局部麻醉下第三磨牙手术中使用与不使用镇静剂时生命体征参数的比较评估
Comparative Evaluation of Vital Parameters During Third Molar Surgery Under Local Anaesthesia with and without Sedative Agents.
作者信息
Dhuvad Jigar M, Kshisagar Rajesh A, Dhuvad Mukesh M
机构信息
Assistant Professor, Department of Oral and Maxillofacial Surgery, Government Dental College and Hospital , Ahmadabad, India .
Professor and Head, Department of Oral and Maxillofacial Surgery, Bharati Vidyapeeth Dental College and Hospital , Pune, India .
出版信息
J Clin Diagn Res. 2014 Dec;8(12):ZC57-60. doi: 10.7860/JCDR/2014/11043.5332. Epub 2014 Dec 5.
AIMS
To compare vital parameters; operator's comfort; and patient's satisfaction during impacted third molar removal under local anaesthesia, with or without sedative agents.
MATERIALS AND METHODS
Ninety patients undergoing elective third molar surgery were randomly divided into three groups of 30 each: Group A received propofol along with local anaesthesia; Group B received midazolam along with local anaesthesia and Group C received local anaesthesia alone. After the local anaesthesia, with or without sedative agents, the impacted third molars were removed in Operation Theater.
RESULTS
Group A clearly showed advantages over Group B & C on all the parameters that we have selected.
CONCLUSION
Even though the cost of propofol is high, suitable operating conditions, faster onset of sedation, rapid recovery, and minimal side effects support the use of this drug for conscious sedation for third molar surgery.
目的
比较在局部麻醉下拔除阻生第三磨牙时，使用或不使用镇静剂的情况下，生命体征参数、术者舒适度及患者满意度。
材料与方法
90例行择期第三磨牙手术的患者被随机分为三组，每组30例：A组在局部麻醉基础上使用丙泊酚；B组在局部麻醉基础上使用咪达唑仑；C组仅接受局部麻醉。在局部麻醉后，无论是否使用镇静剂，均在手术室拔除阻生第三磨牙。
结果
在我们所选的所有参数方面，A组明显优于B组和C组。
结论
尽管丙泊酚成本较高，但合适的手术条件、更快的镇静起效时间、快速恢复及最小的副作用支持将该药用于第三磨牙手术的清醒镇静。
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