马达杰特®XL和常规注射技术对初级大骨局部麻醉的比较有效性:一项随机临床试验
Ghazale Baniebrahimi1, Bahman Seraj1, Maryamosadat Mosavi Bagheri2
1Department of Pediatric Dentistry, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.
Frontiers in dentistry
|January 6, 2026
概括
无针MadaJet®XL无针系统可以在局部麻醉期间减轻儿童的疼痛.
科学领域:
- 儿科牙科 儿科牙科
- 牙科麻醉 牙科麻醉
- 疼痛管理 疼痛管理
背景情况:
- 有效的局部麻醉对于儿科牙科修复手术至关重要.
- 无针注射系统为减少患者焦虑和疼痛提供了传统注射的替代方案.
- 在临床应用中,评估无针系统在初级牙中的有效性至关重要.
研究的目的:
- 为了比较MadaJet®XL无针系统与常规注射在6-12岁儿童中进行一次性大骨局部麻醉的疗效.
- 评估疼痛感知和麻醉成功率在恢复性牙科工作之前,这两种技术.
主要方法:
- 一个交叉随机临床试验,涉及30名儿童,需要恢复主要大牙.
- 每位患者都通过MadaJet®XL进行麻醉,并通过对单独的牙进行常规注射,随机按块排序.
- 使用面部,腿部,活动,哭声和安慰度 (FLACC) 尺度来评估疼痛;麻醉的成功是由重新注射的需要决定的.
主要成果:
- 与传统注射组 (平均4.1) 相比,MadaJet® XL组报告的疼痛得分明显较低 (平均2.3) (P<0.001).
- 尽管疼痛减轻了,63.3%的患者需要重新注射MadaJet®XL,因为恢复性手术的麻醉不足.
- 传统注射导致疼痛得分更高,但获得了更一致的麻醉成功.
结论:
- 无针MadaJet®XL无针系统为小儿牙科的局部麻醉提供了一种不那么痛苦的方法.
- 然而,目前它不适合用于初级大牙的修复性手术,因为经常无法实现完全麻醉.
- 进一步研究优化无针技术,为儿童提供有效的牙科麻醉是有必要的.
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