[1]郑建博.肾上腺素、阿替卡因治疗牙髓病的效果[J].医学信息,2020,33(06):152-153.[doi:10.3969/j.issn.1006-1959.2020.06.050]
　ZHENG Jian-bo.Effect of Epinephrine and Aticaine on Dental Pulp Disease[J].Medical Information,2020,33(06):152-153.[doi:10.3969/j.issn.1006-1959.2020.06.050]
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肾上腺素、阿替卡因治疗牙髓病的效果()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年06期
页码:
152-153
栏目:
药物与临床
出版日期:
2020-03-15

文章信息/Info

Title:
Effect of Epinephrine and Aticaine on Dental Pulp Disease
文章编号:
1006-1959（2020）06-0152-02
作者:
郑建博
（大连医科大学口腔医学院附属口腔医院口腔科，辽宁 大连 116000）
Author(s):
ZHENG Jian-bo
(Department of Stomatology,Stomatological Hospital,Dalian Medical University School of Stomatology,Dalian 116000,Liaoning,China)
关键词:
牙髓病; 肾上腺素; 阿替卡因
Keywords:
Pulp disease; Adrenaline; Aticaine
分类号:
R781.3
DOI:
10.3969/j.issn.1006-1959.2020.06.050
文献标志码:
A
摘要:
目的 分析肾上腺素、阿替卡因治疗牙髓病的效果。方法 选取2018年1月~12月我院口腔科收治的牙髓病患者80例（患牙80颗），采用随机数字表法分为控制组和实验组，各40例（40颗患牙）。控制组采用肾上腺素联合盐酸利多卡因麻醉，实验组采用肾上腺素联合阿替卡因麻醉。比较两组给药前后心率、血压，麻醉时、手术中、拔牙后即刻、24 h后疼痛评分（VAS评分），麻醉效果以及不良反应发生情况。结果 两组给药前心率、血压比较，差异无统计学意义（P＞0.05）；给药后两组心率、舒张压比较，差异有统计学意义（P＜0.05），两组收缩压比较，差异无统计学意义（P＞0.05）；两组不同时间点VAS评分比较，差异有统计学意义（P＜0.05）；实验组麻醉优良率高于对照组（95.00% vs 82.50%），不良反应发生率低于控制组（7.50% vs 25.00%），差异均有统计学意义（P＜0.05）。结论 肾上腺素、阿替卡因治疗牙髓病的效果较好，可维持患者心率、血压稳定，减轻患者疼痛程度和不良反应发生率，麻醉效果优良，操作简便且安全。
Abstract:
Objective To analyze the effects of epinephrine and aticaine in the treatment of dental pulp disease.Methods A total of 80 patients with endodontic disease(80 teeth)were selected from the Department of Stomatology of our hospital from January to December 2018,and were randomly divided into a control group and an experimental group,each with 40 patients(40 teeth).The control group was anesthetized with epinephrine and lidocaine hydrochloride,and the experimental group was anesthetized with adrenaline and aticaine.The heart rate and blood pressure before and after administration were compared between the two groups during anesthesia,during surgery,immediately after tooth extraction,and after 24 h(VAS score),anesthesia effect,and adverse reactions.Results There was no significant difference in heart rate and blood pressure between the two groups before administration(P＞0.05).There was a significant difference in heart rate and diastolic pressure between the two groups after administration (P＜0.05),there was no significant difference in systolic blood pressure between the two groups(P＞0.05).Comparison of VAS scores at different time points between the two groups was statistically significant(P＜0.05).The anesthesia rate was better in the experimental group than in the control group(95.00% vs 82.50%),and the incidence of adverse reactions was lower than that in the control group(7.50% vs 25.00%),the differences were statistically significant(P＜0.05).Conclusion Adrenaline and aticaine are effective in treating dental pulp disease.They can maintain the patient’s heart rate and blood pressure stable,reduce the pain and the incidence of adverse reactions, and have good anesthesia effect, the operation is simple and safe.

参考文献/References:

[1]赵林琪.牙体牙髓病治疗中阿替卡因肾上腺素的麻醉效果[J].中外医疗,2014,33(6):66-67.[2]冯冬雄.不同麻醉药物对牙体牙髓病临床疗效的分析[J].抗感染药学,2014,11(3):252-254.[3]黄芳.利多卡因与阿替卡因治疗牙体牙髓病麻醉疗效的对比分析[J].陕西医学杂志,2017,41(6):714-715.[4]阿依古丽·依沙克,洪切木·米吉提.浅谈阿替卡因肾上腺素注射液与利多卡因在牙体牙髓病麻醉治疗中的有效性[J].全科口腔医学电子杂志,2015,2(1):50-51.

更新日期/Last Update: 2020-03-15