复方阿替卡因在牙体牙髓患者无痛治疗中的应用分析  

The Application Analysis of Compound Articaine in Painless Treatment of Endodontic Disease Patients

作　　者：陈静[1] 

机构地区：[1]沈阳市第七人民医院,辽宁沈阳110003

出　　处：《中国医药指南》2015年第34期8-9,共2页Guide of China Medicine

摘　　要：目的探讨复方阿替卡因在牙体牙髓患者无痛治疗中的应用,为临床治疗牙体牙髓病选择合适的麻醉剂提供依据。方法选取2012年2月至2015年2月于我院进行治疗的牙体牙髓患者128例共178颗患牙,随机分为观察组（复方阿替卡因组）72例,共89颗患牙,对照组（利多卡因组）56例,共89颗患牙。观察组行复方阿替卡因进行麻醉,4%阿替卡因＋10-5肾上腺素1.0～1.5 m L;对照组行利多卡因进行麻醉,2%利多卡因＋10-5肾上腺素4.0～5.0 m L,两组均采用局部浸润的方式进行麻醉。比较分析两组患者麻醉效果、麻醉起效时间及不良反应的发生率。结果观察组麻醉总有效85例（95.51%）,对照组麻醉总有效78例（87.64%）;观察组麻醉起效时间（2.1±0.6）min,对照组麻醉起效时间（4.7±1.3）min;观察组不良反应发生2例（2.25%）,对照组7例（7.87%）,P〈0.05。结论治疗牙体牙髓病应用复方阿替卡因进行麻醉,具有起效快、麻醉效果好、不良反应发生率低等优点,可广泛应用于牙体牙髓患者无痛治疗中。Objective To discuss the application analysis of compound articaine in painless treatment of endodontic disease patients. Methods 128 patients （178 teeth in total） were selected and randomly divided into observation group（compound articaine） with 72 patients（89 teeth） and control group（lidocaine） with 56 patients（89 teeth）. The anesthesia effect, anesthesia onset time and incidence of adverse reactions of two groups were compared and analyzed. Results The total anesthesia effective rate, anesthesia onset time and incidence of adverse reactions of observation group were respectively 95.51%, （2.1±0.6）min and 2.25%, and those of control group were respectively 87.64%, （4.7±1.3）min, and 7.87%, P〈0.05. Conclusion Compound articaine can be widely used in painless treatment of endodontic disease patients.

关 键 词：复方阿替卡因 牙髓炎 麻醉 

分 类 号：R614[医药卫生—麻醉学]