Pourabbas Reza, Ghahramani Nazgol, Sadighi Mehrnoosh, Soleimanpour Hassan, Hosseini Mohammad-Salar, Pournaghi Azar Fatemeh
Department of Periodontics, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran.
Student, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran.
J Adv Periodontol Implant Dent. 2019 Dec 18;11(2):49-53. doi: 10.15171/japid.2019.009. eCollection 2019.
The main objective of thissystematic review wasto identify the hemodynamic effects of intravenous sedatives used in dental implant surgeries.
Embase, PubMed, ProQuest, Scopus, Ovid, and Cochrane databases were searched with no limitations. Of 59 studies obtained, 50 studies were excluded due to incompatibility with the subject. The remaining studies were reviewed in full text and assessed for the risk of bias individually. The included studies were reviewed by the research team, and the necessary data were extracted.
Four studies were finally included. Two of the studies compared local anesthesia and intravenous sedation, while the other two compared the consequences of different types of intravenous sedation. By comparing the hemodynamic effects, the systolic and diastolic blood pressure and the heart rate data were collated. Midazolam was the most frequently used intravenous sedative, and Dexmedetomidine affected hemodynamics the most.
Intravenous sedation leads to decreased heart rate and blood pressure. Better hemodynamic outcomes improve the patients' cooperation by decreasing stress and anxiety. Dexmedetomidine seems to be the first choice for intravenous sedation.
本系统评价的主要目的是确定牙科种植手术中使用的静脉镇静剂的血流动力学效应。
对Embase、PubMed、ProQuest、Scopus、Ovid和Cochrane数据库进行无限制检索。在获得的59项研究中，50项研究因与主题不相符而被排除。对其余研究进行全文审查，并分别评估偏倚风险。纳入的研究由研究团队进行审查，并提取必要的数据。
最终纳入4项研究。其中2项研究比较了局部麻醉和静脉镇静，另外2项研究比较了不同类型静脉镇静的效果。通过比较血流动力学效应，整理出收缩压、舒张压和心率数据。咪达唑仑是最常用的静脉镇静剂，右美托咪定对血流动力学的影响最大。
静脉镇静导致心率和血压下降。更好的血流动力学结果通过减轻压力和焦虑来提高患者的配合度。右美托咪定似乎是静脉镇静的首选药物。
