CAJ | 학술논문

目的：比较新型STA无痛麻醉仪和传统手推卡局式注射器在老年牙周病患者牙周韧带注射麻醉和松动患牙拔除术中对患者血压、心率、疼痛程度、面部表情、合作程度和耐受行为的影响。方法：对52例老年牙周病患者的104颗松动牙采用随机、双盲、自身对照的方法进行研究。在局部麻醉时使用新型STA无痛麻醉仪(试验组)和卡局式注射器(对照组)行牙周韧带注射，分别记录麻醉和手术时患者的血压、心率数值并进行疼痛视觉模拟量表(VAS)、 Kuttner、 Frankl和Houpt各量表的评估，收集数据进行统计分析。结果：与卡局式注射器相比，使用新型STA无痛麻醉仪局部麻醉时，老年患者的舒张压(DBP)、 VAS和Kuttner分值明显降低， Frankl和Houpt分值明显升高，差异有统计学意义(P<0.05)，但手术中各项指标的差异无统计学意义(P>0.05)。结论：使用新型STA无痛麻醉仪能明显减轻麻醉中老年患者的血压波动和疼痛程度、缓解面部紧张表情、提高合作程度和耐受行为。
목적：비교신형STA무통마취의화전통수추잡국식주사기재노년아주병환자아주인대주사마취화송동환아발제술중대환자혈압、심솔、동통정도、면부표정、합작정도화내수행위적영향。방법：대52례노년아주병환자적104과송동아채용수궤、쌍맹、자신대조적방법진행연구。재국부마취시사용신형STA무통마취의(시험조)화잡국식주사기(대조조)행아주인대주사，분별기록마취화수술시환자적혈압、심솔수치병진행동통시각모의량표(VAS)、 Kuttner、 Frankl화Houpt각량표적평고，수집수거진행통계분석。결과：여잡국식주사기상비，사용신형STA무통마취의국부마취시，노년환자적서장압(DBP)、 VAS화Kuttner분치명현강저， Frankl화Houpt분치명현승고，차이유통계학의의(P<0.05)，단수술중각항지표적차이무통계학의의(P>0.05)。결론：사용신형STA무통마취의능명현감경마취중노년환자적혈압파동화동통정도、완해면부긴장표정、제고합작정도화내수행위。
Objective:To compare the effect of single tooth anesthesia and the traditional hand-push cartridge on the blood pressure, heart rate, pain level, facial expression, cooperation and tolerance of the elderly patients during local anesthesia and tooth extraction.Methods:Fifty-two patients had their bilateral loose teeth removed through a random, double-blind, self-controlled clinical trial in two visits. On one side single tooth anesthesia (experimental group) was used for the periodontal ligament injection. On the other side, hand-push cartridge (control group) was used the same way. Blood pressure, heart rate, Visual Analogue Scale(VAS), Kuttner facial expressions, Frankl Behavior Rating Score and Houpt Behavior Rating Scale were assessed during local anesthesia and tooth extraction. The data were collected and the statistical analyses were performed.Results:Compared with the hand-push cartridge,single tooth anesthesia could statistically lower systolic blood pressure, reduce VAS and Kuttner rating score, and increase Frankl and Houpt rating score when giving anesthesia to the elderly patients(P<0.05). However, no statistically significant differences were found during the tooth extraction (P>0.05).Conclusion:The usage of the single tooth anesthesia could lower the blood pressure, reduce pain, release the facial expression, and thus increase the degree of cooperation and improve tolerance when giving anesthesia to the elderly patients.