牙科治疗用阿替卡因或甲哌卡因局麻的效果  

Local anesthesia effects of articaine and mepivacaine on tooth therapy-a randomized controlled double-blind trial

作　　者：侯锐[1] 刘桂才[1] 朱庆林[1] 许杰[1] 吕昕[1] 李锋[1] 周强[1] 

机构地区：[1]第四军医大学口腔医学院,陕西西安710032

出　　处：《牙体牙髓牙周病学杂志》2006年第9期511-514,共4页Chinese Journal of Conservative Dentistry

摘　　要：目的:比较阿替卡因和甲哌卡因在牙科治疗中的局麻效果及安全性。方法:将需要在牙体、牙周、修复和外科拔牙治疗中采用局部麻醉的病人各60例随机分成甲、乙两组,分别采用阿替卡因、甲哌卡因进行局部麻醉,监测麻醉前后病人的血压和心率,用疼痛行为法和视觉模拟疼痛法(VAS评分法)进行疼痛评分并记录局麻副作用。结果:两种麻药安全性好,在不同牙科治疗时阿替卡因的平均评分值低于甲哌卡因,但尚无明显统计学差异。结论:采用阿替卡因、甲哌卡因局麻下进行牙科治疗,效果相近,安全可靠,建议推广使用。AIM：： To compare the anesthesia effect of articaine and mepivacaine during tooth therapy. METHODS： Two hundred and forty patients were randomizedly divided into two groups; anesthesia with articaine and mepivacaine was applied to them respectively during different tooth therapy. The following items were measured and recorded ： the blood pressure and heart rate before and after anesthesia, the facial expression of patients during the operation and the complication of anesthesia. VAS scores were also measured to access the degree of pain during the tooth extraction. RESULTS： Both of articaine and mepivacaine were safe during tooth therapy. Although the scores of the facial expression and VAS in articaine group were lower than those in mepivacaine group during different tooth therapy, there was no significant difference between two anesthetics. CONCLUSIONS： Both of articaine and mepivacaine are effective and safe anesthetics during tooth therapy.

关 键 词：阿替卡因 甲哌卡因 牙科治疗 麻醉 

分 类 号：R782.05[医药卫生—口腔医学]