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牙科治疗期间一氧化二氮暴露后的慢性疼痛缓解:纵向回顾性研究。

Chronic pain relief after the exposure of nitrous oxide during dental treatment: longitudinal retrospective study.

作者信息

Mattos Júnior Francisco Moreira, Mattos Rafael Villanova, Teixeira Manoel Jacobsen, Siqueira Silvia Regina Dowgan Tesseroli de, Siqueira Jose Tadeu Tesseroli de

机构信息

Departamento de Neurologia, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.

Faculdade de Artes, Ciências e Humanidades, Universidade de São Paulo, São Paulo, SP, Brazil.

出版信息

Arq Neuropsiquiatr. 2015 Jul;73(7):578-81. doi: 10.1590/0004-282X20150061.

Abstract

The objective was to investigate the effect of nitrous/oxygen in chronic pain. Seventy-seven chronic pain patients referred to dental treatment with conscious sedation with nitrous oxide/oxygen had their records included in this research. Data were collected regarding the location and intensity of pain by the visual analogue scale before and after the treatment. Statistical analysis was performed comparing pre- and post-treatment findings. It was observed a remarkable decrease in the prevalence of pain in this sample (only 18 patients still had chronic pain, p < 0.001) and in its intensity (p < 0.001). Patients that needed fewer sessions received higher proportions of nitrous oxide/oxygen. Nitrous oxide may be a tool to be used in the treatment of chronic pain, and future prospective studies are necessary to understand the underlying mechanisms and the effect of nitrous oxide/oxygen in patients according to the pain diagnosis and other characteristics.

摘要

目的是研究一氧化二氮/氧气对慢性疼痛的影响。77名因一氧化二氮/氧气清醒镇静而接受牙科治疗的慢性疼痛患者的记录被纳入本研究。通过视觉模拟量表在治疗前后收集有关疼痛部位和强度的数据。对治疗前后的结果进行了统计分析。观察到该样本中疼痛发生率显著降低(仅18名患者仍有慢性疼痛,p<0.001)及其强度降低(p<0.001)。需要治疗次数较少的患者接受了更高比例的一氧化二氮/氧气。一氧化二氮可能是一种用于治疗慢性疼痛的工具,未来需要进行前瞻性研究,以根据疼痛诊断和其他特征了解一氧化二氮/氧气的潜在机制及其对患者的影响。

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