Brickhouse Tegwyn H, Unkel John H, Webb Michael D, Best Al M, Hollowell Robert L
Department of Pediatric Dentistry School of Dentistry, Virginia Commonwealth University Richmond, Va, USA.
Pediatr Dent. 2008 Nov-Dec;30(6):516-21.
The purpose of this study was to examine local anesthetic selection and dentists' use of articaine in children.
Using a cross-sectional survey design, a questionnaire regarding the use of local anesthetics in children was mailed to a random sample of dentists and all pediatric dentists from North Carolina and Virginia. The 16-item questionnaire included questions regarding the preferred local anesthetic used in children. The association between dental practitioner type and anesthetic use was tested using the chi-square or Fisher's exact test.
There was a 30% response rate. Lidocaine with epinephrine was the local anesthetic preferred overall by all practitioners. Approximately 50% of dentists surveyed reported using articaine in children. There were no significant differences in the preference of articaine between provider types with the exception of older, 7- to 10-year-old patients, where general dentists preferred articaine significantly more than pediatric dentists (28% vs 16%).
While lidocaine with epinephrine was still the preferred local anesthetic for use in children, the use of articaine in children was prevalent among both general and pediatric dentists. The use of articaine became more prevalent as the patient's age increased.
本研究旨在探讨局部麻醉剂的选择以及牙医在儿童中使用阿替卡因的情况。
采用横断面调查设计，向来自北卡罗来纳州和弗吉尼亚州的随机抽取的牙医样本以及所有儿科牙医邮寄了一份关于儿童局部麻醉剂使用情况的问卷。这份包含16个条目的问卷包括了关于儿童首选局部麻醉剂的问题。使用卡方检验或费舍尔精确检验来测试牙医类型与麻醉剂使用之间的关联。
回复率为30%。含肾上腺素的利多卡因是所有从业者总体上首选的局部麻醉剂。约50%接受调查的牙医报告在儿童中使用阿替卡因。除了7至10岁的年长患者外，不同类型的从业者在阿替卡因的偏好上没有显著差异，在这类患者中，普通牙医比儿科牙医更倾向于使用阿替卡因（28%对16%）。
虽然含肾上腺素的利多卡因仍是儿童使用的首选局部麻醉剂，但阿替卡因在普通牙医和儿科牙医中在儿童中的使用都很普遍。随着患者年龄的增加，阿替卡因的使用变得更加普遍。
