Kaufman E, Dworkin S F, LeResche L, Chen A C, Schubert M M, Benedetti C
Anesth Prog. 1984 Mar-Apr;31(2):70-3.
Intravenous diazepam is commonly used in clinical dentistry to produce sedation for dental procedures. Its chief benefit seems to derive from its sedative and amnesic properties. The literature contains conflicting reports about the direct analgesic effects of the drug. In the present study, we observed significant increases for conventional pain threshold measures in response to electric tooth pulp stimulation and decreased sensitivity to a fixed painful stimulus when diazepam was administered intravenously using clinical criteria for conscious sedative dosages. The data support the possibility that intravenously administered diazepam in conscious sedative doses may have some analgesic action in addition to its better documented sedative and amnesic properties.
静脉注射地西泮在临床牙科中常用于为牙科手术提供镇静作用。其主要益处似乎源于其镇静和遗忘特性。文献中关于该药物的直接镇痛作用存在相互矛盾的报道。在本研究中,当按照清醒镇静剂量的临床标准静脉注射地西泮时,我们观察到针对牙髓电刺激的传统疼痛阈值测量值显著增加,并且对固定疼痛刺激的敏感性降低。这些数据支持了这样一种可能性,即清醒镇静剂量的静脉注射地西泮除了具有已被充分证明的镇静和遗忘特性外,可能还具有一些镇痛作用。