control group(83. 7%)(P < 0. 05),painless rate of the observation group(80.0%) was significantly higher than control group(57.5%)(P<0.05),both before and after anesthesia heart rates of two groups had no significant changes(P>0.05). Conclusion In children's dental gums painless anesthesia,the anesthetic effect of compound articaine is significant and can be improved,with a promotional value.
Objective To analyze the anesthesia effect of compound articaine on children's dental pain,and provide reference for clinical anesthesia. Methods 160 children who were treated with gums painless dental anesthesia in hospital from May 2015 to October 2015 were selected,then patients were divided into observation group(80 cases) and control group(80 cases). Observation group patients were taken clinical anesthesia of compound articaine anesthesia,while control group patients were taken clinical anesthesia of Procaine hydrochloride anesthesia,and anesthetic effects of patients were compared. Results Total effective rate of anesthesia of observation group(97. 6%) was significantly higher than control group(83. 7%)(P < 0. 05),painless rate of the observation group(80.0%) was significantly higher than control group(57.5%)(P<0.05),both before and after anesthesia heart rates of two groups had no significant changes(P>0.05). Conclusion In children's dental gums painless anesthesia,the anesthetic effect of compound articaine is significant and can be improved,with a promotional value.
引文
[1]孙小艳.复方阿替卡因在儿童牙体牙髓无痛疗效中的分析[J].中外医疗,2015,1(17):101-102.
[2]夏宇,罗洪,谢红,等.阿替卡因和利多卡因在牙体牙髓病治疗中麻醉疗效的比较[J].贵州医药,2011,35(11):1005-1006.
[3]Yashar N,Engeland CG,Rosenfeld AL,et al.Radiographic considerations for the regional anatomy in the posterior mandible[J].JPeriodont,2012,83(1):36.
[4]Hansson P,Ekblom A,Thomsson M,et al.Pain development and consumption of analgesics after oral surgery in relation to personality characteristics[J].Pain,1989,37(3):271-277.
[5]Kanaa MD.A comparison of the efficacy of 4%articaine with 1:100,000 epinephrine and 2%lidocaine with 1:80,000epinephrine in achieving pulpal anesthesia in maxillary teeth with irreversible pulpitis[J].J Endo,2012,38(3):279.
[6]Shurtz R,Nusstein J,Reader A,et al.Buffered 4%articaine as a primary buccal infiltration of the mandibular first molar:a prospective,randomized,double-blind study[J].J Endodo,2015,41(9):1403-1407.一并寄出。自在线投稿系统启用以来,已不再接受纸质文稿。电话/传真:(86-25)86658322 E-mail:kqyx@njmu.edu.cn网址:www.stomatology.cn地址:江苏省南京市汉中路136号《口腔医学》杂志编辑部邮编:210029
[7]Ramin A,Masoud P,Nouzar N,et al.A comparison of different volumes of articaine for inferior alveolar nerve block for molar teeth with symptomatic irreversible pulpitis[J].J Endo,2015,41(9):1408-1411.
[8]赵林琪.牙体牙髓病治疗中阿替卡因肾上腺素的麻醉效果[J].按摩与康复医学,2014,34(6):177-177.
[9]李景辉,陈光宇,张方明,等.种植体联合牙半切术单冠修复下颌磨牙的疗效观察[J].北京口腔医学,2012,20(6):334-337.
[10]夏雨秀.阿替卡因与利多卡因在牙体牙髓病治疗中的麻醉效果观察[J].吉林医学,2015,36(13):2807-2807.
[11]白军令.不同麻醉方法在牙体牙髓病治疗中的应用效果及安全性对比[J].中国伤残医学,2015,05(69):87-88.
[12]周骢,黎春晖.阿替卡因与碳酸利多卡因在根管残余活牙髓治疗中的麻醉效果比较[J].现代医药卫生,2015,31(2):173-175.
[13]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.
[14]王华,丁飩.阿替卡因肾上腺素与无痛口腔麟仪搭配应用于儿童牙体牙髓无痛疗效[J].医学信息,2014,1(16):263-264.
[15]杨文章,张爱华.观察复方阿替卡因(碧兰麻)在牙体牙髓病治疗中的麻醉效果[J].中国医疗美容,2014,6(6):181-181
[16]陈凯,唐小山,杨启祥,等.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].实用临床医药杂志,2014,18(17):130-132.
