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局部麻醉中的疼痛控制。

Pain control in local analgesia.

作者信息

Meechan J G

机构信息

Newcastle University, Framlington Place, Newcastle upon Tyne, England.

出版信息

Eur Arch Paediatr Dent. 2009 Jun;10(2):71-6. doi: 10.1007/BF03321603.

DOI:10.1007/BF03321603
PMID:19627670
Abstract

AIM

This is to review the factors involved in administering local analgesia (LA) to children.

REVIEW

This paper describes those aspects that a dentist can control and considers strategies to reduce injection discomfort. The main factors affecting successful use of LA in children are detailed. These include equipment factors, such as needles, syringes and cartridges and patient factors focussing on expectation of pain and anxiety of a child, area of the mouth to be injected, and the appropriate LA technique. In addition safety aspects of using LA in children are discussed.

CONCLUSION

A number of factors that are under the influence of the dentist can affect the discomfort of LA. Knowledge of safe LA doses is important to ensure that toxic reactions do not occur.

摘要

目的

本文旨在回顾儿童局部麻醉给药过程中涉及的因素。

综述

本文描述了牙医可以控制的那些方面,并考虑了减轻注射不适的策略。详细阐述了影响儿童局部麻醉成功使用的主要因素。这些因素包括设备因素,如针头、注射器和药筒,以及患者因素,重点关注儿童对疼痛的预期和焦虑、注射部位以及合适的局部麻醉技术。此外,还讨论了儿童使用局部麻醉的安全问题。

结论

许多受牙医影响的因素会影响局部麻醉的不适程度。了解安全的局部麻醉剂量对于确保不发生毒性反应很重要。

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本文引用的文献

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Articaine buccal infiltration enhances the effectiveness of lidocaine inferior alveolar nerve block.阿替卡因颊部浸润可提高利多卡因下牙槽神经阻滞的效果。
Int Endod J. 2009 Mar;42(3):238-46. doi: 10.1111/j.1365-2591.2008.01507.x.
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Pain behaviour and distress in children during two sequential dental visits: comparing a computerised anaesthesia delivery system and a traditional syringe.儿童在连续两次牙科就诊期间的疼痛行为与痛苦:比较计算机化麻醉给药系统和传统注射器。
Br Dent J. 2008 Jul 12;205(1):E2; discussion 30-1. doi: 10.1038/sj.bdj.2008.414. Epub 2008 May 23.
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Articaine infiltration for anesthesia of mandibular first molars.
催眠与一氧化二氮对学龄期拔牙患者焦虑及合作度的影响:一项随机临床试验
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The efficacy of photobiomodulation on dental injection pain: a systematic review of randomized clinical trials.光生物调节对牙科注射疼痛的疗效:随机临床试验的系统评价。
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Behavior of Children toward Various Dental Procedures.儿童对各种牙科治疗的行为表现。
Int J Clin Pediatr Dent. 2019 Sep-Oct;12(5):379-384. doi: 10.5005/jp-journals-10005-1670.
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Interventions for increasing acceptance of local anaesthetic in children and adolescents having dental treatment.提高接受牙科治疗的儿童和青少年对局部麻醉剂接受度的干预措施。
Cochrane Database Syst Rev. 2020 Feb 27;2(2):CD011024. doi: 10.1002/14651858.CD011024.pub2.
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Procedural pain in routine dental care for children: a part of the Swedish BITA study.儿童常规牙科护理中的程序性疼痛:瑞典BITA研究的一部分
Eur Arch Paediatr Dent. 2018 Oct;19(5):365-372. doi: 10.1007/s40368-018-0368-2. Epub 2018 Sep 7.
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Structural damage to periodontal tissues at varying rate of anesthetic injection.在不同麻醉注射速率下牙周组织的结构损伤。
J Dent Anesth Pain Med. 2018 Apr;18(2):89-95. doi: 10.17245/jdapm.2018.18.2.89. Epub 2018 Apr 27.
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Evaluation of 2-Stage Injection Technique in Children.儿童两阶段注射技术的评估
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Evaluation of the anesthetic effect of epinephrine-free articaine and mepivacaine through quantitative sensory testing.通过定量感觉测试评估不含肾上腺素的阿替卡因和甲哌卡因的麻醉效果。
Head Face Med. 2015 Feb 7;11:2. doi: 10.1186/s13005-015-0061-1.
阿替卡因浸润用于下颌第一磨牙的麻醉
J Endod. 2008 May;34(5):514-8. doi: 10.1016/j.joen.2008.02.042.
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Is it the injection device or the anxiety experienced that causes pain during dental local anaesthesia?是注射装置还是所经历的焦虑导致了牙科局部麻醉时的疼痛?
Int J Paediatr Dent. 2008 Mar;18(2):139-45. doi: 10.1111/j.1365-263X.2007.00875.x.
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An evaluation of buccal infiltrations and inferior alveolar nerve blocks in pulpal anesthesia for mandibular first molars.下颌第一磨牙牙髓麻醉中颊侧浸润麻醉与下牙槽神经阻滞麻醉的评估。
J Endod. 2008 Jan;34(1):11-3. doi: 10.1016/j.joen.2007.09.006.
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Children's self-reported pain at the dentist.儿童自述在看牙医时的疼痛。
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Reaction of children to dental injection with 27- or 30-gauge needles.儿童对27号或30号针头牙科注射的反应。
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Size doesn't matter: needle gauge and injection pain.尺寸并非关键:针头规格与注射疼痛
Gen Dent. 2007 May-Jun;55(3):216-7.