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笑气吸入在咽反射敏感患者阻生齿拔除术中的应用

柳洪志 张玮 王天祥 王迪 王晓艳 刘昱新

口腔颌面外科杂志2013,Vol.23Issue(2):128-131,4.
口腔颌面外科杂志2013,Vol.23Issue(2):128-131,4.DOI:10.3969/j.issn.1005-4979.2013.02.012

笑气吸入在咽反射敏感患者阻生齿拔除术中的应用

Application of Nitrous Oxide Inhalation Sedation in Impacted Tooth Extraction with Pharyngeal Sensitive Patients

柳洪志 1张玮 1王天祥 1王迪 1王晓艳 1刘昱新1

作者信息

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摘要

Abstract

Objective:To investigate the clinical effects of nitrous oxide inhalation in extraction of high and medium positioned impacted teeth in pharyngeal sensitive patients. Methods: This retrospective study consisted of 60 patients and randomly divided into three groups: group A (n=20), nitrous oxide inhalation; group B (n=20), tetracaine hydrochloride mucilage daubing; and group C (n=20), the control group. BP, HR, and SpO2 of every case were recorded before operation , during the operation, and post-operation. Through the scale analysis, to compare the muscle tension, and the number of pharyngeal reflex and tolerance effected by routine operative contact to the pharyngeal wall and turbine spray stimulation, on pharyngeal wall. Results: During the operation process, HR, BP and SpO2 of group A patients smoothly changed (P>0.05). BP and HR of patients in the group B and C in perioperative and post-operative period, showed significant difference compared with preoperative period (P<0.05), but SpO2 differed slightly (P>0.05). The evaluation indicators of experimental and control groups manifested statistically significance (P<0.05). Conclusion: Nitrous oxide inhalation can safely used in extraction of mandibular impacted teeth in pharyngeal sensitivity patients.

关键词

笑气(N2O)/咽反射敏感/盐酸丁卡因胶浆/阻生齿/牙拔除术

Key words

nitrous oxide/ pharyngeal sensitivity/ tetracaine hydrochloride mucilage/ impacted tooth/ tooth extraction

分类

医药卫生

引用本文复制引用

柳洪志,张玮,王天祥,王迪,王晓艳,刘昱新..笑气吸入在咽反射敏感患者阻生齿拔除术中的应用[J].口腔颌面外科杂志,2013,23(2):128-131,4.

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1005-4979

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