两种用于上颌第三磨牙手术拔除的麻醉方法比较：腭大孔神经阻滞技术与局部浸润技术。
A comparison of two anesthesia methods for the surgical removal of maxillary third molars: PSA nerve block technique vs. local infiltration technique.
作者信息
Al-Delayme Ra Ed Ma
机构信息
B.D.S, S.OMFS.S, C.A.B.OMFS, M.F.D. R.C.S. I., M.O.M.S. R.C.P.S .G, F.F.D (OSOM) R.C.S.I. Dean of The Faculty of Dentistry, Dijla University College, Baghdad, Iraq ; B.D.S, S.OMFS.S, C.A.B.OMFS, M.F.D. R.C.S. I., M.O.M.S. R.C.P.S .G, F.F.D (OSOM) R.C.S. I. Senior Specialist at Oral and Maxillofacial Surgery Dept., AL-Yarmuk Teaching Hospital, Baghdad, Iraq.
出版信息
J Clin Exp Dent. 2014 Feb 1;6(1):e12-6. doi: 10.4317/jced.51199. eCollection 2014 Feb.
OBJECTIVES
The purpose of this study was to compare the effect of PSA block injection with infiltration technique regarding local anesthesia for surgical extraction of upper third molar.
MATERIAL AND METHODS
A prospective, intra individual, single-blind randomized controlled trial was designed to study the severity of pain during injection and after surgical extraction of the bilaterally and symmetrically similar upper third molar in a total of 53 patients, in addition to evaluating the need to repeat the injection and requirement of post operative anti-inflammatory tablets.
RESULT
Although the average pain score for all studied times in PSA side was lower than the average pain score in infiltration technique, repeated statistical measures demonstrated that no significant pain reduction occurred in the two techniques.
CONCLUSION
The both tested methods have the same statistic equivalence for the surgical extraction of maxillary third molars. Key words:Surgical extraction, maxillary third molars, PSA block, infiltration.
目的
本研究旨在比较腭大孔阻滞注射与浸润技术在上颌第三磨牙手术拔除局部麻醉中的效果。
材料与方法
设计一项前瞻性、个体内、单盲随机对照试验，研究53例患者双侧对称相似上颌第三磨牙注射时及手术拔除后的疼痛程度，此外还评估重复注射的必要性及术后抗炎药片的需求。
结果
尽管腭大孔侧所有研究时间的平均疼痛评分低于浸润技术的平均疼痛评分，但重复统计测量表明两种技术均未出现显著的疼痛减轻。
结论
两种测试方法在上颌第三磨牙手术拔除中具有相同的统计学等效性。关键词：手术拔除；上颌第三磨牙；腭大孔阻滞；浸润
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