镇静镇痛麻醉配合局部麻醉下行All-on-4即刻负重种植义齿修复的临床研究  

Clinical Study on the Effects of Sedation and Analgesia Combined with Local Anesthesia in All-on-4 Immediate Load Implant Dentures

作　　者：付焱 何宝杰 邹桂克 FU Yan;HE Baojie;ZOU Guike(Department of Anesthesia,Henan Sais Dental Hospital,Zhengzhou Henan 450000,China;Department of Implantology,Henan Sais Dental Hospital,Zhengzhou Henan 450000,China)

机构地区：[1]河南赛思口腔医院麻醉科,河南郑州450000 [2]河南赛思口腔医院种植科,河南郑州450000

出　　处：《临床研究》2025年第2期77-81,共5页Clinical Research

摘　　要：目的探究镇静镇痛麻醉配合局部麻醉下行All-on-4即刻负重种植义齿修复的临床效果。方法选取2018年2月至2023年2月在河南赛思口腔医院行All-on-4即刻负重种植义齿修复的60例患者作为研究对象,采用随机数字表法分为研究组和对照组,每组30例,两组患者均接受局部麻醉,研究组加用镇静镇痛麻醉。记录两组不同时间点的生命体征情况,比较组间镇静评分及疼痛评分及术后满意情况差异;对患者进行6个月随访,比较两组患者术后的种植体成功率及术后咀嚼效率,并对患者术后6个月时的菌斑指数、出血指数、探针深度进行观察记录。结果麻醉前两组患者的平均动脉压和心率比较差异无统计学意义(P>0.05);对照组开始麻醉时、翻粘骨膜瓣、钻洞、缝合时,平均动脉压及心率均较麻醉前升高,差异有统计学意义(P<0.05),指脉氧饱和度与麻醉前比较,差异无统计学意义(P>0.05);研究组开始麻醉时、翻粘骨膜瓣、钻洞、缝合时的平均动脉压较麻醉前降低,差异有统计学意义(P<0.05),心率和指脉氧饱和度较麻醉前比较,差异无统计学意义(P>0.05);开始麻醉时、翻粘骨膜瓣、钻洞、缝合时两组间的平均动脉压、心率比较均存在差异,且研究组低于对照组,差异有统计学意义(P<0.05),但两组间的指脉氧饱和度比较差异无统计学意义(P>0.05)。在开始麻醉时、翻粘骨膜瓣、钻洞、缝合,研究组患者的镇静评分均高于对照组,差异有统计学意义(P<0.05)。术中、术后1d、2d、3d时,研究组患者的视觉模拟评分(VAS)评分均低于对照组,差异有统计学意义(P<0.05)。至随访期止,两组患者的种植体成功率及术后咀嚼效率比较,差异无统计学意义(P>0.05)。治疗后6个月时,两组患者的菌斑指数、出血指数、探针深度比较,差异无统计学意义(P>0.05),研究组患者满意度高于对照组,差异有统计学意义(P<0.05)。结论在进行All-oObjective To investigate the clinical effects of sedation and analgesia combined with local anesthesia during All-on-4 immediate load implant denture restoration.Methods A total of 60 patients who underwent All-on-4 immediate load implant restoration at Henan Sais Dental Hospital from February 2018 to February 2023 were selected as study subjects.Using a random number table method,they were divided into a study group and a control group,with 30 patients in each group.Both groups received local anesthesia,while the study group received additional sedation and analgesia.Vital signs at different time points were recorded,and differences in sedation scores,pain scores,and postoperative satisfaction were compared.Patients were followed up after 6 months to compare implant success rates and postoperative chewing efficiency between the two groups,and to observe and record plaque index,bleeding index,and probing depth at 6 months postoperatively.Results Before anesthesia,there were no statistically significant differences in mean arterial pressure and heart rate between the two groups(P>0.05).In the control group,mean arterial pressure and heart rate increased significantly during anesthesia initiation,flap elevation,drilling,and suturing compared to before anesthesia(P<0.05),while oxygen saturation did not show significant differences(P>0.05).In the study group,mean arterial pressure decreased significantly during the same procedures compared to before anesthesia(P<0.05),while heart rate and oxygen saturation did not show significant differences(P>0.05).Mean arterial pressure and heart rate were lower in the study group than in the control group during the aforementioned procedures,with statistically significant differences(P<0.05),but oxygen saturation did not differ significantly(P>0.05).The sedation scores of the study group were significantly higher than those of the control group during anesthesia initiation,flap elevation,drilling,and suturing(P<0.05).Additionally,the visual analog scale(VAS)scores during the proc

关 键 词：镇静镇痛麻醉 局部麻醉 All-on-4即刻负重种植义齿修复 生命体征 镇静评分 镇痛评分 

分 类 号：R783.4[医药卫生—口腔医学]