碧兰麻与利多卡因在牙体牙髓病麻醉治疗中的效果及安全性比较.docVIP

碧兰麻与利多卡因在牙体牙髓病麻醉治疗中的效果及安全性比较 　　【摘要】 目的：探讨碧兰麻与利多卡因在牙体牙髓病麻醉治疗中的临床应用价值。方法：将笔者所在医院进行牙体牙髓病治疗的50例患者随机分成对照组和治疗组。治疗组采用碧兰麻麻醉，对照组采用利多卡因麻醉，比较两组患者的麻醉效果、不良反应发生情况及麻醉起效时间等。结果：治疗组总有效率为92.00%，对照组为68.00%，治疗组高于对照组，差异有统计学意义（P0.05）；治疗组不良反应率为12.00%，对照组为36.00%，治疗组低于对照组，差异有统计学意义（P0.05）；治疗组麻醉时间优于对照组，差异有统计学意义（P0.05）。结论：碧兰麻与利多卡因在牙体牙髓病麻醉治疗中均有一定的麻醉作用，但碧兰麻麻醉效果更加显著，能有效降低不良反应率，有助于患者获得更好的治疗，值得推广。 　　【关键词】 碧兰麻； 利多卡因； 牙体牙髓病； 安全性 　　中图分类号 R614.3 文献标识码 B 文章编号 1674-6805（2016）5-0023-02 　　【Abstract】 Objective：To investigate the clinical application of Lidocaine and Primacaine in the anesthesia of dental disease treatment.Method：In our hospital 50 patients for treatment of dental disease were randomly divided into the control group and the treatment groups.The treatment group was taken Primacaine anesthesia，the control group was received Lidocaine anesthesia，the anesthetic effect between the two groups of patients，as well as onset time of anesthesia and other adverse reactions were compared.Result：The total effective rate was 92.00% in the treatment group，68.00% in the control group，the treatment group was higher，there was significant difference in two groups（P0.05）；treatment of adverse reactions was 12.00% in the treatment group，36.00% in the control group，there was significant difference in two groups（P0.05）； anesthesia time in the treatment group was better than the control group（P0.05）.Conclusion：Primacaine and Lidocaine anesthesia in dental disease anesthetic have certain anesthetic effect，but Primacaine anesthesia is more significant effect，can effectively reduce the rate of adverse reactions，help patients getting better treatment，worth promoting. 　　【Key words】 Primacaine； Lidocaine； Dental disease； Security 　　First-author’s address：Honghe First People’s Hospital，Mengzi 661400，China 　　doi：10.14033/j.cnki.cfmr.2016.5.011 　　牙体牙髓病是一种常见的口腔疾病，主要包含牙体病与牙髓病等两种类型，临床上治疗该类疾病方式最常见的为去髓术等外科手术治疗。由于牙髓组织中存在大量的神经纤维，在治疗过程中极易引起患者剧烈疼痛，造成患者难以忍受，甚至还会因惧怕疼痛而拒绝治疗[1-2]。为此，笔者所在医院采取及时、安全、镇痛效果明显的麻醉药物进行辅助治疗，如碧兰麻和利多卡因等，并将