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利多卡因凝胶和喷雾剂型用于儿童颊部浸润麻醉的疗效:一项随机临床试验。

Efficacy of lignocaine in gel and spray form during buccal infiltration anesthesia in children: a randomized clinical trial.

作者信息

Sharma Anshul, Suprabha B S, Shenoy Ramya, Rao Arathi

机构信息

Former Postgraduate Student, Department of Pedodontics and Preventive Dentistry Manipal College of Dental Sciences, Manipal University Mangalore, Karnataka, India.

Additional Professor, Department of Pedodontics and Preventive Dentistry, 'Shreyas' 15/17/940-13, 5th Cross Road, Shivabagh, Kadri, Mangalore 575002, Karnataka, India, Phone: 091-0824-2428716, Fax: 091-0824-2422653, e-mail:

出版信息

J Contemp Dent Pract. 2014 Nov 1;15(6):750-4. doi: 10.5005/jp-journals-10024-1611.

DOI:10.5005/jp-journals-10024-1611
PMID:25825102
Abstract

AIM

To compare the efficacy of 15% lignocaine spray and 8% lignocaine gel as a topical anesthetic, in reducing pain, during buccal infiltration in children.

MATERIALS AND METHODS

Forty-two patients aged between 7 and 12 years requiring restorative procedures/extraction/pulp therapy of primary/ permanent teeth in the maxillary arch, under buccal infiltration anesthesia were selected for the study. The participants were randomly allocated into 2 groups of 21 each. In group A, 8% lignocaine gel and in group B, 15% lignocaine spray was applied prior to buccal infiltration. Pain was assessed using Wong-Baker faces pain rating scale (WBFPRS) and faces legs activity cry and consolability (FLACC) painscale.

RESULTS

Pearson's chi-square test revealed that there was no significant difference in the FLACC scores of the two groups (p = 0.54). Independent t-test demonstrated that there was no significant difference in Wong-Bakers faces pain score between the two agents (p = 0.07).

CONCLUSION

There is no significant difference in the efficacy of 15% lignocaine spray and 8% lignocaine gel as a topical anesthetic in controlling pain during buccal infiltration anesthesia, in children.

摘要

目的

比较15%利多卡因喷雾剂和8%利多卡因凝胶作为局部麻醉剂在减轻儿童颊侧浸润麻醉时疼痛方面的疗效。

材料与方法

选取42例年龄在7至12岁之间、需要在上颌牙弓进行乳牙/恒牙修复手术/拔牙/牙髓治疗且采用颊侧浸润麻醉的患者进行研究。参与者被随机分为两组,每组21人。A组在颊侧浸润前使用8%利多卡因凝胶,B组在颊侧浸润前使用15%利多卡因喷雾剂。使用面部表情疼痛评分量表(WBFPRS)和面部、腿部、活动、哭闹及安慰度(FLACC)疼痛量表评估疼痛。

结果

Pearson卡方检验显示两组的FLACC评分无显著差异(p = 0.54)。独立t检验表明两种药物之间的面部表情疼痛评分无显著差异(p = 0.07)。

结论

15%利多卡因喷雾剂和8%利多卡因凝胶作为局部麻醉剂在控制儿童颊侧浸润麻醉时的疼痛方面疗效无显著差异。

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