华西口腔医学杂志2025，Vol.43Issue(4)：493-498,6.DOI:10.7518/hxkq.2025.2025223
局部浸润麻醉在全身麻醉下重度低龄儿童龋治疗中血流动力学及镇痛效果的临床研究
Clinical study on hemodynamics and analgesic effect of local infiltration anesthesia in the treatment of severe ear-ly childhood caries under general anesthesia
摘要
Abstract
Objective This study aimed to explore the clinical efficacy of severe early childhood caries(SECC)treat-ment combined with local anesthesia under general anesthesia.Methods A total of 108 children under 6 years old who underwent SECC dental treatment under general anesthesia at the Department of Pediatric Dentistry,Third Affiliated Hospital of Air Force Medical University from March to December 2023 were selected as the study subjects,with Ameri-can Society of Anesthesiologists(ASA)classification of class Ⅰ or Ⅱ.The study subjects were divided into a control group(n=54)and an experimental group(n=54)by retrieving intraoperative cases and postoperative follow-up records.The control group was given general anesthesia through inhalation combined with nasotracheal intubation,whereas the experimental group was given local anesthesia with 2％lidocaine on each treated tooth on the basis of general anesthesia.The basic information,preoperative anesthesia depth,hemodynamic changes during different surgical procedures,postop-erative pain,and adverse reactions in the two groups were recorded and analyzed.Results No statistically significant difference was found in the basic information and preoperative anesthesia depth between the two groups(P＞0.05).Among the three procedures(pulpotomy,root canal treatment,and tooth extraction),the three observed indicators in the experimental group were significantly lower than those in the control group(P＜0.05).The proportion of patients in the experimental group who needed to take analgesic measures in accordance with the modified facial pain scale(FPS-R)score was significantly lower than that in the control group at postoperative wakefulness and 2 h after surgery(P＜0.05).Meanwhile,no statistically significant difference was observed between the groups at 24 h after surgery(P＞0.05).The proportion of patients in the experimental group who needed to take analgesic measures on the basis of the parent posto-perative pain measurement(PPPM)score was significantly lower than that in the control group when they were awake af-ter surgery(P＜0.05).No statistically significant difference was found between the groups at 2 and 24 h after surgery(P＞0.05).Moreover,no statistically significant difference was observed in the incidence of adverse reactions between the two groups at 24 h after surgery(P＞0.05).Conclusion The combination of local anesthesia during SECC dental treat-ment under general anesthesia results in minimal changes in intraoperative hemodynamics and mild postoperative pain response,hence worthy of clinical promotion.关键词
重度低龄儿童龋/全身麻醉/局部麻醉/疼痛管理/血流动力学Key words
severe early childhood caries/general anesthesia/local anesthesia/pain management/hemody-namics分类
医药卫生引用本文复制引用
卢晓爔,杨宽,张百泽,张亚秋,王军辉,韩欣欣,陈宇江,王小竞..局部浸润麻醉在全身麻醉下重度低龄儿童龋治疗中血流动力学及镇痛效果的临床研究[J].华西口腔医学杂志,2025,43(4):493-498,6.基金项目
Key Project of National Clinical Research Center for Oral Diseases(LCA202010) （LCA202010）
Key Project of Education and Teaching Research at the Third Affiliated Hospital of Air Force Medical University(417172122) 国家口腔疾病临床医学研究中心重点项目(LCA2020-10) （417172122）
空军军医大学第三附属医院教育教学研究重点课题(41717-2122) （41717-2122）
