儿童牙体牙髓无痛治疗中应用复方阿替卡因的麻醉效果

摘要

目的 分析复方阿替卡因用于儿童牙体牙髓无痛治疗中的麻醉效果,为临床麻醉提供参考.方法 选取宁夏第五人民医院大武口医院在2015年2月~2016年5月收治儿童牙体牙髓病患儿124例为研究对象,随机分为观察组和对照组各62例,对照组患儿患儿实施利多卡因麻醉,观察组患儿患儿实施复方阿替卡因麻醉,分析2组患儿麻醉效果,并记录麻醉前后患儿心率、血压变化、不良反应和患儿疼痛情况.结果 观察组患儿麻醉总有效率(96.8%)显著高于对照组(80.9%)(P<0.05).观察组患儿完全无痛率(79.0%)显著高于对照组(58.1%)(P<0.05),观察组患儿重度疼痛率(1.6%)显著低于对照组(11.3%)(P<0.05),观察组患儿心率、血压均无明显变化,对照组患儿麻醉后舒张压(71.7±10.8)mmHg显著低观察组(74.5±12.8)mmHg,心率(80.2±8.8)次/min显著高于观察组(76.2±8.3)次/min.2组患儿在治疗中不良反应包括心动过速、头晕、头痛等,观察组患儿不良反应发生率与对照组差异无统计学意义.结论 儿童牙体牙髓无痛治疗中实施复方阿替卡因麻醉效果明显,能够减轻患儿痛苦,维持血压、心率稳定,具有使用价值.%Objective To analyze the anesthetic effect of Compound Articaine on Children's dental pulp without pain, and provide reference for clinical treatment.Methods124 patients with children with dental pulp disease in hospital from February 2015 to May 2016 were selected, patients were randomly divided into observation group and control group, every group with 62 cases.Control group patients were given Lidocaine anesthesia, observation group patients were taken trentment of compound articaine anesthesia, anesthetic effect of patients were compared.Changes in heart rate, blood pressure, adverse effects, and patient pain were recorded before and after anesthesia.ResultsThe total effective rate (96.8%) in the observation group was significantly higher than that in the control group (80.9%) (P<0.05).Observation group (79%) was significantly higher than the control group (1.6%,P<0.05), the observation group of severe pain rate (58.1%) was significantly lower than the control group (11.3%) (P<0.05),The heart rate and blood pressure in the observation group were no significant change, In the control group, the diastolic blood pressure (71.7±10.8) mmHg was significantly lower in the observation group (74.5±12.8) mmHg and the heart rate (80.2±8.8)/min was significantly higher than that in the observation group (76.2±8.3).Two groups of patients in the treatment of adverse reactions, including tachycardia, dizziness, headache, observation group of adverse reaction rate and the control group was not significantly different.ConclusionCompound articaine anesthesia was the implementation of children's dental painless treatment, can reduce the pain of patients, maintain the blood pressure and heart rate stable, has the use value.