解放军医药杂志Issue(7):81-84,4.DOI:10.3969/j.issn.2095-140X.2015.07.021
利多卡因与阿替卡因对下颌磨牙不可复性牙髓炎麻醉疗效比较
Comparison of Anesthetic Efficacy between Lidocaine and Articaine for Inferior Alveolar Nerve Block in Patients with Irreversible Pulpitis of Mandibular Molar
张子川 1李晓燕2
作者信息
- 1. 050082 石家庄,解放军白求恩国际和平医院口腔科
- 2. 050051 石家庄,河北医科大学第三医院口腔正畸科
- 折叠
摘要
Abstract
Objective To compare the anesthetic efficacy of 2% Lidocaine and 4% Articaine for inferior alveo-lar nerve block (IANB) in patients with irreversible pulpitis of mandibular molar. Methods A total of 108 patients with irreversible pulpitis of mandibular molar from July to December 2014 were randomly divided into group A (n = 54) and group B (n = 54). Group A and B respectively received 1. 7 ml 2% Lidocaine and 1. 7 ml 4% Articaine by double-blind manner in IANB. Onset of anesthesia recorded when no subjective feeling responded and the reading of electronic pulp tester was 80. Visual analogue scales (VAS) was used to evaluate the anesthetic effects of patients. Results Compared with that in group A, onset duration was significantly shorter in group B (P < 0. 05). The successful rates of pulp anes-thesia in group A and B were 87. 04% and 92. 59% respectively (P > 0. 05). The corresponding millimeter value of VAS score in the group A was significantly longer than that in group B (P < 0. 05). Conclusion The anesthetic efficacy of 4% Articaine is superior to that by 2% Lidocaine for inferior alveolar nerve block in patients with irreversible pulpitis of mandibular molar.关键词
阿替卡因/利多卡因/牙髓炎/麻醉和镇痛Key words
Carticaine/Lidocaine/Pulpitis/Anesthesia and analgesia分类
医药卫生引用本文复制引用
张子川,李晓燕..利多卡因与阿替卡因对下颌磨牙不可复性牙髓炎麻醉疗效比较[J].解放军医药杂志,2015,(7):81-84,4.