牙体牙髓病治疗中阿替卡因肾上腺素的麻醉效果  

The Anesthetic Effect of Articaine and Adrenaline in the Treatment of Dental Pulp Disease

作　　者：赵林琪 

机构地区：[1]河南省荣军医院口腔科,河南新乡453002

出　　处：《中外医疗》2014年第6期66-67,共2页China & Foreign Medical Treatment

摘　　要：目的探究牙体牙髓病治疗中阿替卡因肾上腺素的麻醉效果观察。方法资料随机选自2011年3月—2013年3月在该院诊治的牙体牙髓病患者96例,按照随机数字表方法将患者随机分为两组,每组48例,予以利多卡因联合麻醉患者作对照组,予以阿替卡因联合肾上腺素麻醉作研究组,分析两组患者的麻醉效果、疼痛和面部表情情况。结果研究组麻醉效果优患者,多于对照组的麻醉效果优患者,比较差异有统计学意义(P<0.05);研究组的麻醉总优良率,多于对照组比较差异有统计学意义(P<0.05)。研究组的完全无痛患者,多于对照组完全无痛患者,比较差异有统计学意义(P<0.05)。研究组的面部表情的评分,优于对照组的面部表情评分,比较差异有统计学意义(P<0.05)。结论针对牙体牙髓病患者予以阿替卡因联合肾上腺素治疗成效显著,能够明显降低疼痛效果,并提升麻醉的效果,具有一定临床应用价值。Objective To explore the anesthetic effect of articaine and adrenaline in the treatment of dental pulp disease. Methods The data of 96 eases of patients with dental pulp disease admitted in our hospital from March, 2011 to March, 2013 were randomly selected. And the patients were divided into two groups according to random number table method, each group of 48 cases. Lido- caine anesthesia was given to the control group, and articaine combined with adrenalin was given to the study group. The anesthet- ic effect, pain and facial expressions were compared between the groups. Results The number of patients with excellent anesthetic effect was more than that of the study group, the difference was statistically significant （P〈0.05）;the excellent and good rate of anesthetic effect of the study group was more than that of the control group, the difference was statistically significant（P〈0.05 ）; the number of completely painless patients in the study group was more than that in the control group, the difference was statistically significant（P〈0.05）, the scores of facial expressions were better than those of the control group, the difference was statistically sig- nificant（P〈O.05）. Conclusion For patients with dental pulp disease, articaine combined with adrenalin is quite effective, it can sig- nificantly reduce the pain and improve the anesthetic effect and has certain clinical application value.

关 键 词：牙体牙髓病 阿替卡因 肾上腺素 麻醉 效果 

分 类 号：R782.054[医药卫生—口腔医学]