仅在提取上三上方的上方膜神经块:一项前性临床研究
Swathi Tummalapalli1, Ravi Sekhar M1, Naga Malleswara Rao Inturi1
1Anil Neerukonda Institute of Dental Sciences, Sangivalasa, Visakhapatnam, India.
Journal of dental anesthesia and pain medicine
|August 10, 2023
概括
在大多数患者中,单独的后上气泡神经阻塞 (PSANB) 能够有效地麻醉大第三牙,以便提取. 这项研究表明,单独的PSANB可以取代额外的口腔注射的需要,改善患者在MTM提取期间的舒适度.
科学领域:
- 口腔和牙面部外科手术
- 牙科麻醉学 牙科麻醉学
- 疼痛管理 疼痛管理
背景情况:
- 第三个牙的提取是一种常见的门诊口腔外科手术程序.
- 区域麻醉是必要的,以控制疼痛在大骨提取过程中.
- 大第三 (MTM) 提取通常需要后上膜神经阻塞 (PSANB) 和大 palatine神经阻塞 (GPNB).
研究的目的:
- 为了评估单独的PSANB对上第三 (MTM) 提取的疗效.
- 为了确定单独的PSANB是否能提供足够的麻醉,可能避免需要更大的 palatine神经阻塞 (GPNB).
主要方法:
- 一项涉及100个爆发和半爆发的MTM的研究.
- 在无菌条件下使用2%的林戈卡因化和上腺素1: 80,000的PSANB的管理.
- 在10分钟的潜伏期后,使用数值评级和视觉模拟尺度评估口腔和 palatal 粘膜麻醉深度.
主要成果:
- 口腔麻醉在44%的患者中有效达到了第一,在41%的患者中有效达到了第二.
- 口腔麻醉在33%的病例中达到第一,在67%的病例中达到第二.
- 区域麻醉在5%的病例中被重新使用,有些人需要额外的PSANB或GPNB.
结论:
- 在大多数患者中,单独使用PSANB就足以进行MTM提取.
- 这些发现表明,单独的PSANB可以避免需要口腔注射,而口腔注射往往耐受不佳.
- 这种方法可以提高MTM提取过程中的患者舒适性和程序效率.
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