缓冲4%的阿尔蒂卡因可减轻疼痛,增强尾第三提取的麻醉:一个随机的,双盲的分口研究
Henning Staedt1,2, Victor Palarie3, Diana Heimes4
1Department of Prosthodontics and Materials Science, University Medical Center Rostock, Strempelstr. 13, 18057 Rostock, Germany.
缓冲4%的阿尔蒂卡因显著改善了患者在上第三骨提取过程中的舒适度. 与非缓冲溶液相比,这种缓冲局部麻醉剂可以减少注射和提取后的疼痛,加快麻醉的开始,并延长麻醉的持续时间.
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:
- 缓冲局部麻醉剂可以提高牙科手术中的患者舒适性和有效性.
- 有限的研究存在于缓冲与非缓冲的解决方案,用于大第三骨提取麻醉.
研究的目的:
- 为了比较缓冲 4% articaine 与非缓冲 4% articaine 的麻醉疗效.
- 为了评估在上第三提取过程中的疼痛,发作和麻醉持续时间的差异.
主要方法:
- 前性,随机,双盲,分口研究设计.
- 参与者通过口腔透接受了缓冲和非缓冲的4% articaine,用于上第三骨提取.
- 疼痛 (注射和提取后),麻醉的开始和持续时间使用视觉模拟尺度 (VAS) 进行评估.
主要成果:
- 缓冲4%的阿提卡因显著减少了注射疼痛 (VAS 3.12与4.2) 和提取后的疼痛 (VAS 4.4与5.76).
- 缓冲的阿提卡因显示了麻醉的更快开始 (85.92s vs. 126.86s) 和更长的持续时间 (70.4min vs. 51.4min).
- 在疼痛感知方面没有观察到基于性别的显著差异.
结论:
- 缓冲4%的阿提卡因在上第三骨提取方面提供了卓越的麻醉疗效.
- 缓冲阿尔蒂卡因通过减少疼痛和改善麻醉性能来增强患者的舒适性.
- 这些发现支持使用缓冲局部麻醉剂来改善牙科手术的结果.
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