摘要
目的观察笑气吸入对儿童上前牙区埋伏多生牙拔除术前局麻注射疼痛的影响。方法对60例需行上前牙区埋伏多生牙拔除术的患儿(6~10岁)采用随机、双盲、安慰剂对照的方法进行研究。随机分为2组:笑气吸入组(A组,n=30)和氧气吸入组(B组,n=30)。局部麻醉过程中监测患儿的心率(HR)、呼吸频率(RR)及血氧饱和度(SPO_2),根据Frankl治疗依从性量表评价患儿的配合程度,改良警觉与镇静评分评价镇静深度,FLACC疼痛行为量表评价患儿镇痛程度。结果局麻操作过程中Frankl治疗依从性评分A组优于B组(P<0.05),A组FLACC疼痛行为量表值低于B组,A组患儿镇静程度优于B组(P<0.05),2组HR、RR及SPO_2变化无统计学差异(P>0.05)。结论笑气吸入可以明显减轻局麻过程中患儿的疼痛程度。
Objective To estimate the effect of nitrous oxide anesthesia on patient pain perception during local anesthesia administra- tion in children. Methods A simple randomized, double-blinded, placebo-controlled study was designed and implemented. 60 patients （aged 6 to 10） with anterior maxillary region impacted supernumerary teeth extraction surgery were randomly allocated to 2 groups： nitrous oxide-oxygen sedation （group A, n= 30） and oxygen （group B, n= 30）. Frankl behavioral rating scale was adopted to evaluate the cooperation of each patient, depth of sedation using Modifed Observer＇s Assessment of Alertness/Sedation （OAA/S） scale. Pain perception for local anesthesia was assessed using face, legs, activity, cry and consolability （FLACC） behavioral pain assessment scale. Physiological parameters like respiratory rate （RR） , heart rate （HR） , and oxygen saturation （SPO2 ） were recorded. Results The Frankl behavioral rating scales in group A were better than those in group B （P〈0.05）. The FLACC scale in A group was lower than in B group （P〈0.05）. The patients were significantly more sedated in the group A compared to group B （P〈0.05）. The HR, SPO2 and RR in two groups had no significant difference （P〉0.05）. Conclusion Nitrous oxide and oxygen enable a better manage- ment of acute pain related to local anesthesia procedures.
作者
王晓东
孟令娇
陈志方
WANG Xiaodong;MENG Lingfiao;CHEN Zhifang(Department of Oral and Maxillofacial Surgery,West Hefei Stomatological Hospital,Clinical School of Anhui Medical University,Hefei 230601,China)
出处
《口腔医学》
CAS
2018年第9期804-807,共4页
Stomatology
基金
合肥市自主创新政策"借转补"项目(YW201512010004)
安徽省学术和技术带头人项目(2016)
关键词
笑气
注射疼痛
镇静
局部麻醉
儿童
nitrous oxide
pain on injection
sedation
local anesthesia
children
