阿替卡因加肾上腺素、丙胺卡因加去氧肾上腺素和利多卡因加肾上腺素注射疼痛的比较。
A comparison of injection pain with articaine with adrenaline, prilocaine with phenylpressin and lidocaine with adrenaline.
作者信息
Sumer Mahmut, Misir Ferhat, Celebi Nükhet, Muğlali Mehtap
机构信息
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Ondokuz Mayis, Samsun, Turkey.
出版信息
Med Oral Patol Oral Cir Bucal. 2008 Jul 1;13(7):E427-30.
OBJECTIVE
The objective of the present study was to investigate the pain on injection of articaine with adrenaline, prilocaine with phenylpressin , and lidocaine with adrenaline.
STUDY DESIGN
The study sample was comprised of 497 consecutively seen patients received 497 maxillary buccal infiltration injections or inferior alveolar block injections of 4% articaine with 1:200.000 adrenaline, 3% prilocaine with 1.08 mcg phenylpressin, or 2% lidocaine with 1:100.000 adrenaline. Immediately after the injection, patients were asked to rate their injection pain on a six-point scale.
RESULTS
There were no significant differences among the anesthetic solutions for injection pain. Patients usually reported mild or no injection pain for all of anesthetic administrations.
CONCLUSION
Under the conditions of this study that lidocaine with adrenaline, articaine with adrenaline and prilocaine with phenylpressin seemed to be similar for pain on injection and they could be quite painless.
目的
本研究的目的是调查含肾上腺素的阿替卡因、含去氧肾上腺素的丙胺卡因和含肾上腺素的利多卡因注射时的疼痛情况。
研究设计
研究样本包括497例连续就诊的患者，他们接受了497次上颌颊侧浸润注射或下牙槽阻滞注射，分别注射含1:200,000肾上腺素的4%阿替卡因、含1.08 mcg去氧肾上腺素的3%丙胺卡因或含1:100,000肾上腺素的2%利多卡因。注射后立即要求患者用六点量表对注射疼痛进行评分。
结果
不同麻醉溶液在注射疼痛方面无显著差异。患者对所有麻醉剂给药通常报告轻度或无注射疼痛。
结论
在本研究条件下，含肾上腺素的利多卡因、含肾上腺素的阿替卡因和含去氧肾上腺素的丙胺卡因在注射疼痛方面似乎相似，且注射时相当无痛。
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