复方阿替卡因与利多卡因前牙浸润麻醉效果比较

Comparison of the infiltration anesthesia effect of compound articaine and lidocaine in anterior teeth

目的比较复方阿替卡因和利多卡因前牙浸润麻醉的效果.方法选取前牙不可复性牙髓炎患者100例（137牙）进行回顾分析.根据对每位患者所行的浸润麻醉药物的不同将所有人员均分至行复方阿替卡因浸润麻醉的观察组（72牙）与给予利多卡因浸润麻醉的对照组（65牙）,比较两组麻醉效果.结果观察组浸润麻醉效果总有效率达100.00%,明显优于对照组的95.38%（t=3.654,P〈0.05）.但是在不良反应方面,对照组与观察两组不良反应率分别为4.00%和8.00%,两组差异无统计学意义（P〉0.05）.结论在前牙不可复性牙髓炎手术中使用复方阿替卡因进行局部浸润麻醉效果较好,麻醉总有效率及及安全性较高,可在临床中推广使用.

 Objective To compare the the infiltration anesthesia effect of compound articaine and lidocaine in anterior teeth anesthesia.Methods 100 patients with irreversible pulpitis of anterior teeth（137 teeth）were selected.According to the different anesthesia drugs,the patients were divided into two groups.The observation group was given compound articaine anesthesia,and the control group was given lidocaine infiltration anesthesia.The clinical anesthetic effect of the two groups was evaluated.Results The total effective rate of infiltration anesthesia in the observation group was 100.00%,which was significantly higher than 95.38% in the control group（x2=3.654,P〈0.05）.But in terms of adverse reactions,the incidence rates of adverse reaction in the control group and observation group were 4.00% and 8.00%,respectively,the difference was not significant（P〉0.05）.Conclusion The effect of ropivacaine for a compound infiltration effect than lidocaine on anterior teeth infiltration,pain reaction is small,and has higher security.