2种不同舒适化技术在60例高血压患者阻生牙拔除术中的应用评价  

Application of two different comfort techniques in extraction of impacted teeth among 60 patients with hypertension

作　　者：邵云 程庆涛 何欢 李晶 朱微燕 刘嘉靓 SHAO Yun;CHENG Qing-tao;HE Huan;LI Jing;ZHU Wei-yan;LIU Jia-liang(Department of Anesthesiology,Shanghai Stomatological Hospital,Fudan University.Shanghai 200001,China;Department of Oral and Maxillofacial Surgery,Shanghai Stomatological Hospital,Fudan University.Shanghai 200001,China)

机构地区：[1]上海市口腔医院麻醉科,上海200001 [2]上海市口腔医院口腔颌面外科,上海200001

出　　处：《上海口腔医学》2022年第1期109-112,共4页Shanghai Journal of Stomatology

摘　　要：目的:比较氧化亚氮/氧吸入镇静镇痛、右美托咪定联合氟比洛芬酯辅助镇静镇痛2种舒适化技术在高血压患者阻生牙拔除术中的效果。方法:将60例高血压阻生牙拔除术患者随机分为2组(n=30),X组(氧化亚氮/氧吸入镇静镇痛组)和Y组(右美托咪定联合氟比洛芬酯辅助镇静镇痛组)。记录T0(术前)、T1(局部麻醉)、T2(手术操作)、T3(术后5 min)4个时间点的平均动脉压(MAP)、心率(HR)、Ramsay评分、VAS评分。采用SPSS 20.0软件包对数据进行统计学分析。结果:2种舒适化技术,组间各指标比较无统计学差异(P>0.05);每组中T1、T2、T3,与T0时相比,情绪稳定、血流动力学平稳(P<0.05)。结论:2种舒适化技术在高血压患者阻生牙拔除术中均能稳定患者情绪,保持患者血流动力学平稳,安全有效。PURPOSE:To compare the effect of two comfort techniques of nitrous oxide/oxygen inhalation and dexmedetomidine combined with flurbiprofen axetil sedation and analgesia in impacted teeth extraction among patients with hypertension.METHODS:According to the inclusion and exclusion criteria,sixty patients undergoing impacted teeth extraction with hypertension were randomly divided into 2 groups:X group(nitrous oxide/oxygen inhalation,n=30)and Y group(dexmedetomidine combined with flurbiprofen axetil assisted sedation and analgesia,n=30).The following parameters at T0(preoperative),T1(local anesthesia),T2(surgical operation),and T3(5 minutes after surgery)were recorded:mean arterial pressure(MAP),heart rate(HR),Ramsay sedation score,VAS pain score.SPSS 20.0 software package was used for statistical analysis.RESULTS:The parameters at each time point between the two groups were not significantly different(P>0.05).Mood and hemodynamics at T1,T2 and T3 in each group were more stable compared with those at T0(P<0.05).CONCLUSIONS:The two comfort techniques can stabilize the patients'mood,keep the patients'hemodynamics stable,and are safe and effective in extraction of impacted teeth among patients with hypertension.

关 键 词：氧化亚氮/氧 右美托咪定 氟比洛芬酯 高血压 阻生牙拔除 

分 类 号：R782.05.4[医药卫生—口腔医学]