不同局部麻醉方法在下颌磨牙不可复性牙髓炎开髓治疗中的麻醉效果  

Anesthetic efficacy of different local anesthesia methods in opening pulp chamber therapy for patients with irreversible endodontitis in mandibular molar

作　　者：钱才梅 闫明[2] 吴锦涛[2] QIAN Caimei;YAN Ming;WU Jintao(Department of Stomatology , Gaoyou Hospital #f Chinese Medicine, Gaoyou 225600, CHIN)

机构地区：[1]高邮市中医医院口腔科,江苏省225600 [2]南京医科大学口腔疾病研究所江苏省重点实验室(南京医科大学附属口腔医院牙体牙髓科)

出　　处：《江苏医药》2017年第23期1681-1683,共3页Jiangsu Medical Journal

基　　金：国家自然科学基金(81600822);江苏高校优势学科(2014-37)

摘　　要：目的比较牙周韧带浸润麻醉与下牙槽神经阻滞麻醉用于下颌磨牙不可复性牙髓炎开髓治疗的麻醉效果。方法下颌磨牙不可复性牙髓炎患者120例随机均分为三组,A、B组分别采用甲哌卡因、阿替卡因行牙周韧带浸润麻醉;C组采用利多卡因行下牙槽神经阻滞。比较三组的麻醉效果。结果 A、B、C组患者麻醉均满意,VAS疼痛评分3分以下者分别为38例(95.0%)、39例(97.5%)、38例(95.0%),差异无统计学意义(P>0.05)。结论在下颌磨牙不可复性牙髓炎开髓治疗中,甲哌卡因或阿替卡因行牙周韧带浸润麻醉均可取得与利多卡因行下牙槽神经阻滞一样的良好麻醉效果。Objective To compare the anesthetic efficacy of periodontal ligament anesthesia with articaine or mepivacaine and inferior alveolar nerve block with lidocaine in opening pulp chamber therapy for the patients with irreversible endodontitis in mandibular molar.Methods A total of 120 patients with irreversible endodontitis in mandibular molar was randomly divided into three groups with 40 cases each.The patients in groups of A and B were anaesthetized by periodontal ligament anesthesia with mepivacaine or articaine and those in group C by inferior alveolar nerve block with lidocaine.The anesthetic efficacy was evaluated with VAS pain score.Results The anesthetic efficacy of three groups was all satisfactory.The case numbers of patients with VAS pain scores of less 3 points were 38（95.0%）,39（97.5%）and 38（95.0%）in groups of A,B and C,respectively （P〉0.05）.Conclusion Periodontal ligament anesthesia with mepivacaine or articaine can provide same effective local anesthesia as inferior alveolar nerve block with lidocaine in opening pulp chamber therapy for the patients with irreversible endodontitis in mandibular molar.

关 键 词：牙周韧带浸润麻醉 牙槽神经阻滞 甲哌卡因 阿替卡因 牙髓炎 

分 类 号：R782[医药卫生—口腔医学]