现代医药卫生
現代醫藥衛生
현대의약위생
MODERN MEDICINE HEALTH
2015年
2期
173-175
,共3页
卡替卡因%利多卡因/投药和剂量%根管疗法%麻醉,牙科%牙髓疾病/药物疗法%焦虑
卡替卡因%利多卡因/投藥和劑量%根管療法%痳醉,牙科%牙髓疾病/藥物療法%焦慮
잡체잡인%리다잡인/투약화제량%근관요법%마취,아과%아수질병/약물요법%초필
Carticaine%Lidocaine/administration &dosage%Root canal therapy%Anesthesia,dental%Dental pulp diseases/drug therapy%Anxiety
目的：比较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。方法选择2011年12月至2013年12月在该院治疗牙体牙髓病及根尖周病患者196例（共249颗牙髓失活不全或有残髓的牙），将其随机分为A、B两组，各98例，分别用阿替卡（A组）及碳酸利多卡因（B组）进行根管内牙髓麻醉，记录患者麻醉前、麻醉中的血压和心率情况；并且用视觉模拟评分法（VAS）评价麻醉术中的疼痛程度。结果两组患者血压、心率比较，差异均无统计学意义（P>0.05）。A组麻醉有效率[94.21%（114/121）]高于B组[85.94%（110/128）]，差异有统计学意义（P＜0.05）；两组患者VAS评分比较，A组疼痛评分为（1.80±2.34）分，B组（2.77±2.95）分，差异有统计学意义（P＜0.05）。结论阿替卡因与碳酸利多卡因在操作中疼痛评分有差异，阿替卡因与碳酸利多卡因根管内注射可获得较好的麻醉效果，且前者优于后者，根管内注射的方法可有效降低患者的牙科焦虑症。
目的：比較阿替卡因與碳痠利多卡因在根管殘餘活牙髓治療中的痳醉效果。方法選擇2011年12月至2013年12月在該院治療牙體牙髓病及根尖週病患者196例（共249顆牙髓失活不全或有殘髓的牙），將其隨機分為A、B兩組，各98例，分彆用阿替卡（A組）及碳痠利多卡因（B組）進行根管內牙髓痳醉，記錄患者痳醉前、痳醉中的血壓和心率情況；併且用視覺模擬評分法（VAS）評價痳醉術中的疼痛程度。結果兩組患者血壓、心率比較，差異均無統計學意義（P>0.05）。A組痳醉有效率[94.21%（114/121）]高于B組[85.94%（110/128）]，差異有統計學意義（P＜0.05）；兩組患者VAS評分比較，A組疼痛評分為（1.80±2.34）分，B組（2.77±2.95）分，差異有統計學意義（P＜0.05）。結論阿替卡因與碳痠利多卡因在操作中疼痛評分有差異，阿替卡因與碳痠利多卡因根管內註射可穫得較好的痳醉效果，且前者優于後者，根管內註射的方法可有效降低患者的牙科焦慮癥。
목적：비교아체잡인여탄산리다잡인재근관잔여활아수치료중적마취효과。방법선택2011년12월지2013년12월재해원치료아체아수병급근첨주병환자196례（공249과아수실활불전혹유잔수적아），장기수궤분위A、B량조，각98례，분별용아체잡（A조）급탄산리다잡인（B조）진행근관내아수마취，기록환자마취전、마취중적혈압화심솔정황；병차용시각모의평분법（VAS）평개마취술중적동통정도。결과량조환자혈압、심솔비교，차이균무통계학의의（P>0.05）。A조마취유효솔[94.21%（114/121）]고우B조[85.94%（110/128）]，차이유통계학의의（P＜0.05）；량조환자VAS평분비교，A조동통평분위（1.80±2.34）분，B조（2.77±2.95）분，차이유통계학의의（P＜0.05）。결론아체잡인여탄산리다잡인재조작중동통평분유차이，아체잡인여탄산리다잡인근관내주사가획득교호적마취효과，차전자우우후자，근관내주사적방법가유효강저환자적아과초필증。
Objective To compare anesthesia effect of residual pulp between articaine and lidocaine carbonate. Meth-ods A total of 196 patients curing endodontic and periapical disease from December 2011 to December 2013 of this hosiptal were randomly assigned in group A and group B ,98 patients per group. Group A was injected with articaine and group B with li-docaine carbonate. Blood pressure and heart rate were recorded at pre-anesthesia,the moment of anesthesia,The patients pain degree at anesthesia time and during the operation was valuated by VAS. Results Blood pressure and heart rate of the two groups were compared and showed no statistically significant difference between them (P>0.05). The effective rate of group A was while group B[94.21%(114/121) vs 85.94%(110/128)],which had statistically significant difference (P<0.05). The VAS scores of group A while group B[(1.80±2.34) vs (2.77±2.95)],which had statistically significant difference(P<0.05). Conclusion There is difference in VAS scores between articaine and lidocaine carbonate ,both of which could get good anesthetic efficacy. Futher-more,the former is supervior than the latter. The injection of root canal is benefitial for decreasing the dental fear of the patients.
