825例次老年人针麻拔牙术效果分析

ANALYSING THE EFFECTS OF TOOTH EXTRACTION UNDER ACUPUNCTURE ANESTHESIA IN 825 CASES OF SENIOR

在长期的临床实践中发现老年人的针麻拔牙效果普遍较好,为了验证这一问题,笔者等将1973～1988年间较完整的4,000余例针麻拔牙资料中的老年人(60岁及以上者)825例次(以下简称甲组)单独统计。

It has been found that the effects of tooth extraction under acupuncture anesthesin (AA)for the old patients are generally quite good. In order to verify this result, the authors had statistically analysed 825 cases aged over 60 years (Group A) and equal quantity whose age were between 18—40 years old (Group B) out of morethan 4000 cases whose records of AA were rather completely during 1973 to 1988. 1. There was no sifnficant difference under AA for different sexes. 2. The differences of the excellent rate of AA between Group A and Group B were extremely evident either in the positions of the tooth or the reason of tooth extraction. The former was 89.04% and the latter 76.20% (P<0.005). 3. Although a low rate in excellence of tooth extraction under simple AA (only 75.58％), not so good as the effect by AAA (an average about 88.21％), the simple AA was more common and more easier to be accepted by patients. 4. Tooth extraction under AA has been proved to be safe, effective and without any complications. 5. The reasons for senior to extract their teeth were almost for the broken crowns and of roots or the purposes of prosthetic restoration. Even though the pain thresholds in the senior were commonly higher. It is still an important factor of the good effect and good rate of tooth extraction under AAi Refering to the statistic in this stady the authers suggest that the hospitals which can ues the AA for tooth extraction adopt the method as the first choice of anesthesic method to the senior who intends to accept it.