下颌磨牙急性牙髓炎的斯康杜尼局部浸润麻醉临床作用分析

Clinical analysis of treatment of acute pulpitis of mandibular molar in the application of scandonest local infiltration anesthesia

目的探讨下颌磨牙急性牙髓炎的斯康杜尼局部浸润麻醉的临床效果。方法选取入院就诊的下颌磨牙急性牙髓炎患者80例,随机分为观察组和对照组,两组40例。观察组采用斯康杜尼局部浸润麻醉,对照组采用利多卡因局部浸润麻醉。两组均在麻醉起效后常规行牙髓治疗操作包括开髓、去冠髓和拔根髓。分析比较两组麻醉方式的镇痛效果、麻醉起效与维持时间以及患者满意度。结果观察组麻醉方式镇痛效果总有效率明显高于对照组(95.0%vs.70.0%),差异具有统计学意义(P<0.05);观察组麻醉起效时间与维持时间均优于对照组,差异具有统计学意义(P<0.05);观察组患者满意度远高于对照组(97.5%vs.62.5%),差异具有统计学意义(P<0.05)。结论对于下颌磨牙急性牙髓炎的麻醉中,斯康杜尼局部浸润麻醉镇痛效果明显优于利多卡因局部浸润麻醉,且麻醉起效快速,持续较久,并获得较高的满意度,值得临床上广泛应用。

Objective To explore the clinical effect of treatment of acute pulpitis of mandibular molar in the application of scandonest local infiltration anesthesia. Methods 80 cases whose mandibular molar teeth was acute pulpitis patients were collected from our hospital. All these cases were randomly divided into observation group and control group. Each group included 40 cases. The observation group was treated with scandonest local infiltration anesthesia,the control group was treated with lidocaine local infiltration anesthesia,then to analyze and compare the analgesic effect,the onset and duration of anesthesia and the satisfaction of patients between the two groups. Results The total effective rate in the observation group was significantly higher than the control group（ 95. 0% vs. 70. 0%）,the difference was statistically significant（ P〈0. 05）.The onset time and duration in the observation group were better than the control group（ P〈0. 05）. The satisfaction degree in the observation group was significantly lower than the control group（ 97. 5% vs. 62. 5%）. The difference was statistically significant（ P〈0. 05）. Conclusion The mandibular molar teeth with acute pulpitis of anesthesia,the effect of scandonest local infiltration anesthesia is obvious superior,and anesthesia rapid onset,lasts longer,and to obtain higher satisfaction,it is worth wide clinical application.