■这项研究的目的是比较和评估小儿人群中2%利多卡因1:80,000肾上腺素和4%阿替卡因1:100,000肾上腺素的疼痛感觉和发作时间。
■对50名9-14岁需要下牙槽神经阻滞(IANB)麻醉的下颌弓双侧牙科治疗的儿童进行了一项裂口随机对照试验。即使在电浆测试(EPT)中施加了最大的电刺激,也没有报告感觉,记录发作时间。使用患者主观症状和面部评分的视觉模拟量表(VAS)评估疼痛感知,腿,活动,哭泣,和由操作者评定的客观疼痛的舒适性(FLACC)量表。
■平均发作时间,疼痛-VAS,FLACC得分分别下降1.31、12.07和18.39%,分别在4%阿替卡因中与2%利多卡因相比,但差异没有达到统计学意义(p>0.05),也就是说,发现统计上是相同的。总之,可以推断,4%阿替卡因的使用与2%利多卡因溶液一样有效,但在儿童中显示麻醉起效和疼痛体验稍好,尽管结果无统计学意义.
■局部麻醉(LA)是儿科实践中疼痛管理的主要方法之一,因此必须选择起效时间较短且给药疼痛较少的LA药物。
■SinghSS,2%利多卡因和4%阿替卡因在小儿下牙槽神经阻滞中的疼痛经历和发作时间的比较评估:一项临床研究。IntJClinPediatrDent2024;17(1):67-71。
UNASSIGNED: The objective of this research was to conduct a comparison and evaluate the pain perception and time of onset of 2% lignocaine 1:80,000 epinephrine with 4%
articaine 1:100,000 epinephrine in the pediatric population.
UNASSIGNED: A split-mouth randomized control trial was conducted on 50 children aged 9-14 years who required inferior alveolar nerve block (IANB) anesthesia for bilateral dental treatment in the mandibular arch. The time of onset was recorded when no sensation was reported even when maximum electrical stimulus was applied in an electric pulp testing (EPT). The pain perception was assessed using a visual analog scale (VAS) rated by the patient for subjective symptoms and face, legs, activity, cry, and consolability (FLACC) scale for objective pain rated by the operator.
UNASSIGNED: The mean onset of time, pain-VAS, and FLACC score decreased by 1.31, 12.07, and 18.39%, respectively in 4%
articaine as compared to 2% lignocaine but the difference did not reach statistical significance (p > 0.05), that is, found to be statistically the same.In conclusion, it can be inferred that the utilization of 4%
articaine is as potent as 2% lignocaine solution but showed slightly better onset of anesthesia and pain experience among the children although the findings were not statistically significant.
UNASSIGNED: Local anesthesia (LA) is one of the main methods of pain management in pediatric practice which makes it essential to choose an LA agent with a shorter time of onset and less pain on administration.
UNASSIGNED: Singh SS, Koul M. A Comparative Evaluation of Pain Experience and Time of Onset of 2% Lignocaine and 4%
Articaine in Inferior Alveolar Nerve Block among Pediatric Population: A Clinical Study. Int J Clin Pediatr Dent 2024;17(1):67-71.