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在儿科牙科中,鼻内静止与舌下静止:系统性审查
K Kaur1, R S Saini2, S A Quadri2
1Rutgers School of Dental Medicine, New Jersey, United States.
概括
鼻内和舌下镇静对于儿科牙科患者同样有效. 内鼻提供更快的发病,而下舌更容易被接受,允许个性化的路线选择.
科学领域:
- 儿科牙科 儿科牙科
- 药理学 药理学是指药理学的学科.
- 麻醉学 麻醉学
背景情况:
- 有效的镇静对于儿童牙科患者的焦虑和行为管理至关重要.
- 鼻内和舌下途径提供了无针的镇静替代方案.
- 这些路线在牙科环境中的比较性能尚未得到充分理解.
研究的目的:
- 系统地比较儿科牙科患者的鼻内和舌下镇静剂.
- 评估疗效,发病时间和儿童合作成果.
- 为明智的临床决策提供证据.
主要方法:
- 按照PRISMA 2020指南进行系统审查.
- 搜索了PubMed,Embase,Scopus,科学网和科克兰图书馆 (2000-2025年) 的内容.
- 包括RCT和非随机比较研究;评估偏差风险.
主要成果:
- 28项研究 (1500多名儿童) 显示,这两种途径的成功率都很高 (~94%鼻内,~93%舌下).
- 在镇静成功,行为评分或焦虑减轻方面没有显著差异.
- 内鼻治疗的发病速度更快 (4.5分钟的差异),下舌治疗的接受度更好.
结论:
- 鼻腔内和舌下镇静在儿科牙科护理中同样有效和安全.
- 鼻腔内提供更快的发病; 舌下提供优越的儿童接受.
- 路线选择可以根据患者和程序因素进行个性化.
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