单牙麻醉 (STA) 对于手术切除受影响的智的有效性和可靠性:一项比较研究
Manikandhan Ramanathan1, Sandeep Ramanuj2, Keerthana Ponvel3
1Department of Oral & Maxillofacial Surgery, Meenakshi Cleft & Craniofacial Center, Meenakshi Ammal Dental College & Hospital, MAHER University, Maduravoyal, Chennai, 600095 India.
Journal of maxillofacial and oral surgery
|February 5, 2024
概括
使用WAND®系统的单牙麻醉 (STA) 提供了对受冲击的第三移除的有效麻醉,比传统的阻塞更快开始. 虽然存在一些局限性,但STA是一种可行的替代方案,特别是对于那些对传统神经阻塞有禁忌的患者.
科学领域:
- 牙科 牙科是指牙科的专业.
- 麻醉学 麻醉学
- 在口腔外科手术.
背景情况:
- 内注射提供局部麻醉,副作用最小,特别是在儿科患者.
- 单牙麻醉 (STA) 旨在提供有针对性的疼痛控制,而没有像唇麻木等不良影响.
研究的目的:
- 为了评估STA的疗效,使用WAND® STA系统在受冲击的第三骨提取过程中进行麻醉.
- 为了比较STA与传统的下膜神经阻塞 (IANB) 麻醉.
主要方法:
- 60名患者被随机分为两组:I组 (STA含有4%的阿尔蒂卡因) 和II组 (IANB含有4%的阿尔蒂卡因).
- 麻醉的有效性根据发病时间,失败率,手术期间的疼痛,需要额外的注射,以及手术后的疼痛和.
- 唇麻木也被记录为一个额外的效果.
主要成果:
- 与IANB相比,STA显示出一个统计学上显著的更快的作用开始 (2.2分钟) (p <0.05).
- 在STA组中观察到牙升高的VAS得分更高,但II组 (IANB) 患术后疼痛和三症的发病率更高.
- 在I组的语言神经需要6.7%的额外阻塞,而在II组的长口神经需要50%的额外阻塞,而在II组的长口神经需要23.3%的重复.
结论:
- WAND® STA系统在受冲击的第三手术中实现了足够的麻醉,尽管麻醉传播存在一些局限性.
- STA是传统阻塞的切实替代方案,特别是对于那些有系统性疾病而不能使用传统的神经阻塞的患者.
- 进一步的研究可能会探索优化STA技术以获得更广泛的麻醉覆盖.
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