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[含阿替卡因制剂联合肾上腺素和可乐定用于儿童牙科局部牙齿麻醉的效果]

[Efficiency of teeth local anesthesia by articaine-containing formulation with adrenaline and clonidine in pediatric dentistry].

作者信息

Mel'nikova A V, Shugaĭlov I A, Garus Ia N

出版信息

Stomatologiia (Mosk). 2014;93(2):43-6.

PMID:24781129
Abstract

The study evaluated duration and depth of the local infiltration anesthesia by articaine with different combinations of epinephrine and clonidine : articaine (4%) + epinephrine (1: 200 000), articaine (4%) + clonidine (1:100 000), articaine (4%) + epinephrine (1:200 000) + clonidine (1:100 000), articaine (4%) + epinephrine (1: 400 000) + clonidine (1:100, 000) in pediatric dental practice. It was revealed that the replacement of the vasoconstrictor epinephrine on clonidine associated with reduced depth and duration of analgesia. This increased efficiency is provided by inclusion of epinephrine (1:200 000), and clonidine (1:100 000) into anesthetic solution, which provided statistically significant increase in depth and duration of anesthesia.

摘要

该研究评估了在儿童牙科治疗中,阿替卡因与不同组合的肾上腺素和可乐定联合使用时局部浸润麻醉的持续时间和深度:阿替卡因(4%)+肾上腺素(1:200 000)、阿替卡因(4%)+可乐定(1:100 000)、阿替卡因(4%)+肾上腺素(1:200 000)+可乐定(1:100 000)、阿替卡因(4%)+肾上腺素(1:400 000)+可乐定(1:100 000)。结果显示,用可乐定替代血管收缩剂肾上腺素会导致镇痛深度和持续时间降低。将肾上腺素(1:200 000)和可乐定(1:100 000)加入麻醉溶液可提高效率,这在统计学上显著增加了麻醉的深度和持续时间。

相似文献

1
[Efficiency of teeth local anesthesia by articaine-containing formulation with adrenaline and clonidine in pediatric dentistry].[含阿替卡因制剂联合肾上腺素和可乐定用于儿童牙科局部牙齿麻醉的效果]
Stomatologiia (Mosk). 2014;93(2):43-6.
2
[Clinical and physiological rationale for use of clonidine with articaine and adrenaline for local anesthesia in pediatric dentistry].可乐定与阿替卡因和肾上腺素联合用于儿童牙科局部麻醉的临床及生理学原理
Stomatologiia (Mosk). 2014;93(3):48-52.
3
[Articaine and adrenaline combinations efficacy for dental anesthesia].[阿替卡因与肾上腺素联合用于牙科麻醉的疗效]
Stomatologiia (Mosk). 2009;88(5):24-6.
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Comparative investigations on the efficacy of articaine 4% (epinephrine 1:200,000) and articaine 2% (epinephrine 1:200,000) in local infiltration anaesthesia in dentistry--a randomised double-blind study.4%阿替卡因(肾上腺素1:200,000)与2%阿替卡因(肾上腺素1:200,000)用于牙科局部浸润麻醉效果的比较研究——一项随机双盲研究
Clin Oral Investig. 2006 Jun;10(2):145-50. doi: 10.1007/s00784-005-0025-0. Epub 2006 Feb 21.
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A comparison of the efficacy of 4% articaine with 1:100,000 epinephrine and 2% lidocaine with 1:80,000 epinephrine in achieving pulpal anesthesia in maxillary teeth with irreversible pulpitis.比较含 1:100000 肾上腺素的 4%阿替卡因和含 1:80000 肾上腺素的 2%利多卡因在上颌牙髓炎牙齿中实现牙髓麻醉的效果。
J Endod. 2012 Mar;38(3):279-82. doi: 10.1016/j.joen.2011.11.010. Epub 2011 Dec 22.
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Onset and duration periods of articaine and lidocaine on maxillary infiltration.阿替卡因和利多卡因对上颌浸润麻醉的起效时间和持续时间。
Quintessence Int. 2005 Mar;36(3):197-201.
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Anesthetic efficacy of 4% Articaine with 1:100,000 epinephrine versus 4% articaine with 1:200,000 epinephrine as a primary buccal infiltration in the mandibular first molar.4%盐酸阿替卡因与 1:100000 肾上腺素用于下颌第一磨牙颊侧浸润麻醉的效果与 4%盐酸阿替卡因与 1:200000 肾上腺素的比较。
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Anesthetic efficacy of articaine for combination labial plus lingual infiltrations versus labial infiltration in the mandibular lateral incisor.盐酸阿替卡因用于下颌侧切牙唇颊侧及舌侧浸润麻醉与唇侧浸润麻醉的麻醉效果比较。
J Endod. 2010 Jun;36(6):952-6. doi: 10.1016/j.joen.2010.03.004. Epub 2010 Apr 14.
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Comparison of onset and duration of action of soft tissue and pulpal anesthesia with three volumes of 4% articaine with 1:100,000 epinephrine in maxillary infiltration anesthesia.在上颌浸润麻醉中,比较三种体积的含1:100,000肾上腺素的4%阿替卡因用于软组织和牙髓麻醉时的起效时间和作用持续时间。
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Comparison of 4% articaine with 1:100,000 epinephrine and 2% lidocaine with 1:100,000 epinephrine when used as a supplemental anesthetic.4%阿替卡因加1:100,000肾上腺素与2%利多卡因加1:100,000肾上腺素作为辅助麻醉剂时的比较。
J Endod. 2007 Apr;33(4):403-5. doi: 10.1016/j.joen.2006.11.019. Epub 2007 Feb 20.

引用本文的文献

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Clonidine versus Adrenaline as an Adjunct to Lignocaine on Haemodynamic Parameters during Nerve Block for Third Molar Surgical Removal - A Systematic Review and Meta-Analysis.可乐定与肾上腺素作为利多卡因辅助药物在第三磨牙拔除术神经阻滞期间对血流动力学参数影响的系统评价与Meta分析
Ann Maxillofac Surg. 2022 Jul-Dec;12(2):203-211. doi: 10.4103/ams.ams_149_22. Epub 2023 Jan 10.
2
The Effect of Adding Clonidine to Articaine and Epinephrine on Post-treatment Pain: A Randomized Clinical Trial Study.在阿替卡因和肾上腺素中添加可乐定对治疗后疼痛的影响:一项随机临床试验研究。
Iran Endod J. 2021 Fall;16(4):210-216. doi: 10.22037/iej.v16i4.33555.
3
The additive effect of clonidine to lidocaine on postoperative pain management after root canal treatment on mandibular molars with symptomatic irreversible pulpitis: A prospective randomised double-blind clinical trial.
可乐定与利多卡因联合用于下颌磨牙症状性不可逆性牙髓炎根管治疗术后疼痛管理的附加效应:一项前瞻性随机双盲临床试验。
J Conserv Dent. 2021 Jan-Feb;24(1):24-28. doi: 10.4103/JCD.JCD_523_20. Epub 2021 Jul 5.