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低温疗法作为补充辅助下膜神经阻塞在有症状的不可逆转脉炎的患者:一个随机对照试验

Setu Katyal¹, Poonam Bogra², Rajinder Kumar Bansal³

¹Department of Conservative Dentistry and Endodontics, I.T.S Dental College, Murad Nagar, Ghaziabad, Uttar Pradesh 201206, India.

Medicine international

|August 1, 2025

概括

结合下膜神经阻塞 (IANB) 的冷疗法改善了麻醉的成功,并减少了在症状不可逆转的脉炎的牙接入开口时的疼痛. 然而,在治疗的后期阶段,它的益处是有限的.

科学领域:

牙周内科医院牙周内科医院牙周内科医院
疼痛管理疼痛管理
牙科麻醉牙科麻醉

背景情况:

在下牙中出现的症状不可逆转的胸膜炎 (SIP) 对有效的牙麻醉提出了挑战.
在内牙科手术期间的手术内疼痛可能是显著的,影响患者的舒适性和治疗结果.
下膜神经阻塞 (IANB) 是一种常见的技术,但其成功率可能有所不同,特别是在SIP的情况下.

研究的目的:

评估冷疗法作为IANB的辅助在手术内控制疼痛的疗效.
评估冷治疗对下第一个牙SIP患者麻醉成功率的影响.
为了比较单独IANB和IANB与冷疗法的内牙治疗不同阶段的疼痛水平.

主要方法:

一项随机对照试验,涉及60名患有下永久第一牙SIP的成年患者.
第一组接受了标准IANB和2%的林戈卡因;第二组接受了IANB,随后进行了冷疗法 (内喷雾和内冰棒).
在通道打开和清洁/塑造过程中,使用Heft-Parker视觉模拟尺度 (VAS) 评估疼痛.

主要成果:

与对照组 (65.3%) 相比,冷疗法显示了更高的麻醉成功率 (79.3%),尽管在统计学上不显著 (P=0.24).
在冷治疗组 (20.60±29.90) 和对照组 (41.43±43.10) (P=0.04) 中,访问打开过程中的平均疼痛得分显著较低.
清洗/塑造过程中的疼痛评分在冷治疗中较低,但没有达到统计学意义 (P=0.27).

结论:

结晶疗法,当与IANB一起使用时,显示出改善麻醉成功和减少SIP病例最初的手术内疼痛的潜力.
在内牙治疗的清洁和塑造阶段,冷治疗的辅助效果似乎有限.
补充麻醉可能仍然是必要的,在一些患者接受牙周内科治疗SIP,即使有冷疗法.

关键词:

冰冷疗法冰冷疗法牙科内科医生牙科内科医生这是不可逆转的脉炎.下巴下巴是一个很大的问题.牙牙是指牙的部分.这是一种神经障碍,神经障碍.

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