阿替卡因肾上腺素注射液在老年患者口腔治疗中的麻醉效果观察

Anesthetic effects of articaine hydrochloride and epinephrine tartrate injection in oral treatment of eider patient

目的观察阿替卡因肾上腺素注射液在老年患者口腔治疗中的麻醉效果。方法随机选择无明显血压异常及心脏病的60岁以上患者56例66颗牙编号分组，观察阿替卡因肾上腺素注射液在牙体牙髓病、牙周病、牙槽外科及修复治疗中的应用效果，采用VAS标尺法评价患者疼痛程度，评价麻醉效果，并监测患者在麻醉剂注射前、注射即刻、注射后5min的心率和血压。结果阿替卡因肾上腺素注射液进行局部浸润麻醉时，注射、治疗疼痛程度轻（总有效率95％～100％），麻醉起效快，无明显不良反应。结论阿替卡因肾上腺素注射液局部渗透力强，麻醉安全、有效，在老年患者口腔治疗中具有良好的应用前景。

Objective To observe the anesthetic effects of articaine hydrochloride ＂and epinephrine tartrate injection in oral treatment of elder patients. Methods 66 teeth of 56 elder patients were treated. Pain intensity was scaled by VAS. Pulse and blood pressure were observed before and after drags administration for 0.5 minutes. Results Pain during injection of articaine hydrochloride and epinephrine tartrate injection and surgery subsequently was rare. The total respouse rate was 95 %- 100 %. No significent toxic effects were found. Pulse and blood pressure remained after injection. Conclusion Articaine hydrochloride and epinephrine tartrate injection was one of local anesthetics with good infiltration, safety and anesehetic effect. It would be more widely used in elder patients oral treatment field in the future.