低膜神经块用于下麻醉的不同技术的有效性:比较前性研究
Sai Krishna1, Kathiravan Selvarasu1, Santhosh P Kumar1
1Oral and Maxillofacial Surgery, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IND.
Cureus
|March 4, 2024
概括
传统的哈尔斯特德技术是最有效的下膜神经阻塞 (IANB),提供了平衡的麻醉发作和疼痛感知. 虽然其他方法的结果各不相同,但Halsted仍然是下麻醉的黄金标准.
科学领域:
- 在口腔外科手术.
- 麻醉学 麻醉学
- 牙科麻醉 牙科麻醉
背景情况:
- 下膜神经阻塞 (IANB) 是口腔手术中的一个基石技术,用于下麻醉.
- 存在各种IANB技术,旨在优化成功率和患者舒适度.
- 评估和比较这些技术对于临床实践至关重要.
研究的目的:
- 为了比较五种不同的下膜神经阻断技术的疗效.
- 为了评估麻醉的开始,在施用期间的疼痛感知,以及术后的三.
- 为了确定下麻醉的最佳IANB技术.
主要方法:
- 一项随机对照试验,涉及100名成人患者,接受了受冲击的下第三骨提取.
- 参与者被分为五组,每个组都接受了不同的IANB技术:哈尔斯特德,瓦齐拉尼-阿基诺西,戈盖茨,菲舍尔1-2-3,或库尔特-托马.
- 测量结果包括麻醉开始时间,使用视觉模拟量表 (VAS) 的疼痛,以及三症的发生率.
主要成果:
- 库尔特-托马技术显示了最快的麻醉开始 (2.25分钟),但也显示了最高的疼痛 (6.5VAS) 和三 (25%).
- 戈盖茨技术显示出延迟发病 (5.1分钟) 与显著的疼痛和.
- 传统的哈尔斯特德,菲舍尔1-2-3和瓦齐拉尼-阿基诺西技术显示了可比的麻醉持续时间,菲舍尔1-2-3具有最少的疼痛 (0.75VAS).
结论:
- 传统的哈尔斯特德技术被证明是评估IANB方法中最有效的.
- 它提供了麻醉疗效,患者舒适性和可接受的并发症率的良好平衡.
- 建议采用传统的哈尔斯特德技术,作为下膜神经阻塞的黄金标准.
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