阿替卡因与利多卡因在活髓牙预备时的疗效和对心血管系统的影响的比较

Comparation of the anesthetic effects and influence on cardiovascular system of articaine and lidocaine in vitalteeth preparation

目的:比较阿替卡因(碧兰麻)与利多卡因在活髓牙预备时的麻醉效果和对心血管系统的影响。方法:随机数表将93例患者的138颗牙编号分组,以VAS(Visual Analogue Scale)标尺法由患者对疼痛程度进行打分;口腔医生评价麻醉效果,统计麻醉完全、良好、有效和失败的比例;观测患者在麻药使用前、即刻、3分钟、5分钟的血压和心跳。结果:两组的VAS评分存在显著性差异(P<0.01),麻醉完全、良好、有效和失败的比例也存在显著性差异(P<0.01)。两种麻药对血压心率均无显著性影响。结论:阿替卡因是一种有效的、安全的麻醉剂。

Objective: To evaluate the anesthetic effect and influence on cardiovascular system of articaine and lidocainein teeth preparation of vital teeth. Methods: 138 abutments in 93 patients with vital teeth were randomly divided intoarticaine group and lidocaine group. Pain intensity were scaled by VAS. Pulse and blood pressure were observed beforeand 0, 3, 5 minutes after drugs administration. Results: The anesthetic effect of articaine was significant better thanlidocaine (P< 0.01). No significant changes of pulse and blood pressure were found during the whole process. Conclusions:Articaine is an efficient and safe dental anesthesia drug.