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目的评估复方盐酸阿替卡因治疗牙体牙髓病的麻醉效果。方法选取2014年1月~12月我院口腔科收治的牙体牙髓病患者68例(102颗牙),随机分为观察组和对照组,各34例,对照组50颗牙,观察组52颗牙。观察组患者采用复方阿替卡因进行麻醉,对照组采用利多卡因进行麻醉。比较两组患者的麻醉起效时间、麻醉总有效率、不良反应发生情况及麻醉效果。结果观察组麻醉起效时间短于对照组,差异有统计学意义(P<0.05);观察组麻醉总有效率高于对照组,差异有统计学意义(P<0.05);观察组不良反应发生率显著低于对照组,差异有统计学意义(P<0.05)。结论复方盐酸阿替卡因用于牙体牙髓病治疗中麻醉,其起效快、安全性高,值得临床推广和借鉴。
Objective To evaluate the anesthetic effects of compound articaine hydrochloride on dental pulp diseases. Methods 68 cases (102 teeth) of dental pulp disease admitted from January 2014 to December 2014 in our hospital were randomly divided into observation group and control group, 34 cases in each group, 50 teeth in control group, observation group 52 teeth. Patients in observation group were treated with compound articaine for anesthesia, while those in control group were given lidocaine for anesthesia. The onset time of anesthesia, the total effective rate of anesthesia, the incidence of adverse reactions and the anesthetic effect were compared between the two groups. Results The onset time of anesthesia in the observation group was shorter than that in the control group (P <0.05). The total effective rate of anesthesia in the observation group was significantly higher than that of the control group (P <0.05). Adverse reactions occurred in the observation group The difference was statistically significant (P <0.05). Conclusion Articocaine hydrochloride is used in anesthesia in the treatment of dental pulp diseases. It has fast onset and high safety, and is worthy of clinical promotion and reference.