Rathi Nilesh V, Khatri Anushree A, Agrawal Akshat G, M Sudhindra Baliga, Thosar Nilima R, Deolia Shravani G
Department of Pedodontics and Preventive Dentistry, Sharad Pawar Dental College, Datta Meghe Institute of Medical Sciences, Sawangi (M), Wardha, Maharashtra, India.
Sharad Pawar Dental College, Sawangi (M), Department of Pedodontics and Preventive Dentistry, Maharashtra, India.
Anesth Prog. 2019 Spring;66(1):3-7. doi: 10.2344/anpr-65-04-02.
The aim of this study was to compare the efficacy of articaine versus lidocaine, both containing epinephrine, using a single buccal infiltration for extraction of primary molars.A total of 100 children requiring primary molar extraction received buccal infiltration using either 4% articaine or 2% lidocaine, both with epinephrine, with 50 children in each group. The Wong-Baker Facial Pain Scale (FPS) was used to evaluate pain perception subjectively. The heart rate and the blood pressure values were assessed objectively as an indirect measure of physiological pain perception. The Wilcoxon-Mann-Whitney test was used for comparing mean pain scores, heart rate, and blood pressure in both the groups. Single buccal infiltration with articaine was sufficient for achieving palatal or lingual anesthesia in all the children receiving it while all children in the lidocaine group required supplemental anesthesia. The mean FPS value was found to be higher in lidocaine group and was statistically significant. The mean heart rate recorded during the intervention was less than the mean baseline values in the articaine group, which was found to be statistically significant. For pediatric patients age 7 to 12 years, single buccal infiltration with 4% articaine with 1:100,000 epinephrine is more effective compared to 2% lidocaine with 1:80,000 epinephrine for primarly molar extraction.
本研究的目的是比较含肾上腺素的阿替卡因与利多卡因在用于乳牙拔除的单颊侧浸润麻醉时的疗效。共有100名需要拔除乳牙的儿童接受了颊侧浸润麻醉，一组50名儿童使用4%阿替卡因，另一组50名儿童使用2%利多卡因，两种药物均含肾上腺素。采用面部表情疼痛量表（Wong-Baker FPS）主观评估疼痛感受。客观评估心率和血压值，作为生理疼痛感受的间接指标。采用Wilcoxon-Mann-Whitney检验比较两组的平均疼痛评分、心率和血压。接受阿替卡因单颊侧浸润麻醉的所有儿童，该方法足以实现腭侧或舌侧麻醉，而利多卡因组的所有儿童均需要补充麻醉。利多卡因组的平均面部表情疼痛量表值更高，且具有统计学意义。阿替卡因组干预期间记录的平均心率低于平均基线值，具有统计学意义。对于7至12岁的儿科患者，在乳牙拔除时，与含1:80,000肾上腺素的2%利多卡因相比，含1:100,000肾上腺素的4%阿替卡因单颊侧浸润麻醉更有效。
