健康志愿者中牙周膜麻醉和黏膜下浸润麻醉的效果比较

发布时间：2018-03-09 14:52

本文选题：健康志愿者　切入点：局部麻醉　出处：《中国医学科学院学报》2014年03期 　论文类型：期刊论文

【摘要】：目的比较在健康志愿者中使用计算机控制局部麻醉注射仪(C-CLADS)进行的牙周膜麻醉与使用手推注射器进行黏膜下浸润麻醉在注射疼痛、麻醉效果、麻药用量及并发症方面的差异。方法 2012年9月至2013年5月在北京协和医院口腔科招募50例18~56岁志愿者,采用随机自身对照,一侧采用C-CLADS进行牙周膜麻醉,对侧用传统的手推式黏膜下浸润麻醉(对照),比较两侧的起效时间、用药剂量及麻醉效果,并采用语言评价量表(VRS)和视觉模拟量表(VAS)评价注射疼痛程度,记录两种麻醉方式的并发症。结果采用C-CLADS进行牙周膜麻醉的药物剂量和注射疼痛程度均显著小于传统的手推式浸润麻醉[剂量:(0.34±0.09)ml比(0.55±0.13)ml,P0.01;VRS:0.42±0.73比1.38±0.92,P0.01;VAS:1.34±1.21比3.10±1.70,P0.01]。C-CLADS麻醉成功率与传统黏膜下浸润麻醉比较差异无统计学意义(90.0%比94.0%,P0.05)。牙周膜麻醉12例(24%)出现牙周膜麻醉后疼痛。结论采用C-CLADS进行牙周膜麻醉与传统的手推注射黏膜下浸润麻醉比较,可以减少药物剂量,降低注射疼痛,并达到良好的麻醉效果,但有较大比例出现术后疼痛。
[Abstract]:Objective to compare the effects of periodontal membrane anesthesia using computer controlled local anesthesia injector (C-CLADS) in healthy volunteers and submucous infiltration anesthesia with hand push syringe in injection pain and anaesthesia. Methods from September 2012 to May 2013, 50 volunteers aged 18 to 56 years old were recruited from the Department of Stomatology of Peking Union Hospital. They were randomly self-controlled and treated with C-CLADS on one side for periodontal membrane anesthesia. The contralateral submucosal infiltration anesthesia was used to evaluate the degree of injection pain by using the traditional hand push submucosal infiltration anesthesia (control group, control group, the onset time, dosage and effect of anesthesia) and visual analogue scale (VAS-VRS), and to evaluate the degree of injection pain by using language evaluation scale (VRS) and visual analogue scale (VAS). Results the dose of C-CLADS for periodontal membrane anesthesia and the degree of injection pain were significantly lower than those of the traditional hand push invasive anesthesia [dose: 0.34 卤0.09ml vs 0.55 卤0.13ml vs 0.55 卤0.13ml vs 0.42 卤0.73 vs 1.38 卤0.92P0.01VAS-1.34 卤1.21 vs 3.10 卤1.70P0.01] .C-CLADS was successful in anesthesia and traditional anesthesia, and the success rate of C-CLADS was significantly lower than that of conventional anesthesia (0.55 卤0.13ml vs 0.55 卤0.13ml vs 1.38 卤0.92P0.01vs 1.38 卤0.92P0.01VAS1.34 卤1.21 vs 3.10 卤1.70P0.01). There was no significant difference in submucosal infiltration anesthesia (90.0% vs 94.0%, P 0.05). Periodontal ligament anesthesia occurred in 12 cases (24 cases). Conclusion C-CLADS for periodontal membrane anesthesia is compared with traditional hand push injection submucosal infiltration anesthesia. It can reduce drug dose, reduce injection pain, and achieve good anaesthesia effect, but there is a large proportion of postoperative pain.
【作者单位】：中国医学科学院北京协和医学院北京协和医院口腔科;
【基金】：美国中华医学会基金(A350600)~~
【分类号】：R782.054

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