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口腔外科中的长效局部麻醉剂:布比卡因和依替卡因用于口腔浸润麻醉的实验评估

Long-acting local anesthetics in oral surgery: an experimental evaluation of bupivacaine and etidocaine for oral infiltration anesthesia.

作者信息

Danielsson K, Evers H, Nordenram A

出版信息

Anesth Prog. 1985 Mar-Apr;32(2):65-8.

PMID:3859232
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2148528/
Abstract

The effect of bupivacaine 7.5 mg/ml with epinephrine 5μg/ml, etidocaine 15 mg/ml with epinephrine 5 μg/ml, and lidocaine 20 mg/ml with epinephrine 12.5 μg/ml was studied when used for oral infiltration anesthesia. Twenty healthy volunteers took part in the experimental and double-blind study. One ml of the respective anesthetic solution was deposited supraperiosteally in the apical area of the maxillary right lateral incisor. Onset time, frequency of analgesia, gingival spread, and duration of tooth analgesia were studied and duration of soft-tissue numbness registered. The present investigation showed that lidocaine had a shorter onset time compared with bupivacaine. No difference with regard to frequency was found. Bupivacaine and etidocaine had a longer period of soft-tissue numbness, but a significantly shorter duration of tooth analgesia than lidocaine.

摘要

研究了含肾上腺素5μg/ml的7.5mg/ml布比卡因、含肾上腺素5μg/ml的15mg/ml依替卡因以及含肾上腺素12.5μg/ml的20mg/ml利多卡因用于口腔浸润麻醉时的效果。20名健康志愿者参与了这项实验性双盲研究。将1ml相应的麻醉溶液骨膜上注射于右上颌侧切牙根尖区。研究了起效时间、镇痛频率、牙龈扩散范围以及牙齿镇痛持续时间,并记录软组织麻木持续时间。本研究表明,与布比卡因相比,利多卡因起效时间更短。在频率方面未发现差异。布比卡因和依替卡因的软组织麻木持续时间更长,但牙齿镇痛持续时间明显短于利多卡因。

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本文引用的文献

1
Advantages of long-acting local anesthesia using etidocaine hydrochloride.使用盐酸依替卡因进行长效局部麻醉的优点。
J Oral Surg. 1981 May;39(5):350-3.
2
Comparison of the effectiveness of etidocaine and lidocaine as local anesthetic agents during oral surgery.依替卡因和利多卡因作为口腔手术局部麻醉剂的效果比较。
Anesth Prog. 1984 Jul-Aug;31(4):159-64.
3
Evaluation of etidocaine hydrochloride for local anesthesia and postoperative pain control in oral surgery.盐酸依替卡因用于口腔手术局部麻醉及术后疼痛控制的评估。
J Oral Maxillofac Surg. 1984 Feb;42(2):84-8. doi: 10.1016/0278-2391(84)90316-1.
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The effectiveness of 1.5% etidocaine HCl with epinephrine 1:200,000 and 2% lidocaine HCl with epinephrine 1:100,000 in oral surgery: a clinical comparison.1.5%盐酸依替卡因与1:200,000肾上腺素及2%盐酸利多卡因与1:100,000肾上腺素在口腔外科手术中的有效性:一项临床比较
J Am Dent Assoc. 1983 Oct;107(4):616-8. doi: 10.14219/jada.archive.1983.0299.
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Bupivacaine anesthesia--a clinical trial for endodontic therapy.
Oral Surg Oral Med Oral Pathol. 1983 Feb;55(2):176-9. doi: 10.1016/0030-4220(83)90175-5.
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[New electric pulp tester].[新型电子牙髓活力测试仪]
Sver Tandlakarforb Tidn. 1967 Jun 15;59(12):531-5.
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Marcaine in oral surgery. A clinical comparative study with carbocaine.
Acta Anaesthesiol Scand Suppl. 1966;23:409-13.
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Role of epinephrine in regional block anesthesia with etidocaine: a double-blind study.肾上腺素在依替卡因区域阻滞麻醉中的作用:一项双盲研究。
Anesth Analg. 1974 May-Jun;53(3):430-6.
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Clinical trials with bupivacaine in oral surgery.布比卡因在口腔外科手术中的临床试验。
Oral Surg Oral Med Oral Pathol. 1976 Sep;42(3):301-7. doi: 10.1016/0030-4220(76)90163-8.
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Bupivacaine anesthesia and post-operative analgesia in oral surgery.布比卡因在口腔外科手术中的麻醉及术后镇痛作用
Anesth Prog. 1979 Jan-Feb;26(1):20-3.