摘要
目的分析右美托咪定复合舒芬太尼静注在儿童根管治疗中的应用效果,为患者的临床诊疗提供指导。方法回顾性分析2018年10月至2019年6月在普宁华侨医院进行根管治疗的120例患儿的诊疗情况。按照麻醉方法不同分为观察组和对照组各60例。对照组给予局麻进行根管手术治疗,观察组给予右美托咪定复合舒芬太尼全麻后进行根管手术治疗。比较两组患儿的手术效果、瘘管愈合情况以及疼痛和不良反应情况。结果观察组手术成功率为98.33%、瘘管愈合率为96.67%,明显高于对照组的81.67%、78.33%,差异有统计学意义(P<0.05);观察组患儿的疼痛率为8.33%,明显低于对照组的21.67%,差异有统计学意义(P<0.05);治疗期间,观察组患者的不良反应总发生率为11.67%,略高于对照组的8.33%,差异无统计学意义(P>0.05)。结论右美托咪定复合舒芬太尼静注在儿童根管治疗中的麻醉效果显著,安全性良好,值得在不能配合治疗的儿童中应用。
Objective To analyze the effect of dexmedetomidine combined with sufentanil in the treatment of root canal in children, and to provide guidance for clinical diagnosis and treatment. Methods The clinical data of the diagnosis and treatment of 120 children with root canal, who admitted to Puning Overseas Chinese Hospital from October 2018 to June 2019, were analyzed retrospectively. According to the different anesthesia methods, the patients were divided into the observation group and control group, with 60 patients in each group. The control group was treated with local anesthesia, and the observation group was treated by root canal operation after general anesthesia with dexmedetomidine and sufentanil. Three months after operation, the results of operation and fistula healing were recorded and compared between the two groups, and the pain and adverse reactions were analyzed. Results The operation success rate and fistula healing rate in the observation group wer 98.33% and 96.67%, which were significantly higher than corresponding 81.67% and 78.33% in the control group(P<0.05). The pain rate of children in the observation group was8.33% versus 21.67% in the control group(P<0.05). During the treatment, the total incidence of adverse reactions in the observation group was 11.67% versus 8.33% in the control group(P>0.05). Conclusion The anesthesia effect of dexmedetomidine combined with sufentanil in children’s root canal therapy is significant and the safety is good. It is worth applying in children who can’t cooperate with the treatment.
作者
方创茂
黄志昌
陈家鑫
许炎荣
黄达鑫
FANG Chuang-mao;HUANG Zhi-chang;CHEN Jia-xin;XU Yan-rong;HUANG Da-xin(Department of Anesthesiology,Puning Overseas Chinese Hospital,Jieyang 515300,Guangdong,CHINA)
出处
《海南医学》
CAS
2020年第4期500-502,共3页
Hainan Medical Journal
