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牙科门诊患者中咪达唑仑静脉镇静与异氟烷吸入镇静的比较。

Comparison of i.v. sedation with midazolam and inhalation sedation with isoflurane in dental outpatients.

作者信息

Parbrook G D, Still D M, Parbrook E O

机构信息

University Department of Anaesthesia, Royal Infirmary, Glasgow.

出版信息

Br J Anaesth. 1989 Jul;63(1):81-6. doi: 10.1093/bja/63.1.81.

Abstract

I.v. midazolam was compared with inhalation sedation using isoflurane in 80 dental outpatients. Preoperative anxiety was comparable in both groups and decreased after operation to similar values. The dental surgeon and the patients rated the techniques as equally satisfactory. Midazolam produced faster induction of sedation (P less than 0.001) and more amnesia for the injection of local analgesic (P less than 0.001), whereas isoflurane produced more euphoria (P less than 0.01) and quicker recovery (P less than 0.001). The incidence of postoperative side effects was similar in the two groups.

摘要

在80名牙科门诊患者中,将静脉注射咪达唑仑与使用异氟烷进行吸入镇静进行了比较。两组患者术前焦虑程度相当,术后均降至相似水平。牙科医生和患者对这两种技术的满意度相同。咪达唑仑诱导镇静的速度更快(P<0.001),对局部麻醉剂注射的遗忘效果更好(P<0.001),而异氟烷则产生更多的欣快感(P<0.01)和更快的恢复(P<0.001)。两组术后副作用的发生率相似。

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