计算机控制局部麻醉和传统注射在破坏性行为,疼痛,焦虑和生化参数方面的比较:随机对照试验
1Department of Pedodontics, Gaziantep University, Faculty of Dentistry, 27560 Gaziantep, Turkey.
The Journal of clinical pediatric dentistry
|January 19, 2024
概括
与传统注射相比,计算机控制局部止痛药 (CCLAD) 显著减少了儿童的疼痛和焦虑. 这种方法推用于接受牙科手术的儿科患者.
科学领域:
- 儿科牙科 儿科牙科
- 麻醉学 麻醉学
- 疼痛管理 疼痛管理
背景情况:
- 透麻醉的施用方法可以影响患者的舒适度和焦虑程度.
- 评估儿童的疼痛和焦虑需要多模式的方法,包括心理测量,生理和生化指标.
研究的目的:
- 为了比较计算机控制局部止痛药 (CCLAD) 与传统注射方法在减轻儿科患者疼痛和焦虑方面的疗效.
- 评估不同麻醉方法对生理和生化压力标志物的影响.
主要方法:
- 一项涉及60名7至11岁儿童的研究,分为对照组 (传统注射) 和研究组 (CCLAD).
- 疼痛和焦虑是使用视觉模拟量表 (VAS),Wong-Baker面部评分疼痛量表 (WBS),修改儿童牙科焦虑量表 (MCDAS) 和面部,腿部,活动,哭声,安慰度表 (FLACC) 进行测量.
- 监测了生理 (脉,SpO2) 和生化 (唾液皮质醇) 参数.
主要成果:
- 虽然SPO2水平在各组之间没有显著差异,但对照组显示脉增加,VAS,WBS,MCDAS,FLACC得分,以及麻醉后的唾液皮质醇.
- 与对照组相比,CCLAD组显示WBS,MCDAS,FLACC得分以及唾液皮质醇水平降低 (p <0.05).
结论:
- 计算机控制局部止痛药 (CCLAD) 是治疗儿科牙科患者疼痛和焦虑的卓越方法.
- CCLAD为儿童的透麻醉提供了比传统注射更舒适,更少压力的替代方案.
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