笑气在拔除智齿中的应用效果研究

发布时间：2018-12-14 05:57

【摘要】：目的对笑气吸入镇静法应用在拔除智齿中的效果进行观察分析。方法将本院在2014-2015年收治的拟拔除智齿的牙科恐惧症患者共计80例作为研究资料,将患者随机分为2组:实验组与对照组,每组患者有40例。实验组应用笑气吸入镇静法与常规下牙槽神经阻滞麻醉进行联合应用来拔除智齿。对照组在常规下牙槽神经阻滞麻醉后进行智齿拔除手术的操作。拔牙手术过程中分别记录患者的收缩压(SBP)、舒张压(DBP)、心率(HR)、血氧饱和度(Sp O2)变化,并进行疼痛程度(VSA评分)和镇静程度(Ramsay评分)的评估。结果两组进行比较,实验组在拔牙手术过程中麻醉效果比较好,疼痛程度显著减轻了,SBP、DBP、HR、Sp O2变化稳定。结论吸入笑气进行镇痛,并联合应用下牙槽神经阻滞麻醉,为患者实施拔除智齿的手术,能够显著地使患者减少在手术中的恐惧心理,患者的疼痛感觉显著地减轻了,这是一种比较安全的麻醉方法,值得在临床上推广应用[1]。
[Abstract]:Objective to observe and analyze the effect of inhaled sedation of laughing gas in extraction of wisdom teeth. Methods A total of 80 dental phobia patients with wisdom tooth extraction were randomly divided into two groups: experimental group and control group, with 40 cases in each group. The experimental group was treated with routine inferior alveolar nerve block anesthesia by inhaling and sedation and should be used to remove wisdom teeth. In the control group, wisdom tooth extraction was performed after routine inferior alveolar nerve block anesthesia. Systolic blood pressure (SBP), diastolic pressure (DBP), heart rate, (HR), oxygen saturation (Sp O 2), pain degree (VSA score) and sedation degree (Ramsay score) were recorded during extraction of teeth. Results compared with the control group, the experimental group had better anaesthesia effect during tooth extraction, the pain degree was significantly reduced, and the change of SBP,DBP,HR,Sp O 2 was stable. Conclusion inhalation of nitrous oxide for analgesia and combined use of inferior alveolar nerve block anesthesia for patients with wisdom tooth extraction surgery can significantly reduce the patient's fear during the operation, the patient's pain was significantly reduced. This is a safe anaesthesia method, which is worth popularizing in clinic.
【作者单位】：贵州省黔西南州人民医院;
【分类号】：R782.11

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