中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2013年
21期
56-57,58
,共3页
蒋昕%杜静冰%孔耀
蔣昕%杜靜冰%孔耀
장흔%두정빙%공요
碧兰麻%利多卡因%局部麻醉%儿童正畸%拔牙
碧蘭痳%利多卡因%跼部痳醉%兒童正畸%拔牙
벽란마%리다잡인%국부마취%인동정기%발아
Primacaine%Lidocaine%Local anesthetic%Children orthodontics%Tooth extraction
目的：应用碧兰麻对儿童正畸的拔牙病例实施局部浸润麻醉下拔牙术，观察其麻醉效果。方法：选取需拔除四颗前磨牙进行正畸治疗的儿童96例，共计384颗牙，分两次拔牙，每次将单颌两侧对称的前磨牙同期拔除。对拔牙术实施的局部麻醉随机分为两组，一侧设计为碧兰麻组48例采用碧兰麻局部浸润麻醉，另一侧设计为利多卡因组48例采用利多卡因局部阻滞麻醉。麻醉起效后开始拔牙，观察记录麻醉时间、麻醉效果，并进行对比分析。结果：碧兰麻组的麻醉起效时间短于利多卡因组（P<0.01），而麻醉持续时间长于利多卡因组（P<0.01）；碧兰麻组的麻醉完全率高于利多卡因组（P<0.01）。结论：碧兰麻在儿童拔牙正畸病例拔牙术中的麻醉起效快，作用时间长、镇痛效果好、副作用少、安全可靠，可作为儿童拔牙时局部麻醉药物的首选。
目的：應用碧蘭痳對兒童正畸的拔牙病例實施跼部浸潤痳醉下拔牙術，觀察其痳醉效果。方法：選取需拔除四顆前磨牙進行正畸治療的兒童96例，共計384顆牙，分兩次拔牙，每次將單頜兩側對稱的前磨牙同期拔除。對拔牙術實施的跼部痳醉隨機分為兩組，一側設計為碧蘭痳組48例採用碧蘭痳跼部浸潤痳醉，另一側設計為利多卡因組48例採用利多卡因跼部阻滯痳醉。痳醉起效後開始拔牙，觀察記錄痳醉時間、痳醉效果，併進行對比分析。結果：碧蘭痳組的痳醉起效時間短于利多卡因組（P<0.01），而痳醉持續時間長于利多卡因組（P<0.01）；碧蘭痳組的痳醉完全率高于利多卡因組（P<0.01）。結論：碧蘭痳在兒童拔牙正畸病例拔牙術中的痳醉起效快，作用時間長、鎮痛效果好、副作用少、安全可靠，可作為兒童拔牙時跼部痳醉藥物的首選。
목적：응용벽란마대인동정기적발아병례실시국부침윤마취하발아술，관찰기마취효과。방법：선취수발제사과전마아진행정기치료적인동96례，공계384과아，분량차발아，매차장단합량측대칭적전마아동기발제。대발아술실시적국부마취수궤분위량조，일측설계위벽란마조48례채용벽란마국부침윤마취，령일측설계위리다잡인조48례채용리다잡인국부조체마취。마취기효후개시발아，관찰기록마취시간、마취효과，병진행대비분석。결과：벽란마조적마취기효시간단우리다잡인조（P<0.01），이마취지속시간장우리다잡인조（P<0.01）；벽란마조적마취완전솔고우리다잡인조（P<0.01）。결론：벽란마재인동발아정기병례발아술중적마취기효쾌，작용시간장、진통효과호、부작용소、안전가고，가작위인동발아시국부마취약물적수선。
Objective:To explore the application and the anaesthetic effect of primacaine on tooth extraction in children orthodontics.Method:96 malocclusion children who were designed to pull out four premolar teeth were selected.A total of 384 teeth,the four teeth were extracted in twice and the same name of one side were pulled out in the same term.The patients were divided into two group randomly:48 cases of primacaine group were infiltration anaesthetized with primacaine.48 cases of the lidocaine group were block anesthetized with Lidocaine.Extracted the tooth after anesthesia.The duration of anesthesia and the anesthetic effect were observed and recorded.Then compared and analyzed.Result:The onset time of the primacaine group was shorter than the lidocaine group(P<0.01).The duration of anesthesia of the primacaine group was longer than the lidocaine group(P<0.01).The holonarcosis rate of the primacaine group was hisher than that of the lidocaine group(P<0.05).Conclusion:Primacaine used in children orthodontic extraction was short onset time, long duration,good analgesic effects and less side-effect.Primacaine shoud be the first choice of local anesthetic in children orthodontic of tooth extraction.
