PDF(Pubmed)
Abstract：
OBJECTIVE: This trial aimed to study the efficacy of articaine in pain management during endodontic procedures in pediatric patients.
METHODS: Ninety-eight children who received endodontic painless treatment were collected and randomly divided into the control group and observation group, with 49 cases in each group. The control group received infiltration anesthesia with lidocaine, and the observation group received infiltration anesthesia with articaine. Anesthesia effect, anesthesia onset time, sensory recovery time, duration of anesthesia, pain intensity, blood pressure, heart rate, and adverse reactions were compared.
RESULTS: The effective rate of anesthesia in the observation group was higher than that in the control group. The anesthesia onset time and sensory recovery time were shorter, the duration of anesthesia was longer, and the VAS score and facial expression score were lower in the observation group than in the control group. The heart rate of the observation group was lower, and diastolic blood pressure was higher than those of the control group. The total incidence of adverse reactions in the observation group was lower than that in the control group.
CONCLUSIONS: In the treatment of dental pulp diseases in children, the use of articaine can achieve better anesthesia effect and rapid onset of anesthesia and has less impact on the patient\'s blood pressure and heart rate, but it also can relieve pain and has good safety after the use of medication. It is worthy of clinical application.
METHODS: Ninety-eight children who received endodontic painless treatment were collected and randomly divided into the control group and observation group, with 49 cases in each group. The control group received infiltration anesthesia with lidocaine, and the observation group received infiltration anesthesia with articaine. Anesthesia effect, anesthesia onset time, sensory recovery time, duration of anesthesia, pain intensity, blood pressure, heart rate, and adverse reactions were compared.
RESULTS: The effective rate of anesthesia in the observation group was higher than that in the control group. The anesthesia onset time and sensory recovery time were shorter, the duration of anesthesia was longer, and the VAS score and facial expression score were lower in the observation group than in the control group. The heart rate of the observation group was lower, and diastolic blood pressure was higher than those of the control group. The total incidence of adverse reactions in the observation group was lower than that in the control group.
CONCLUSIONS: In the treatment of dental pulp diseases in children, the use of articaine can achieve better anesthesia effect and rapid onset of anesthesia and has less impact on the patient\'s blood pressure and heart rate, but it also can relieve pain and has good safety after the use of medication. It is worthy of clinical application.
摘要：
目的：本试验旨在研究阿替卡因在小儿牙髓治疗过程中的疼痛管理效果。
方法：收集98例接受牙髓无痛治疗的患儿，随机分为对照组和观察组。每组49例。对照组采用利多卡因浸润麻醉,观察组采用阿替卡因浸润麻醉。麻醉效果,麻醉开始时间,感官恢复时间，麻醉持续时间，疼痛强度，血压,心率,并对不良反应进行比较。
结果：观察组麻醉有效率高于对照组。麻醉起效时间和感觉恢复时间较短，麻醉持续时间较长，观察组VAS评分和面部表情评分均低于对照组。观察组的心率较低,舒张压高于对照组。观察组不良反应总发生率低于对照组。
结论：在儿童牙髓疾病的治疗中，使用阿替卡因麻醉效果较好,麻醉起效快,对患者的血压和心率影响较小,但使用药物后也能缓解疼痛，安全性好。值得临床推广应用。
方法：收集98例接受牙髓无痛治疗的患儿，随机分为对照组和观察组。每组49例。对照组采用利多卡因浸润麻醉,观察组采用阿替卡因浸润麻醉。麻醉效果,麻醉开始时间,感官恢复时间，麻醉持续时间，疼痛强度，血压,心率,并对不良反应进行比较。
结果：观察组麻醉有效率高于对照组。麻醉起效时间和感觉恢复时间较短，麻醉持续时间较长，观察组VAS评分和面部表情评分均低于对照组。观察组的心率较低,舒张压高于对照组。观察组不良反应总发生率低于对照组。
结论：在儿童牙髓疾病的治疗中，使用阿替卡因麻醉效果较好,麻醉起效快,对患者的血压和心率影响较小,但使用药物后也能缓解疼痛，安全性好。值得临床推广应用。
