摘要
目的:研究预防性镇痛和轻度镇静技术应用于口腔门诊的临床效果。方法:纳入龋病、智齿拔除患者40例,随机分2组,每组20例:Ⅰ组使用1%利多卡因浸润麻醉后传统治疗方法;Ⅱ组采用预防性镇痛和轻度镇静技术,静脉滴注酮咯酸氨丁三醇、右美托咪定后1%利多卡因浸润麻醉下手术治疗。记录患者口腔治疗期间镇痛效果及Ramsay镇静评分,电话回访记录患者离院后1、4、8、12、24 h数字疼痛评分。结果:治疗期间及治疗后12 hⅡ组患者镇静、镇痛均明显优于Ⅰ组(P<0.01)且Ⅱ组患者无一例出现明显不良反应。结论:使用酮咯酸氨丁三醇和右美托咪定的预防性镇痛镇静技术可以安全应用于口腔科门诊患者,患者舒适基本无痛且安全。
Objective:To study the clinical effects of preventive analgesia and mild sedation in oral clinical treatment.Methods:40 cases of caries and wisdom tooth extraction were included and randomly divided into 2 groups(n=20).The patients in groupⅠwere treated by infiltration anesthesia with 1%lidocaine followed by traditrional trerapy,those in groupⅡwith ketorolac tormethamine and dexmedetomidine follwed by 1%lidocaine infiltration anesthesia and operation.The analgesic effect and ramsay sedation score of the patients during oral treatment were recorded,and the digital pain score of 1,4,8,12 and 24 h after leaving hospital was recorded by telephone return visit.Results:The sedation and analgesia in groupⅡwere significantly better than those in groupⅠduring oral treatment(P<0.01),and none of them showed adverse reaction.Conclusion:Preventive analgesia and sedation with ketorolac tromethamine and dexmedetomidine can be used safely in outpatients for oral clinic treatment.
作者
全小会
肖莉
阮绪广
QUAN Xiaohui;XIAO Li;RUAN Xuguang(Oral Clinic,Panyu Central Hospital,Guangzhou 511400,China;Department of Anesthesiology,Panyu Central Hospital,Guangzhou 511400,China)
出处
《实用口腔医学杂志》
CAS
CSCD
北大核心
2022年第1期85-87,共3页
Journal of Practical Stomatology