[17]赵林琪.牙体牙髓病治疗中阿替卡因肾上腺素的麻醉效果[J].中外医疗,2014,33(6):177-177.
[18]陈雅琴,宁恒清,张雪珠.利多卡因与阿替卡因治疗牙体牙髓病麻醉的效果对比分析[J].北方药学,2016,13(5):172-173.
[19]丁一凡.阿替卡因联合肾上腺素在牙髓病治疗中的疗效观察[J].辽宁医学杂志,2016,3(1):32-34.
[20]苗晨.研究肾上腺素联合阿替卡因治疗牙髓病的临床疗效[J].数理医药学杂志,2017,30(3):390-392.
[2]夏宇,罗洪,谢红,等.阿替卡因和利多卡因在牙体牙髓病治疗中麻醉疗效的比较[J].贵州医药,2011,35(11):1005-1006.
[3]Yashar N,Engeland CG,Rosenfeld AL,et al.Radiographic considerations for the regional anatomy in the posterior mandible[J].JPeriodont,2012,83(1):36.
[4]Hansson P,Ekblom A,Thomsson M,et al.Pain development and consumption of analgesics after oral surgery in relation to personality characteristics[J].Pain,1989,37(3):271-277.
[5]Kanaa MD.A comparison of the efficacy of 4%articaine with 1:100,000 epinephrine and 2%lidocaine with 1:80,000epinephrine in achieving pulpal anesthesia in maxillary teeth with irreversible pulpitis[J].J Endo,2012,38(3):279.
[6]Shurtz R,Nusstein J,Reader A,et al.Buffered 4%articaine as a primary buccal infiltration of the mandibular first molar:a prospective,randomized,double-blind study[J].J Endodo,2015,41(9):1403-1407.一并寄出。自在线投稿系统启用以来,已不再接受纸质文稿。电话/传真:(86-25)86658322 E-mail:kqyx@njmu.edu.cn网址:www.stomatology.cn地址:江苏省南京市汉中路136号《口腔医学》杂志编辑部邮编:210029
[7]Ramin A,Masoud P,Nouzar N,et al.A comparison of different volumes of articaine for inferior alveolar nerve block for molar teeth with symptomatic irreversible pulpitis[J].J Endo,2015,41(9):1408-1411.
[8]赵林琪.牙体牙髓病治疗中阿替卡因肾上腺素的麻醉效果[J].按摩与康复医学,2014,34(6):177-177.
[9]李景辉,陈光宇,张方明,等.种植体联合牙半切术单冠修复下颌磨牙的疗效观察[J].北京口腔医学,2012,20(6):334-337.
[10]夏雨秀.阿替卡因与利多卡因在牙体牙髓病治疗中的麻醉效果观察[J].吉林医学,2015,36(13):2807-2807.
[11]白军令.不同麻醉方法在牙体牙髓病治疗中的应用效果及安全性对比[J].中国伤残医学,2015,05(69):87-88.
[12]周骢,黎春晖.阿替卡因与碳酸利多卡因在根管残余活牙髓治疗中的麻醉效果比较[J].现代医药卫生,2015,31(2):173-175.
[13]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.
[14]王华,丁飩.阿替卡因肾上腺素与无痛口腔麟仪搭配应用于儿童牙体牙髓无痛疗效[J].医学信息,2014,1(16):263-264.
[15]杨文章,张爱华.观察复方阿替卡因(碧兰麻)在牙体牙髓病治疗中的麻醉效果[J].中国医疗美容,2014,6(6):181-181
[16]陈凯,唐小山,杨启祥,等.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].实用临床医药杂志,2014,18(17):130-132.
[17]赵林琪.牙体牙髓病治疗中阿替卡因肾上腺素的麻醉效果[J].中外医疗,2014,33(6):177-177.
[18]陈雅琴,宁恒清,张雪珠.利多卡因与阿替卡因治疗牙体牙髓病麻醉的效果对比分析[J].北方药学,2016,13(5):172-173.
[19]丁一凡.阿替卡因联合肾上腺素在牙髓病治疗中的疗效观察[J].辽宁医学杂志,2016,3(1):32-34.
[20]苗晨.研究肾上腺素联合阿替卡因治疗牙髓病的临床疗效[J].数理医药学杂志,2017,30(3):390-392.