J Endod:Gow-Gates神经阻滞、下牙槽神经阻滞麻醉及其联合应用对有症状的不可逆牙髓炎下颌磨牙的麻醉效果

2018-01-06 lishiting MedSci原创

这篇预期的临床随机试验的目的是为了比较Gow-Gates神经阻滞(GGNB)、下牙槽神经阻滞(IANB)及其联合应用对下颌磨牙罹患有症状的不可逆牙髓炎患者的麻醉效果。

这篇预期的临床随机试验的目的是为了比较Gow-Gates神经阻滞(GGNB)、下牙槽神经阻滞(IANB)及其联合应用对下颌磨牙罹患有症状的不可逆牙髓炎患者的麻醉效果。研究选取了150名下颌磨牙诊断为有症状的不可逆牙髓炎的患者作为试验对象。患者随机接受2次GGNB注射, 2次IANB注射或1次GGNB注射加1次1.8 mL含1:80,000肾上腺素的2%利多卡因IANB注射。髓腔入口的预备在注射15分钟后进行,并且所有患者都需出现嘴唇麻木。成功标准是在髓腔入口预备或初始探查时依据Heft-Parker直观类比标度指定为无或轻微疼痛。数据通过chi-square, Kruskal-Wallis检验和方差分析进行统计学评估。结果显示,GGNB, IANB和GGNB + IANB组的麻醉成功率分别为40%, 44%和70%。在GGNB和IANB组的麻醉成功率之间未发现明显差异(P > .05)。而GGNB + IANB组的麻醉成功率与GGNB和IANB组具有显著性差异(P < .05)。结论:GGNB和IANB的联合应用可以提高诊断为有症状的不可逆牙髓炎下颌磨牙的麻醉效果,但是依旧

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    2018-03-20 xlysu
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    2018-09-07 jxrzshh
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    2018-01-06 有备才能无患

    GGNB和IANB的联合应用可以提高诊断为有症状的不可逆牙髓炎下颌磨牙的麻醉效果.但是依旧需要补加麻醉.然而还需要大量研究来证实此项研究

    0

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    2018-01-06 明月清辉

    谢谢分享.学习了

    0