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阿替卡因与利多卡因用于第三磨牙手术的比较:一项随机临床研究。

Articaine versus lidocaine for third molar surgery: a randomized clinical study.

机构信息

Universidade Federal de Sergipe, Departamento de Odontologia, Sanatório Aracaju Sergipe, Brasil.

出版信息

Med Oral Patol Oral Cir Bucal. 2012 Jan 1;17(1):e140-5. doi: 10.4317/medoral.17148.

Abstract

OBJECTIVE

Pain reduction has been the subject of continuous research in the field of oral and maxillofacial surgery since postoperative pain with ranging of intensity and duration may affects the patient submitted in an oral surgical procedure. The aim of present study was to compare the analgesic effectiveness between two different anesthetic solutions (articaine and lidocaine) in third molar surgery.

STUDY DESIGN

A prospective, randomized and clinical study with patients submitted to third molar surgery at two distinct times. The visual analogue scale, the McGill Pain Questionnaire and the analgesic consumption record were used to measure the pain after each surgical time.

RESULTS

Duration of surgery, latency, the amount of anesthetic used and analgesic consumption showed clinical differences with highlights of articaine, though statistical significance was not observed (P<0.05). The pain scores indicated similar anesthetic efficacy with both solutions.

CONCLUSION

In the present study no significant differences were observed between lidocaine and articaine in the control of postoperative pain.

摘要

目的

自术后疼痛的强度和持续时间可能会影响接受口腔外科手术的患者以来,口腔颌面外科领域一直在进行减轻疼痛的研究。本研究旨在比较两种不同麻醉溶液(阿替卡因和利多卡因)在第三磨牙手术中的镇痛效果。

研究设计

一项前瞻性、随机和临床研究,患者在两次不同时间接受第三磨牙手术。使用视觉模拟评分法、麦吉尔疼痛问卷和镇痛药消耗记录来测量每次手术后的疼痛。

结果

手术持续时间、潜伏期、麻醉剂用量和镇痛药用量存在临床差异,阿替卡因较为突出,尽管未观察到统计学意义(P<0.05)。疼痛评分表明两种溶液的麻醉效果相似。

结论

在本研究中,利多卡因和阿替卡因在控制术后疼痛方面没有观察到显著差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbb1/3448204/a1269f0ca625/medoral-17-e140-g001.jpg

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