STA无痛麻醉对缓解老年高血压患者拔牙焦虑的临床研究

The clinical study of relieving the aged hypertension Patients' dental anxiety with single tooth anesthesia

目的了解STA无痛麻醉仪对于缓解老年高血压患者拔牙焦虑的效果。方法对同一组患高血压病的老年患者分别使用STA无痛麻醉仪(实验组)和传统麻醉方法进行麻醉,比较两种方法的麻醉效果及患者术中焦虑程度。结果 (1)实验组患者在麻醉后、拔牙后与麻醉前相比,收缩压、舒张压均无明显变化,与对照组相比差异有统计学意义(P<0.05)。(2)实验组视觉模拟评分法(visual analogue scale,VAS)、改良的牙科焦虑量表(modified dental anxiety scale,MDAS)均值均显著低于对照组,差异有统计学意义(P<0.05)。(3)局部组织舒适度上,实验组得分(1.1±0.3)显著低于对照组(2.8±0.5),差异有统计学意义(P<0.05)。结论应用STA无痛麻醉仪进行口腔局部麻醉能有效缓解老年高血压患者的拔牙焦虑,提高临床舒适度。

Objective To study the efficacy of reliving the patients＇ dental anxiety by using the single tooth anesthesia.Methods We compare the single tooth anesthesia with the traditional anesthesia method to obtain the clinical efficiency and the anxiety level of the aged hypertension patients. Results Comparing the situation of after anesthesia and after tooth distract with the before anesthesia,we can see that there is significant increase in systolic pressure and diastolic pressure in tradition group（ P 0. 05）. There is significant lower in visual analogue scale（ VAS） and modified dental anxiety scale（ MDAS） mean level of the STA group than the tradition group（ P 0. 05）. There are more person with dental anxiety in tradition group than STA group. The mean score is lower in STA group than tradition group on comfort level of tissue. In the follow-up visit in one week after the surgery,37 patients would make the choice to use STA in the oral anesthesia. Conclusion The usage of the single tooth anesthesia in oral anesthesia could relive the dental anxiety of the aged hypertension patients to retain a clinical comfort level.