局部麻醉并发症。一项观察性研究。
Complications of local anaesthesia. An observational study.
机构信息
Department of Oral and Maxillofacial Surgery, Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, The Netherlands.
出版信息
Int J Dent Hyg. 2009 Nov;7(4):270-2. doi: 10.1111/j.1601-5037.2009.00372.x.
OBJECTIVES
Local anaesthesia is increasingly used by dental hygienists. As little is known about the incidence of adverse effects during and after the administration of local anaesthetics, we evaluated side-effects associated with local anaesthesia.
METHODS
A prospective observational study was conducted using standard criteria among a group of 103 patients receiving mandibular block anaesthesia.
RESULTS
Physical reactions like clenching fists (14.5%), moaning (12.6%) and turning pale (7.8%) were frequently observed. Patients (3.8%) showed a painful reaction because of needle contact with a nerve or the periosteum. Systemic complications were not observed. After the injection, 41.7% said they felt tense during the administration; 4.9% of the patients reported swallowing problems and 3.9% a tachycardia.
CONCLUSIONS
These results suggest that administration of local anaesthesia has a small risk of adverse events. Complications, if they occur, seem minor and transient in nature.
目的
越来越多的牙科保健师在工作中使用局部麻醉。由于我们对局部麻醉剂给药期间和之后不良反应的发生率知之甚少，因此我们评估了与局部麻醉相关的副作用。
方法
对一组接受下颌阻滞麻醉的 103 名患者使用标准标准进行前瞻性观察研究。
结果
经常观察到握拳（14.5%）、呻吟（12.6%）和脸色苍白（7.8%）等身体反应。由于针接触神经或骨膜，患者（3.8%）出现疼痛反应。未观察到全身并发症。注射后，41.7%的患者表示在给药过程中感到紧张；4.9%的患者报告吞咽问题，3.9%的患者出现心动过速。
结论
这些结果表明，局部麻醉的给药具有较小的不良事件风险。如果发生并发症，它们似乎是轻微和短暂的。
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