在使用不同镇静剂的儿科牙科治疗期间评估疼痛:一个交叉试验
Palak Janiani1, Deepa Gurunathan1, Ramsesh Manohar2
1Department of Pediatric and Preventive Dentistry, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IND.
Cureus
|August 14, 2023
概括
鼻内用米达佐拉姆和德克斯梅德托米丁是氧化的有效替代品,用于治疗儿科牙科患者的疼痛. 这些镇静剂可为经历牙科手术的焦虑儿童提供可比的疼痛控制.
科学领域:
- 儿科牙科 儿科牙科
- 药理学 药理学是指药理学的学科.
- 疼痛管理 疼痛管理
背景情况:
- 对恐惧的儿科牙科患者来说,行为管理至关重要.
- 药物镇静和麻醉是治疗疼痛和焦虑的常见方法.
- 有效的镇静对于成功的儿科牙科治疗至关重要.
研究的目的:
- 为了比较术前和术后的疼痛,使用鼻内德克斯梅德托米丁,鼻内米达佐拉姆或氧化镇静的儿童.
- 评估不同镇静方法在儿科牙纸治疗中的有效性.
- 为焦虑儿童确定最佳镇静策略.
主要方法:
- 这是一项涉及24名年龄在5-7岁的儿童的交叉研究.
- 在三次诊所内随机地注射鼻腔内德克斯梅德托米丁 (1.5微克/千克),鼻腔内米达佐拉姆 (0.3毫克/千克) 和氧化.
- 在纸治疗期间和之后评估疼痛水平,在镇静剂之间有一个为期一周的洗期.
主要成果:
- 这三种镇静剂在控制手术内和术后疼痛方面都表现出同等的有效性.
- 两组之间没有观察到疼痛控制的统计学上显著差异.
- 米达佐拉姆呈现出较低手术内疼痛水平的趋势 (平均1.78±1.42).
结论:
- 鼻内用米达佐拉姆和德克斯梅德托米丁是氧化物的有效替代品,用于儿童牙科患者的疼痛治疗.
- 这些鼻入镇静剂提供了与氧化可比的疼痛缓解.
- 鼻内用米达佐拉姆和德克斯梅德托米丁是适合焦虑儿童的选择,这些儿童可能不能容忍氧化.
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