复方盐酸阿替卡因在儿童牙体牙髓疾病无痛治疗中的应用效果分析  

Analysis of practical effect of compound articaine hydrochloride in the painless treatment of children's dental pulp disease

作　　者：徐勇 XU Yong(Department of Pediatric Dentistry,Zaozhuang Stomatological Hospital,Zaozhuang 277101,China)

机构地区：[1]枣庄市口腔医院儿童口腔科,277101

出　　处：《中国实用医药》2023年第12期141-144,共4页China Practical Medicine

摘　　要：目的 分析复方盐酸阿替卡因应用于儿童牙体牙髓疾病无痛治疗中的效果。方法 96例牙体牙髓疾病患儿,根据治疗方式不同分为对照组和观察组,每组48例。对照组应用利多卡因行无痛治疗,观察组应用复方盐酸阿替卡因行无痛治疗。比较两组患儿的麻醉效果、麻醉见效时间、手术期间视觉模拟评分法(VAS)评分、麻醉期间VAS评分及麻醉前后心率、血压。结果 观察组患儿麻醉前后收缩压、舒张压、心率比较差异无统计学意义(P>0.05);对照组患儿麻醉前后收缩压比较差异无统计学意义(P>0.05);麻醉后,对照组患儿舒张压、心率均低于麻醉前,差异具有统计学意义(P<0.05)。麻醉后,两组患儿收缩压比较差异无统计学意义(P>0.05);观察组患儿舒张压(76.38±1.07)mm Hg(1 mm Hg=0.133 kPa)、心率(77.12±1.34)次/min均高于对照组的(72.66±1.67)mm Hg、(72.67±1.07)次/min,差异具有统计学意义(P<0.05)。观察组患儿麻醉总优良率为97.92%,显著高于对照组的79.17%,差异具有统计学意义(P<0.05)。观察组患儿麻醉见效时间(2.28±0.69)min短于对照组的(5.03±1.34)min,手术期间VAS评分(1.13±0.49)分、麻醉期间VAS评分(1.74±0.42)分显著低于对照组的(2.07±0.78)、(2.55±0.79)分,差异具有统计学意义(P<0.05)。结论 儿童牙体牙髓疾病无痛治疗中应用复方盐酸阿替卡因能够缩短患儿麻醉见效时间,提升麻醉效果,减少对心率、血压的影响,能够给临床中儿童牙体牙髓疾病的无痛治疗更多参照,可应用与推广。Objective To analyze the effect of compound articaine hydrochloride in the painless treatment of children's dental pulp disease.Methods A total of 96 children with dental pulp disease were divided into control group and observation group according to different treatment methods,with 48 cases in each group.The control group received lidocaine for painless treatment,and the observation group received compound attecaine hydrochloride for painless treatment.Both groups were compared in terms of anesthesia effect,onset time of anesthesia,visual analogue scale(VAS)score during surgery,VAS score during anesthesia,heart rate and blood pressure before and after anesthesia.Results The systolic blood pressure,diastolic blood pressure and heart rate were compared in the observation group before and after anesthesia,and the differences were not statistically significant(P>0.05).There was no statistically significant difference in systolic blood pressure before and after anesthesia the in control group(P>0.05).After anesthesia,the diastolic blood pressure and heart rate of the control group were lower than those before anesthesia in this group,and the difference was statistically significant(P<0.05).After anesthesia,there was no statistically significant difference in systolic blood pressure between the two groups(P>0.05).The diastolic blood pressure of(76.38±1.07)mm Hg(1 mm Hg=0.133 kPa)and heart rate of(77.12±1.34)times/min in the observation group were higher than those of(72.66±1.67)mm Hg and(72.67±1.07)times/min in the control group,and the differences were statistically significant(P<0.05).The overall excellent-good rate of anesthesia in the observation group was 97.92%,which was significantly higher than that of 79.17%in the control group,and the difference was statistically significant(P<0.05).The onset time of anesthesia of(2.28±0.69)min in the observation group was shorter than that of(5.03±1.34)min in the control group;the VAS score of(1.13±0.49)points during surgery and VAS score of(1.74±0.42)points in the

关 键 词：复方盐酸阿替卡因 麻醉 儿童 效果 牙体牙髓疾病 无痛治疗 

分 类 号：R781.3[医药卫生—口腔医学]