罗哌卡因用于下颌阻生智齿拔除麻醉效果观察

发布时间：2019-03-13 15:35

【摘要】：目的观察评价罗哌卡因应用于下颌阻生智齿拔除的麻醉效果。方法将2016年1—6月首都医科大学附属北京友谊医院口腔科就诊的150例需要拔除下颌阻生智齿且无其他系统疾病的患者随机分成2组:试验组(71例)采用0.75%罗哌卡因进行局部麻醉,对照组(79例)则采用2%利多卡因进行局部麻醉。记录麻醉起效时间、麻醉持续时间、拔牙术后不同时间点的疼痛程度(VAS分级)、术后患者是否主动要求服用止痛药、麻醉前后不同时间点患者血压及脉搏,并对麻醉并发症进行监测记录,从而比较两种药物的麻醉效果。结果试验组麻醉起效时间明显短于对照组(P0.05),而麻醉持续时间明显长于对照组(P0.05);试验组患者术后不同时间点VAS分级均明显低于对照组(P0.05),且患者术后主动要求服用止痛药的比率明显低于对照组(P0.05);对照组患者血压及脉搏在麻药注射结束后各个时间点较注射前均无明显变化(P0.05);试验组血压在麻药注射后各个时间点较注射前无明显变化(P0.05),脉搏在注射后30 min有小幅度下降(P0.05);两组患者注射麻药后均未产生麻醉并发症。结论罗哌卡因因其麻醉起效时间短,麻醉持续时间长,术后阵痛效果好,心血管系统风险小等优点可广泛应用于时间较长的复杂口腔专业操作。
[Abstract]:Objective To evaluate the effect of rapivacaine on the extraction of mandibular impacted wisdom teeth. Methods 150 patients in the department of stomatology of Beijing Friendship Hospital from January to June 2016 were randomly divided into two groups: the test group (71 cases) was given the local anesthesia with 0.75% Robupivacaine. In the control group (79 cases),2% lidocaine was used for local anesthesia. To record the time of onset of anesthesia, the duration of anesthesia, the degree of pain at different time points after tooth extraction (VAS classification), whether the patient actively required to take the pain medication, the blood pressure and the pulse of the patient at different time points before and after anesthesia, and the monitoring and recording of the anesthesia complications, So as to compare the anesthetic effect of the two drugs. Results The duration of anesthesia in the test group was significantly shorter than that of the control group (P0.05), and the duration of the anesthesia was significantly longer than that of the control group (P0.05). And the blood pressure and pulse of the control group were significantly lower than that of the control group (P0.05). The blood pressure of the test group did not change significantly before the injection of the anesthetic (P0.05), and the pulse amplitude decreased at 30 min after injection (P0.05); no anesthetic complications occurred after the injection of the anesthetic in the two groups. Conclusion Robupivacaine has the advantages of short duration of anesthesia, long duration of anesthesia, good effect of postoperative pain and small risk of cardiovascular system, and can be widely used in complex oral operation with long time.
【作者单位】：首都医科大学附属北京友谊医院口腔科;
【分类号】：R782.054

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