阿替卡因与利多卡因在下颌牙慢性牙髓炎急性发作开髓术中的麻醉效果比较  

Comparison of Anesthetic Effects of Articaine and Lidocaine in Acute Attack of Chronic Pulpitis Odontotrypy

作　　者：周燕[1] 游古莲[1] 裘松波[1] 杨露霞[1] 张纲[1] 

机构地区：[1]第三军医大学新桥医院口腔科,重庆400037

出　　处：《中国药房》2013年第48期4543-4544,共2页China Pharmacy

摘　　要：目的:比较阿替卡因与利多卡因在慢性牙髓炎急性发作开髓术中的麻醉效果。方法:将220例慢性牙髓炎急性发作拟行开髓术的患者随机均分为试验组和对照组,分别用阿替卡因和利多卡因进行麻醉,5 min后比较两组患者的麻醉效果,并观察两组不良反应的发生情况。结果:试验组患者的麻醉有效率(100.0%)显著高于对照组(92.8%),两组比较差异有统计学意义(P<0.05)。对照组有2例患者发生不良反应,而试验组未见不良反应发生,两组不良反应发生率比较,差异有统计学意义(P<0.05),对照组显著高于试验组。结论:使用阿替卡因对慢性牙髓炎急性发作患者行开髓术的麻醉效果及安全性均优于利多卡因。OBJECTIVE： To compare anesthetic effects of articaine and lidocaine in cacute attack of chronic pulpitis odontotrypy. METHODS： 220 acute pulpitis patients were randomly divided into trial group and control groups. They were given articaine and lidocaine anesthesia, 5 min later anesthetic effects were compared and ADR of 2 groups were observed. RESULTS： The rate of complete anesthesia in trial group （100.0%） were significantly higher than that of control group （92.8%）; there was statistical significance （P〈0.05）. 2 patients suffered from ADR in control group, while no ADR was observed in trial group; there was statistical significance （P〈0.05） ; the incidence of ADR in control group was significantly higher than that of trial group. CONCLUSIONS： The anesthetic effect and safety of articaine are better than lidocaine in acute pulpitis odontotrypy.

关 键 词：阿替卡因 利多卡因 慢性牙髓炎急性发作 开髓术 局部麻醉 

分 类 号：R781.31[医药卫生—口腔医学]