联合麻醉在下颌阻生智齿拔除术中的临床应用

发布时间：2018-03-09 02:27

本文选题：必兰　切入点：利多卡因　出处：《北京口腔医学》2016年03期 　论文类型：期刊论文

【摘要】：目的比较必兰和利多卡因不同麻醉方法在下颌阻生智齿拔除手术中的麻醉效果。方法 160颗下颌阻生智齿随机分为必兰局部浸润麻醉组、必兰阻滞麻醉组、利多卡因阻滞麻醉组、必兰和利多卡因联合麻醉组进行局部麻醉,行拔除手术,观察麻醉效果,并进行统计学分析。结果必兰和利多卡因联合麻醉组在下颌阻生智齿拔除术中的麻醉效果均优于必兰局部浸润麻醉组、必兰阻滞麻醉组和利多卡因阻滞麻醉组,差异均有统计学意义(P0.05)。必兰阻滞麻醉组和利多卡因阻滞麻醉组的麻醉效果均优于必兰局部浸润麻醉组,差异均有统计学意义(P0.05)。必兰阻滞麻醉组和利多卡因阻滞麻醉组之间的麻醉效果差异无统计学意义(P0.05)。结论必兰和利多卡因联合麻醉用于拔除下颌阻生智齿有较好的麻醉效果,值得临床推广应用。
[Abstract]:Objective to compare the anesthetic effects of different anesthetic methods between Biram and lidocaine in the extraction of mandibular impacted wisdom teeth. Methods 160 mandibular impacted wisdom teeth were randomly divided into two groups: local infiltration anesthesia group and Bilan block anesthesia group. Lidocaine block anesthesia group, lidocaine and lidocaine combined anesthesia group performed local anesthesia, extubation, and observed the anesthetic effect. Results the anesthetic effect of the combined anesthesia group was better than that of the local infiltration anesthesia group, the lidocaine anesthesia group and the lidocaine block anesthesia group during the extraction of mandibular impacted wisdom teeth, and the effect of the anesthesia was better than that of the local infiltration anesthesia group, the lidocaine block anesthesia group and the lidocaine block anesthesia group. The difference was statistically significant (P 0.05). The anesthetic effects of the two groups were better than those of the local infiltration anesthesia group. The difference was statistically significant (P 0.05). There was no significant difference in the anesthetic effect between the two groups. Conclusion the combination of Biram and lidocaine has a better anesthetic effect on the extraction of mandibular impacted wisdom teeth. It is worth popularizing and applying in clinic.
【作者单位】：北京市海淀医院口腔科;
【分类号】：R782.054

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