CAJ | 학술논문

目的：评价右美托咪定滴鼻结合笑/氧吸入镇静在老年患者拔牙术中的安全性和有效性。方法60例门诊老年患者拔牙患者分成两组(n=30),Ⅰ组(笑/氧吸入镇静)；Ⅱ组(右美托咪定滴鼻结合笑/氧吸入镇静)。记录患者基础值(T0)、局部麻醉时(T1)、拔牙时(T2)、拔牙后10 min(T3)生命体征,Ramsay镇静评分,焦虑评分,视觉模拟评分法(VAS)评分,术后患者满意度评分。结果术后患者满意度Ⅱ组高于Ⅰ组(P<0.05)。T1时,Ⅱ组患者焦虑评分,VAS 评分均低于Ⅰ组,差异有统计学意义(P<0.05)；T2时,Ⅱ组患者镇静程度高,Ramsay镇静评分高于Ⅰ组(P<0.01),焦虑评分、VAS 评分低于Ⅰ组(P<0.05)。T2时,Ⅱ组心率低于Ⅰ组(P<0.05)。结论右美托咪定滴鼻结合笑/氧吸入镇静可用于老年患者门诊拔牙术。
목적：평개우미탁미정적비결합소/양흡입진정재노년환자발아술중적안전성화유효성。방법60례문진노년환자발아환자분성량조(n=30),Ⅰ조(소/양흡입진정)；Ⅱ조(우미탁미정적비결합소/양흡입진정)。기록환자기출치(T0)、국부마취시(T1)、발아시(T2)、발아후10 min(T3)생명체정,Ramsay진정평분,초필평분,시각모의평분법(VAS)평분,술후환자만의도평분。결과술후환자만의도Ⅱ조고우Ⅰ조(P<0.05)。T1시,Ⅱ조환자초필평분,VAS 평분균저우Ⅰ조,차이유통계학의의(P<0.05)；T2시,Ⅱ조환자진정정도고,Ramsay진정평분고우Ⅰ조(P<0.01),초필평분、VAS 평분저우Ⅰ조(P<0.05)。T2시,Ⅱ조심솔저우Ⅰ조(P<0.05)。결론우미탁미정적비결합소/양흡입진정가용우노년환자문진발아술。
Objective To evaluate the safety and efficacy of intranasal dexmedetomidine and nitrous oxide/oxygen inhalation sedation assisted in tooth extraction in elderly outpatients.Methods Sixty elderly patients who need tooth extraction were divided into two groups,with 30 patients in each group.The groupⅠwas treated with nitrous oxide/oxygen inhalation sedation,and the groupⅡwas treated with intranasal dexmedetomidine and nitrous oxide/oxygen inhalation sedation.Recording those signs basis val-ue(T0 ),during the injection(T1 ),during the extraction(T2 ),10 min after extraction(T3 ):vital signs,Ramsay sedation score,anxie-ty score,VAS pain score and patients′degree of satisfaction.Results In groupⅡ,patients′degree of satisfaction were significantly higher than groupⅠ(P<0.05)after operation.The VAS pain scores and anxiety scores of groupⅡwere significantly lower than groupⅠ in T1 and T2 (P<0.05).In T2 ,group Ⅱ had lower heart rates (P<0.05).In T2 ,Ramsay score of group Ⅱ was higher than group Ⅰ(P<0.01).Conclusion Intranasal dexmedetomidine and nitrous oxide/oxygen inhalation sedation can be a safe and effective anesthetic method in tooth extraction of elderly patients.