针刺麻醉下行拔牙术的临床疗效观察

发布时间：2018-11-03 20:24

【摘要】：目的:比较针刺麻醉与西药局部阻滞麻醉行拔牙术的临床疗效差异,探寻临床拔牙术的较佳麻醉方法。方法:将60例拔牙患者随机分为针麻组和药麻组,每组30例。针麻组针刺合谷、内庭,患侧下关、颊车等,得气后行拔牙术,留针至术后10 min;药麻组选用复方盐酸阿替卡因注射液常规局部麻醉后行拔牙术。对两组麻醉效果及镇痛效果[疼痛分级指数(PRI)评分及视觉模拟评分(VAS)]进行临床对比观察,并观察患者术中出血量、不良反应发生率及手术前后血压、脉搏、呼吸情况。结果:两种麻醉方法下,两组患者均成功完成拔牙术。两组麻醉评级优良率、PRI评分、VAS评分比较差异均无统计学意义(均P0.05);针麻组术中出血量少于药麻组(P0.01),不良反应发生率低于药麻组(P0.05);手术前后两组患者血压、脉搏、呼吸都在正常范围内,两组间比较差异无统计学意义(均P0.05)。结论:针刺麻醉下行拔牙术可达到西药局部阻滞的麻醉效果,镇痛完全,且术中生命体征平稳、不良反应少,可作为临床拔牙术的麻醉方法之一。
[Abstract]:Objective: to compare the clinical curative effect between acupuncture anesthesia and local block anesthesia. Methods: 60 patients with tooth extraction were randomly divided into acupuncture anesthesia group and drug anesthesia group with 30 cases in each group. In the acupuncture group, Hegu, chamber, affected side Xiaguan, buccal car and so on were treated with extraction of teeth after getting qi, and the group of drug anesthesia with compound Atevacaine hydrochloride was used after routine local anesthesia for 10 min; after the operation. The anaesthesia effect and analgesic effect [pain grading index (PRI) score and visual analog score (VAS)] were compared between the two groups. The amount of intraoperative bleeding, the incidence of adverse reactions, blood pressure and pulse before and after operation were observed. Breathing. Results: under the two anesthesia methods, the two groups of patients successfully completed tooth extraction. There was no significant difference in the excellent and good rate of anesthesia rating, PRI score and VAS score between the two groups (P0.05); the amount of intraoperative bleeding in the acupuncture anesthesia group was less than that in the drug anesthesia group (P0.01), and the incidence of adverse reactions was lower than that in the drug anesthesia group (P0.05). Before and after operation, the blood pressure, pulse, respiration were in the normal range, there was no significant difference between the two groups (P0.05). Conclusion: extraction of teeth under acupuncture anesthesia can achieve the anesthetic effect of local block of western medicine, complete analgesia, stable vital signs and less adverse reactions during the operation, so it can be used as one of the anesthetic methods for clinical extraction of teeth.
【作者单位】：湖南中医药大学;湖南中医药大学第一附属医院针灸科;湖南中医药大学国际教育学院;湖南中医药大学第一附属医院口腔科;
【分类号】：R782.054

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