Bhadauria Upendra Singh, Dasar Pralhad L, Sandesh N, Mishra Prashant, Godha Shaijal
Department of Public Health Dentistry, Sri Aurobindo College of Dentistry, Indore, India.
Clujul Med. 2017;90(2):220-225. doi: 10.15386/cjmed-694. Epub 2017 Apr 25.
To determine the effect of pre-cooling injection site on pain perception in patients attending a dental camp at lifeline express, Habibganj.
A split mouth interventional study assessed the effect of pre cooling the injection site in patients (n=33) requiring bilateral buccal infiltration prior to extraction. One side of the patient's mouth received the intervention after the injection site was pre cooled with ice for 3 minutes along with topical Lidocaine, while the other mouth side of the same patient received only topical Lidocaine and served as control group. A structured proforma assessed the demographic characteristics and risk factors that influence pain perception in patients. Mann-Whitney U tests and Wicoxon rank sum test were used for statistical analysis. Statistical significance was defined at P<0.05.
The results revealed a significant difference in pain perception between control and intervention group as assessed using both Heft-Parker Visual Analog Scale (median score 3.0 and 1.0) and Sound Eye Motor scale (median score=1.0 and 0.0) (P<0.01). For both the scales the assessed and self reported variables Gender, Location, Chief Complaint, Region and Arch were found to be statistically significant.
Pre cooling injection site reduced pain perception in patients.
确定在哈比甘杰生命线快车牙科营地对患者注射部位进行预冷对疼痛感知的影响。
一项双侧对照干预研究评估了对33例拔牙前需要双侧颊部浸润麻醉的患者,对注射部位进行预冷的效果。在患者口腔一侧,注射部位先用冰块预冷3分钟并涂抹局部利多卡因后进行干预,而同一患者口腔的另一侧仅涂抹局部利多卡因作为对照组。一份结构化表格评估了影响患者疼痛感知的人口统计学特征和危险因素。采用曼-惠特尼U检验和威尔科克森秩和检验进行统计分析。统计学显著性定义为P<0.05。
使用赫夫特-帕克视觉模拟量表(中位数评分分别为3.0和1.0)和声眼运动量表(中位数评分分别为1.0和0.0)评估发现,对照组和干预组之间在疼痛感知上存在显著差异(P<0.01)。对于这两种量表,评估的和自我报告的变量,包括性别、部位、主诉、区域和牙弓,均具有统计学显著性。
注射部位预冷可降低患者的疼痛感知。