摘要
目的:探讨一种微创高效的下牙槽神经阻滞麻醉方法。方法:将206例门诊拔除下颌阻生第三磨牙患者随机分为2组,实验组105例采用改良Gow-Gates法,对照组101例采用传统口内注射法(Halstead法)。记录麻醉成功率、麻醉效果和并发症,采用SPSS17.0软件包对数据进行统计学分析。结果:改良Gow-Gates法麻醉成功率为97.15%,Halstead法为89.10%,2组间显著差异(P=0.038)。改良Gow-Gates法在麻醉效果A、B级比率为90.48%,Halstead法为87.13%,2组间无显著性差异(P=0.446)。改良Gow-Gates法的并发症显著少于Halstead法(P=0.014)。结论:GowGates下牙槽神经阻滞麻醉是一种微创高效的麻醉方法 。
PURPOSE: To introduce a minimally invasive and more effective teehnique of inferior alveolar nerve bloek. METHODS: Two hundred and six patients who needed extraction of the impacted mandibular third molar were divided randomly into 2 groups: the experimental group (105 cases ) with modified Gow-Gates technique (modified Gow-Gates group) and the eontrol group (101 eases) with Halstead technique (Halstead group). The anesthetic success rates, effects and eomplieations were recorded and analyzed with SPSS17.0 software package. RESULTS: The anesthetic success rate was 97.15% in modified Cow-Gates group and 89.10% in Halstead group with significant difference between the 2 groups (P=0.038〈0.05); In comparing the anesthesia grade, the ration of grade A and B accounted for 90.48% in modified Cow- Gates group and 87.13% in Halstead group (P=0.446〉0,05). Modified Gow-Gates group had much fewer of eomplieations than Halstead group (P=0.014〈0.05). CONCLUSIONS: Modified Gow-Gates technique is a minimMly invasive and more effective teehnique for inferior alveolar nerve bloek anesthesia.
出处
《上海口腔医学》
CAS
CSCD
2015年第3期373-377,共5页
Shanghai Journal of Stomatology
基金
乐清市科技计划项目(2014y027)~~
关键词
下牙槽神经阻滞麻醉
下颌阻生第三磨牙
拔牙
Gow-Gates法
微创高效
Inferior alveolar nerve bloek
Mandibular impacted third molar
Tooth extraction
Gow-Gates technique
Minimally invasive technique