摘要
目的:观察丙泊酚+局麻涡轮钻拔牙法在困难牙拔除中的应用。方法:选择拔牙患者60例,随机分为治疗Ⅰ组(丙泊酚+局麻涡轮钻拔牙法)、治疗Ⅱ组(局麻涡轮钻拔牙法),对照组(传统拔牙法),记录各组患者麻醉前、局麻时、拔牙中平均动脉压(MAP)、心率(HR)、氧饱和度(SpO2),拔牙时间,拔牙感受。结果:Ⅰ组患者MAP、HR波动小,感觉痛苦小,Ⅰ、Ⅱ组患者拔牙时间短,3组患者SpO2无差异。结论:丙泊酚+局麻涡轮钻拔牙法,值得在困难牙拔除中应用。
Objective： To observe the clinical use of turbine drill under local anesthesia combined with propofol in complicated exodontias. Methods： Sixty patients of complicated exodontias were randomly divided into three groups： Ⅰ group （ turbine drill exodontia under local anesthesia combined with propefol）, Ⅱ group （ turbine drill exodontia under local anesthesia） and control group（ traditional hammer and chisel exodontia under local anesthesia）. Mean artery pressure （ MAP）, heart rate （HR） and oxygen saturation （SpO2 ） before anesthesia, during local anesthesia and operation, the time of operation, subjective feel to exodontia were recorded. Results： MAP and HR were kept steadily in Ⅰ group, but fluctuated greatly in Ⅱ and control group during local anesthesia and operation. Patients in Ⅰ group feel relaxation, but patients in Ⅱ and control group feel fear and tension during exodontia. The time of operation was shorter in Ⅰ and Ⅱ group than control group. There was no significant difference among three groups in SpO2. Conclusion： It was valuable to use turbine drill under local anesthesia combined with propofol in complicated exodontias.
出处
《口腔医学研究》
CAS
CSCD
2007年第4期431-433,共3页
Journal of Oral Science Research
关键词
丙泊酚
涡轮钻
无痛拔牙
Propefol Turbine drill No- pain exodontias
