Department of Dentistry, State University of Maringá, Maringá, Paraná, Brazil.
Aust Dent J. 2011 Sep;56(3):312-6. doi: 10.1111/j.1834-7819.2011.01345.x. Epub 2011 Aug 11.
The aim of this study was to evaluate the cardiovascular effects of maxillary infiltration using 2% lidocaine with 1:100,000 adrenaline, 4% articaine with 1:200,000 adrenaline, and 4% articaine with 1:100,000 adrenaline in different stages during restorative dental procedures.
Twenty healthy patients randomly received 1.8 mL of the three local anaesthetics. Systolic blood pressure, average blood pressure, diastolic blood pressure, and heart rate were evaluated by the oscillometric and photoplethysmograph methods in seven stages during the appointment.
Statistical analysis by ANOVA and Tukey tests of cardiovascular parameters did not show significant differences between the anaesthetic associations. There were significant differences for the parameters among different clinical stages.
The variation of cardiovascular parameters was similar for lidocaine and articaine with both adrenaline concentrations and showed no advantage of one drug over the other. Cardiovascular parameters were influenced by the stages of the dental procedures, which showed the effect of anxiety during restorative dental treatment.
本研究旨在评估在修复牙科治疗的不同阶段使用 2%利多卡因加 1:100000 肾上腺素、4%阿替卡因加 1:200000 肾上腺素和 4%阿替卡因加 1:100000 肾上腺素对心血管的影响。
20 名健康患者随机接受 1.8 毫升三种局部麻醉剂。通过振动脉冲和光体积描记法在预约期间的七个阶段评估收缩压、平均血压、舒张压和心率。
通过方差分析和 Tukey 检验对心血管参数进行的统计学分析显示，麻醉剂联合之间没有显著差异。不同临床阶段的参数存在显著差异。
利多卡因和阿替卡因与两种肾上腺素浓度的心血管参数变化相似，没有一种药物优于另一种药物。心血管参数受牙科治疗阶段的影响，这表明了修复性牙科治疗过程中的焦虑影响。
