下部アルベオラ神経ブロック麻酔中の子供における痛みの知覚に対する針型の効果:ランダム化制御臨床試験
Rasha H Eleraky1, Mona Mohy ElDin2, Yomna Ibrahim2
1Pediatric Dentistry and Dental Public Health Department, Faculty of Dentistry, Alexandria University, 32 Champollion St. Azarita, Alexandria, 21525, Egypt. rasha.hosny.dent@alexu.edu.eg.
BMC oral health
|September 2, 2025
まとめ
二重のスカルペルの刃のベーベル針は,従来の針と比較して,下部アルベオラ神経ブロック (IANB) の麻酔中に痛みを大幅に軽減します. 歯の針の先は,形タイプに関係なく,一度使用した後に変形した.
科学分野:
- 小児歯科
- 麻酔科
- バイオ材料
背景:
- 注射針の不快感に対する患者の恐怖は,最適な歯科治療を妨げます.
- 小児歯科の手続きでは,下方膜神経ブロック (IANB) 麻酔が不可欠です.
- IANBの間に痛みの知覚を最小限に抑えることは,患者の協力と治療の成功にとって不可欠です.
研究 の 目的:
- 子供のIANB麻酔中の痛み知覚に対する針の形設計の影響を臨床的に評価する.
- IANBの手順で使用した後の異なる針のベール型の機械的変形を評価する.
- ダブルスカルペルの刃の斜針と通常の斜針の効能を比較して,注射の痛みを軽減します.
主な方法:
- IANB麻酔を必要とする5~7歳の66人の子供たちが登録されました.
- 参加者はランダムに2つのグループに分けられました.
- 痛みはマウヌークセラ・フェイス・ペイン・スケール (FPS) とセンサリー・アイ・アンド・モーター・スケール (SEM) を用いて評価された. 注射後,針は顕微鏡で検査された.
主要な成果:
- 二重のスカルペルの刃の針は,従来の針と比較して,FPSとSEMの両方の痛みのスコアを大幅に低下させた (p=0. 002,p=0. 003).
- 2種類の針の機械的角度変形に統計的に有意な差は認められなかった (p=0. 837).
- 試験したすべての歯針は,一回使用後に先端の変形を示した.
結論:
- 二重のスカルペルの刃の斜針は,小児患者のIANB麻酔中に注射の痛みを大幅に軽減します.
- 歯科麻酔時の痛みの感受を調節する上で重要な役割を果たします.
- 形型に関係なく,すべての歯針は1回の使用後に変形し,針の鋭さや繰り返し使用に関する潜在的な影響を強調しました.
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