临床和实验医学杂志
臨床和實驗醫學雜誌
림상화실험의학잡지
Journal of Clinical and Experimental Medicine
2015年
20期
1732-1734
,共3页
下颌磨牙%急性牙髓炎%斯康杜尼%局部浸润麻醉
下頜磨牙%急性牙髓炎%斯康杜尼%跼部浸潤痳醉
하합마아%급성아수염%사강두니%국부침윤마취
Mandibular molar%Acute pulpitis%Scandonest%Local infiltration anesthesia
目的：探讨下颌磨牙急性牙髓炎的斯康杜尼局部浸润麻醉的临床效果。方法选取入院就诊的下颌磨牙急性牙髓炎患者80例，随机分为观察组和对照组，两组40例。观察组采用斯康杜尼局部浸润麻醉，对照组采用利多卡因局部浸润麻醉。两组均在麻醉起效后常规行牙髓治疗操作包括开髓、去冠髓和拔根髓。分析比较两组麻醉方式的镇痛效果、麻醉起效与维持时间以及患者满意度。结果观察组麻醉方式镇痛效果总有效率明显高于对照组（95.0％vs.70.0％），差异具有统计学意义（ P ﹤0.05）；观察组麻醉起效时间与维持时间均优于对照组，差异具有统计学意义（ P ﹤0.05）；观察组患者满意度远高于对照组（97.5％ vs.62.5％），差异具有统计学意义（ P ﹤0.05）。结论对于下颌磨牙急性牙髓炎的麻醉中，斯康杜尼局部浸润麻醉镇痛效果明显优于利多卡因局部浸润麻醉，且麻醉起效快速，持续较久，并获得较高的满意度，值得临床上广泛应用。
目的：探討下頜磨牙急性牙髓炎的斯康杜尼跼部浸潤痳醉的臨床效果。方法選取入院就診的下頜磨牙急性牙髓炎患者80例，隨機分為觀察組和對照組，兩組40例。觀察組採用斯康杜尼跼部浸潤痳醉，對照組採用利多卡因跼部浸潤痳醉。兩組均在痳醉起效後常規行牙髓治療操作包括開髓、去冠髓和拔根髓。分析比較兩組痳醉方式的鎮痛效果、痳醉起效與維持時間以及患者滿意度。結果觀察組痳醉方式鎮痛效果總有效率明顯高于對照組（95.0％vs.70.0％），差異具有統計學意義（ P ﹤0.05）；觀察組痳醉起效時間與維持時間均優于對照組，差異具有統計學意義（ P ﹤0.05）；觀察組患者滿意度遠高于對照組（97.5％ vs.62.5％），差異具有統計學意義（ P ﹤0.05）。結論對于下頜磨牙急性牙髓炎的痳醉中，斯康杜尼跼部浸潤痳醉鎮痛效果明顯優于利多卡因跼部浸潤痳醉，且痳醉起效快速，持續較久，併穫得較高的滿意度，值得臨床上廣汎應用。
목적：탐토하합마아급성아수염적사강두니국부침윤마취적림상효과。방법선취입원취진적하합마아급성아수염환자80례，수궤분위관찰조화대조조，량조40례。관찰조채용사강두니국부침윤마취，대조조채용리다잡인국부침윤마취。량조균재마취기효후상규행아수치료조작포괄개수、거관수화발근수。분석비교량조마취방식적진통효과、마취기효여유지시간이급환자만의도。결과관찰조마취방식진통효과총유효솔명현고우대조조（95.0％vs.70.0％），차이구유통계학의의（ P ﹤0.05）；관찰조마취기효시간여유지시간균우우대조조，차이구유통계학의의（ P ﹤0.05）；관찰조환자만의도원고우대조조（97.5％ vs.62.5％），차이구유통계학의의（ P ﹤0.05）。결론대우하합마아급성아수염적마취중，사강두니국부침윤마취진통효과명현우우리다잡인국부침윤마취，차마취기효쾌속，지속교구，병획득교고적만의도，치득림상상엄범응용。
Objective To explore the clinical effect of treatment of acute pulpitis of mandibular molar in the application of scandonest lo-cal infiltration anesthesia. Methods 80 cases whose mandibular molar teeth was acute pulpitis patients were collected from our hospital. All these cases were randomly divided into observation group and control group. Each group included 40 cases. The observation group was treated with scan-donest local infiltration anesthesia,the control group was treated with lidocaine local infiltration anesthesia,then to analyze and compare the anal-gesic effect,the onset and duration of anesthesia and the satisfaction of patients between the two groups. Results The total effective rate in the observation group was significantly higher than the control group(95. 0% vs. 70. 0% ),the difference was statistically significant( P ﹤ 0. 05). The onset time and duration in the observation group were better than the control group( P ﹤ 0. 05). The satisfaction degree in the observation group was significantly lower than the control group(97. 5% vs. 62. 5% ). The difference was statistically significant( P ﹤ 0. 05). Conclusion The mandibular molar teeth with acute pulpitis of anesthesia,the effect of scandonest local infiltration anesthesia is obvious superior,and anesthesia rapid onset,lasts longer,and to obtain higher satisfaction,it is worth wide clinical application.
