复方阿替卡因与利多卡因在口腔种植手术中的麻醉效果及对患者心率和血压的影响

Anesthetic Effect of Compound Articaine and Lidocaine in the Oral Implantation Operation and the Effects of Them on Heart Rate and Blood Pressure

目的:探讨复方阿替卡因与利多卡因在口腔种植手术中的局部麻醉效果及对心血管系统的影响。方法:将98例共137颗牙位需在局部麻醉下植入种植体的患者随机分为阿替卡因(A)组和利多卡因(B)组,分别用阿替卡因或利多卡因进行局部麻醉后行种植手术。对2组患者在口腔种植时疼痛不适进行视觉模拟量表(VAS)测试,并测量2组患者局部麻醉后即刻及种植手术过程中、手术结束后5min时的心率和血压,进行对比分析。结果:手术结束后,A组患者种植疼痛VAS值为(13.4±6.83)mm,B组患者VAS值为(23.4±12.2)mm,表明复方阿替卡因在种植手术中的麻醉效果显著优于利多卡因(P<0.05)。2种局部麻醉药对于种植患者的心率和血压的影响无差异。结论:复方阿替卡因用于口腔种植手术具有良好的局部麻醉效果。

OBJECTIVE： To investigate the local anesthetic efficacy of Compound articaine and lidocaine in oral implantation surgery and the effects of them on cardiovascular system. METHODS： A total of 137 implants of 98 patients who need implantation surgery under local anesthesia were randomly divided into articaine group and lidocaine group. They underwent implantation surgery under local anesthesia of articaine or lidocaine. The pain and discomfort of patients in 2 groups were tested by using VAS, the heart rate and blood pressure were measured and analyzed comparatively immediately after local anesthesia, during surgery, and 5 min- utes after surgery. RESULTS： After surgery, the VAS of pain of patients in group A was （13.4 ＋ 6.83） ram, and that of groups B was （23.4 _＋ 12.2） mm. The anesthetic efficacy of Compound articaine in implantation surgery was superior to the latter （P〈0.05）, and there was no statistical difference in the effects of them on heart rate and blood pressure. CONCLUSION： Compound articaine is the ideal choice for local anesthesia in implantation surgery.