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J Endod：罹患有症状不可逆牙髓炎的下颌中切牙麻醉方法的比较

2020-03-03 lishiting MedSci原创

MINB效果切牙
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这篇临床研究的目的是为了比较和评估双侧切牙神经阻滞麻醉和单侧切牙神经阻滞麻醉(MINB)对牙髓感染下颌切牙的麻醉效果。

这篇临床研究的目的是为了比较和评估双侧切牙神经阻滞麻醉和单侧切牙神经阻滞麻醉(MINB)对牙髓感染下颌切牙的麻醉效果。研究设计为一项交叉单盲试验。共纳入了76名下颌至少有2颗切牙需要实施牙髓治疗的患者。患者分别于2次随机实施单侧或双侧含1：80，000肾上腺素2%利多卡因的MINB，注射量为1.8 mL。为了起到单盲效果，在单侧注射时对侧采用生理盐水注射。拟实施牙髓治疗的切牙为第一次实施麻醉侧的牙齿。电活力测试呈阴性的患者在橡皮障隔离患牙后进行开髓处理。采用Heft-Parker VAS疼痛评分量表记录患者在牙髓治疗过程中出现的任何疼痛。麻醉成功的定义：无或轻微疼痛，Heft-Parker VAS评分为0-54。采用McNemar检验进行统计学评估，P值<.05。结果显示，对于中切牙来说，单侧和双侧MINB的麻醉成功率分别为38%和64%；对于侧切牙来说，分别为44%和69%。2种方法存在显著性差异(P < .05)。结论：双侧MINB对于下颌牙髓感染切牙在实施牙髓治疗过程中的麻醉效果更加成功。但是，2种方法都无法达到100%的成功率。原始出处：Kumar U， Aggar

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#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=1699814, encodeId=fb09169981449, content=<a href='/topic/show?id=dd152024130' target=_blank style='color:#2F92EE;'>#下颌#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=20241, encryptionId=dd152024130, topicName=下颌)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1c4f29973299, createdName=xlysu, createdTime=Sun Jun 28 00:13:00 CST 2020, time=2020-06-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1669833, encodeId=f0191669833b3, content=<a href='/topic/show?id=c7ca6e660ab' target=_blank style='color:#2F92EE;'>#牙髓#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67660, encryptionId=c7ca6e660ab, topicName=牙髓)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=5eeb26562774, createdName=jxrzshh, createdTime=Thu Sep 24 05:13:00 CST 2020, time=2020-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1496177, encodeId=37c814961e7c4, content=<a href='/topic/show?id=ad2c6e6792e' target=_blank style='color:#2F92EE;'>#牙髓炎#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67679, encryptionId=ad2c6e6792e, topicName=牙髓炎)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=dc8c9243767, createdName=hb2011ye, createdTime=Thu Mar 05 12:13:00 CST 2020, time=2020-03-05, status=1, ipAttribution=)]
    2020-06-28 xlysu

    #下颌#

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=1699814, encodeId=fb09169981449, content=<a href='/topic/show?id=dd152024130' target=_blank style='color:#2F92EE;'>#下颌#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=20241, encryptionId=dd152024130, topicName=下颌)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1c4f29973299, createdName=xlysu, createdTime=Sun Jun 28 00:13:00 CST 2020, time=2020-06-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1669833, encodeId=f0191669833b3, content=<a href='/topic/show?id=c7ca6e660ab' target=_blank style='color:#2F92EE;'>#牙髓#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67660, encryptionId=c7ca6e660ab, topicName=牙髓)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=5eeb26562774, createdName=jxrzshh, createdTime=Thu Sep 24 05:13:00 CST 2020, time=2020-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1496177, encodeId=37c814961e7c4, content=<a href='/topic/show?id=ad2c6e6792e' target=_blank style='color:#2F92EE;'>#牙髓炎#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67679, encryptionId=ad2c6e6792e, topicName=牙髓炎)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=dc8c9243767, createdName=hb2011ye, createdTime=Thu Mar 05 12:13:00 CST 2020, time=2020-03-05, status=1, ipAttribution=)]
    2020-09-24 jxrzshh

    #牙髓#

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1699814, encodeId=fb09169981449, content=<a href='/topic/show?id=dd152024130' target=_blank style='color:#2F92EE;'>#下颌#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=20241, encryptionId=dd152024130, topicName=下颌)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1c4f29973299, createdName=xlysu, createdTime=Sun Jun 28 00:13:00 CST 2020, time=2020-06-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1669833, encodeId=f0191669833b3, content=<a href='/topic/show?id=c7ca6e660ab' target=_blank style='color:#2F92EE;'>#牙髓#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67660, encryptionId=c7ca6e660ab, topicName=牙髓)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=5eeb26562774, createdName=jxrzshh, createdTime=Thu Sep 24 05:13:00 CST 2020, time=2020-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1496177, encodeId=37c814961e7c4, content=<a href='/topic/show?id=ad2c6e6792e' target=_blank style='color:#2F92EE;'>#牙髓炎#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67679, encryptionId=ad2c6e6792e, topicName=牙髓炎)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=dc8c9243767, createdName=hb2011ye, createdTime=Thu Mar 05 12:13:00 CST 2020, time=2020-03-05, status=1, ipAttribution=)]
    2020-03-05 hb2011ye

    #牙髓炎#

    0