分层麻醉在儿童乳牙拔除术中的应用研究  

Application of layered anesthesia in deciduous tooth extraction of children

作　　者：杨运强[1] 邵乐南[1] 汤国雄[1] 陈秋丽[1] 蒋梁[1] 李殿奇 张广[1] 吴源[2] 

机构地区：[1]华中科技大学同济医学院附属同济医院口腔科,湖北武汉430030 [2]青海红十字医院口腔科,青海西宁810000

出　　处：《临床口腔医学杂志》2017年第8期489-491,共3页Journal of Clinical Stomatology

基　　金：国家自然科学基金青年科学基金项目(81500830)

摘　　要：目的:探讨分层麻醉在儿童乳牙拔除术中的临床应用效果。方法:选取2016年2月~2017年2月在武汉同济医院口腔科就诊的乳牙滞留患者60例,分为实验组与对照组,每组各30例。实验组采取分层麻醉(地卡因表面麻醉+必兰浸润麻醉),对照组采取必兰直接浸润麻醉的方法,记录两组患儿在乳牙拔除术中的配合程度。结果:分层麻醉组患儿在乳牙拔除术中的配合性高于对照组,差异有统计学意义(P<0.001)。结论:分层麻醉能有效解决乳牙拔除术中的针刺等疼痛问题,提高患儿的配合性,且简单易行,值得临床推广。Objective：This research aimed to introduce and discuss the application value of layered anesthesia in deciduous tooth extraction of children.Methods：Sixty patients with deciduous tooth retention from department of stomatology of Tongji Hospital,were included in the study since Feb 2016 to Feb 2017.Patients were divided to experimental group and control group that each with 30 patients.The experimental group were adopted layered anesthesia that were dicaine surface anesthesia and primacaine adrenaline infiltration anaesthesia,while the control group adopted direct infiltration anaesthesia.The collaboration degree of the two group children during the tooth extraction process were rated in the study.Results：The collaboration degree of the layered anesthesia group patients were much higher compared to control group,and the differences had evident statistical significance（P〈0.001）.Conclusion：The layered anesthesia can solve the pain problem induced by acupuncture in deciduous tooth extraction effectively and improve the patients＇ collaboration,that be simple and practicable and should be worthy of clinical application.

关 键 词：乳牙滞留 分层麻醉 疼痛 儿童 拔牙 

分 类 号：R782.1[医药卫生—口腔医学]