用2%的利多卡因和4%的阿尔蒂卡因进行脉麻醉的口腔与口腔 palatal 透:一个随机对照试验
Umesh Kumar1, Nikita Garg1, Ruchi Vashisht1
1Oral Health Sciences Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India, 160012.
Journal of oral biology and craniofacial research
|March 6, 2024
概括
在大牙中实现症状不可逆转的脉炎 (SIP) 的完整脉麻醉是具有挑战性的. 口腔加 palatal 透和 4% articaine 提供有效的麻醉,与 2% 利多卡因的标准口腔透相比.
科学领域:
- 牙科 牙科是指牙科的专业.
- 牙周内科医院 牙周内科医院 牙周内科医院
- 麻醉学 麻醉学
背景情况:
- 大牙的症状不可逆转的脉炎 (SIP) 在实现完全的脉麻醉方面经常带来挑战.
- 在这些情况下,标准的口腔透可能不足以进行有效的麻醉.
研究的目的:
- 为了比较口腔透与口腔加 palatal 透的麻醉疗效.
- 为了评估2%的利多卡因和4%的阿尔蒂卡因在SIP的上第一个上进行脉麻醉的有效性.
主要方法:
- 一项随机对照试验,涉及117名被诊断患有SIP的患者.
- 三组接受了不同的麻醉技术:口腔透2%的利多卡因,口腔加 palatal 透2%的利多卡因,或口腔透4%的articaine.
- 在内牙科手术期间,使用Heft-Parker视觉模拟量表 (HP-VAS) 评估疼痛强度.
主要成果:
- 麻醉成功率为1组 (口腔,2%的利多卡因) 的69%,2组 (口腔加口腔,2%的利多卡因) 的85%,3组 (口腔,4%的阿尔蒂卡因) 的74%.
- 虽然第二组的成功率更高,但两组之间的差异在统计上并不显著 (p > 0.05).
- 两组之间没有观察到基于性别的麻醉疗效的显著差异.
结论:
- 口腔加 palatal 透和 4% articaine 显示与标准口腔透与 2% 利多卡因可比的麻醉疗效可比.
- 这些技术可以在具有挑战性的内牙病例中提供有效的麻醉.
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