BACKGROUND Contemporary innovations in the area of local anesthesia have attempted to provide an absolutely pain free experience for patients.Since the introduction of Computer-Controlled Local Anesthetic Delivery Sys...BACKGROUND Contemporary innovations in the area of local anesthesia have attempted to provide an absolutely pain free experience for patients.Since the introduction of Computer-Controlled Local Anesthetic Delivery Systems to dentistry,many studies have compared its efficacy and safety to conventional anesthesia.However,very few studies have compared single tooth anesthesia(STA)and traditional local anesthesia.AIM To compare pain rating,changes in blood pressure,and heart rate during the local anesthetic injection.The secondary objectives were to measure the patients’level of satisfaction and the differences in anesthetic efficiency between the STA system and traditional local infiltration.METHODS A randomized controlled trial was conducted and a total of 80 patients with dental restorative needs were enrolled for the study.The patients were evaluated for their general physical status and oral clinical findings before enrollment.Information regarding perceived pain,changes in heart rate and blood pressure,and patients’satisfaction was collected using an electronic data form and was analyzed using paired and unpaired t-tests.RESULTS No significant difference was noted in perceived pain(P=0.59)and systolic blood pressure(P=0.09)during anesthetic injection using both traditional and STA techniques.STA patients had a significantly higher heart rate during anesthesia,although a statistically significant difference was noted among the traditional anesthesia and the STA groups even before anesthesia.During the restorative procedure,less pain was perceived by STA patients on the Wong-Baker FACES pain scale,which was statistically significant(P<0.001).Analyses of post-procedure patient responses showed that STA patients had a significantly better treatment experience and preferred to have the same method of injection in the future(P=0.04).CONCLUSION STA system can provide less painful and more comfortable restorative treatment procedures in comparison to the traditional infiltration technique.展开更多
目的:探索慢性腰痛病人利兹神经病理性症状和体征疼痛评分(leeds assessment of neuropathic symptoms and sign,LANSS)与疼痛强度的关系。方法:(1)三家研究中心(北京大学人民医院、中日友好医院和南京军区南京总医院)入选的慢性腰痛病...目的:探索慢性腰痛病人利兹神经病理性症状和体征疼痛评分(leeds assessment of neuropathic symptoms and sign,LANSS)与疼痛强度的关系。方法:(1)三家研究中心(北京大学人民医院、中日友好医院和南京军区南京总医院)入选的慢性腰痛病人填写LANSS量表及疼痛数字评分量表(numerical rating scale,NRS)。(2)使用spearman相关分析评价LANSS量表评分与疼痛强度的关系。结果:入组2115例慢性腰痛病人,总合格率为90.0%,调查对象平均年龄为50.1±15.6年,合格病人中男778例,女1125例。LANSS评分中值随疼痛强度的增加有一定的增长,但是两者的spearman秩相关系数小于0.4,且LANSS量表各项评分与疼痛强度的spearman秩相关系数均小于0.4。结论:中文版LANSS评分随疼痛强度的增加有一定的上升趋势,但是两者并无相关性。展开更多
文摘BACKGROUND Contemporary innovations in the area of local anesthesia have attempted to provide an absolutely pain free experience for patients.Since the introduction of Computer-Controlled Local Anesthetic Delivery Systems to dentistry,many studies have compared its efficacy and safety to conventional anesthesia.However,very few studies have compared single tooth anesthesia(STA)and traditional local anesthesia.AIM To compare pain rating,changes in blood pressure,and heart rate during the local anesthetic injection.The secondary objectives were to measure the patients’level of satisfaction and the differences in anesthetic efficiency between the STA system and traditional local infiltration.METHODS A randomized controlled trial was conducted and a total of 80 patients with dental restorative needs were enrolled for the study.The patients were evaluated for their general physical status and oral clinical findings before enrollment.Information regarding perceived pain,changes in heart rate and blood pressure,and patients’satisfaction was collected using an electronic data form and was analyzed using paired and unpaired t-tests.RESULTS No significant difference was noted in perceived pain(P=0.59)and systolic blood pressure(P=0.09)during anesthetic injection using both traditional and STA techniques.STA patients had a significantly higher heart rate during anesthesia,although a statistically significant difference was noted among the traditional anesthesia and the STA groups even before anesthesia.During the restorative procedure,less pain was perceived by STA patients on the Wong-Baker FACES pain scale,which was statistically significant(P<0.001).Analyses of post-procedure patient responses showed that STA patients had a significantly better treatment experience and preferred to have the same method of injection in the future(P=0.04).CONCLUSION STA system can provide less painful and more comfortable restorative treatment procedures in comparison to the traditional infiltration technique.
文摘目的:探索慢性腰痛病人利兹神经病理性症状和体征疼痛评分(leeds assessment of neuropathic symptoms and sign,LANSS)与疼痛强度的关系。方法:(1)三家研究中心(北京大学人民医院、中日友好医院和南京军区南京总医院)入选的慢性腰痛病人填写LANSS量表及疼痛数字评分量表(numerical rating scale,NRS)。(2)使用spearman相关分析评价LANSS量表评分与疼痛强度的关系。结果:入组2115例慢性腰痛病人,总合格率为90.0%,调查对象平均年龄为50.1±15.6年,合格病人中男778例,女1125例。LANSS评分中值随疼痛强度的增加有一定的增长,但是两者的spearman秩相关系数小于0.4,且LANSS量表各项评分与疼痛强度的spearman秩相关系数均小于0.4。结论:中文版LANSS评分随疼痛强度的增加有一定的上升趋势,但是两者并无相关性。
