阿替卡因肾上腺素注射液(碧兰麻)对牙髓麻醉效果的临床观察  

Clinical observation of the effect of Primacaine on pulpal anesthesia.

作　　者：张芳[1] 

机构地区：[1]中日友好医院口腔科,北京100029

出　　处：《临床和实验医学杂志》2006年第4期330-331,共2页Journal of Clinical and Experimental Medicine

摘　　要：目的观察用两种阿替卡因肾上腺素注射液(碧兰麻)麻醉方法进行牙髓麻醉的临床效果。方法203颗上下颌前磨牙和磨牙随机分成两组,实验组进行局部浸润麻醉,对照组进行局部浸润麻醉加髓腔注射。观察碧兰麻对开髓拔髓的麻醉效果以及上下颌牙齿对碧兰麻的反应。结果碧兰麻对上颌牙齿的麻醉优于对下颌牙齿的麻醉,差异具有显著性(P<0.01)。实验组和对照组拔髓术的比较中,实验组优于对照组,下颌牙齿的比较差异具有显著性(P<0.01)。结论采用碧兰麻局部浸润麻醉加髓腔注射可明显减轻牙髓治疗的疼痛。Objective To observe the clinical effect of primacaine on pulpal anesthesia with two methods. Methods Two hundred and three maxillomandibular premolar teeth and molar teeth were assigned randomly to experiment group and control group to observe the anesthesia effect in endodontic treatment with primacaine and the reaction of maxillomandibular teeth. Experiment group was administered with local infiltration anesthesia, control group was administered with local infiltration and antram dental anesthesia. Results The effect of anesthesia in maxillary teeth was better than that in mandibular teeth. （ P 〈 0.01 ）. Significant differences was also found between the two groups of mandibular teeth in extirpation of pulp（ P 〈0. 01 ）. Conclusion Local infiltration and antrum dental anesthesia could lightening pain in endodontic treatment.

关 键 词：牙髓麻醉 阿替卡因肾上腺素注射液(碧兰麻) 

分 类 号：R781.31[医药卫生—口腔医学]