应用自控镇静术拔除阻生牙的临床研究

华西口腔医学杂志

应用自控镇静术拔除阻生牙的临床研究

吴军楼,李宁毅,郭英华,毛祖彝,王世端,杨学财

610041 四川大学华西口腔医院(吴军楼,毛祖彝),

收稿日期:2002-04-25 修回日期:2002-04-25 出版日期:2002-04-20 发布日期:2002-04-20

Use of Patient-controlled Sedation During the Extraction of Impacted Teeth

Wu Junlou, Mao Zuyi, Li Ningyi et al

Wu Junlou, Mao Zuyi College of Stomatology,West China University of MedicalSciences Li Ningyi, Guo Yinghua, Wang Shiduan, et al The Affiliated Hospital of Qingdao Medical College

Received:2002-04-25 Revised:2002-04-25 Online:2002-04-20 Published:2002-04-20

摘要/Abstract

摘要：

目的:评价自控镇静术在拔除阻生牙中的应用价值。方法:22例患者的双侧阻生下颌第三磨牙,分别在单纯局麻(L组)或自控镇静术联合局麻(PCS组)下拔除,观察两种麻醉的镇静效果和对呼吸循环的影响。结果:¹PCS 组和L组患者血压、心律稳定;两组患者脉搏氧饱和度均维持在97%以上,镇静评分小于或等于3分(Ramsy评分)。 ºPCS组术中和术后患者满意度、手术医师满意度都明显比L组高(P<0105)。结论:自控镇静术能提供安全有效的拔牙术中镇静,是一种具有应用价值的术中镇静方法。

关键词: 自控镇静术, 阻生牙, 拔牙

Abstract:

Objective:The purpose of this study was to evaluate the clinical effects of patient-controlled sedation during the extraction of impacted tooth.Methods:The patient-controlled sedation with propofol was compared to non-sedation, in a randomized crossover study of 22 outpatients undergoing two-stage bilateral extraction of impacted third molar teeth under local anesthesiawith 2% Lido- caine. Cardiovascular and respiratory stability and the effects of sedationwere observed; postoperative memory was measured with delayed free recall.Results:The blood pressure and heart rates were stable and showed no difference in Group P and Group L(P >0105). Haemoglobin oxygen saturationwasmaintained at a level of 97% orhigherfor all patients. Sedationwas no deeperthan 3 Ramsy scores. Intra-operative patient cooperation, postoperative patient satisfaction and surgeon satisfaction in group P were higher than those in group L(P<0105).Conclusion:Patient-controlled sedation may be a safe and effective intraoperative seda- tion.

Key words: patient controlled sedation, tooth extraction, impacted tooth

吴军楼,李宁毅,郭英华,毛祖彝,王世端,杨学财. 应用自控镇静术拔除阻生牙的临床研究[J]. 华西口腔医学杂志.

Wu Junlou, Mao Zuyi, Li Ningyi et al. Use of Patient-controlled Sedation During the Extraction of Impacted Teeth[J]. West China Journal of Stomatology.

[1]	黄佳玥, 刘显, 王艳, 包崇云. 牙囊在埋伏上颌中切牙唇侧微创开放式牵引中的作用探讨[J]. 华西口腔医学杂志, 2023, 41(2): 197-202.
[2]	宋东哲, 罗雨, 刘显, 胡沛, 黄定明. 显微根尖手术联合活髓保存术治疗阻生牙所致的下颌第二磨牙牙根外吸收[J]. 华西口腔医学杂志, 2023, 41(2): 225-231.
[3]	潘剑, 薛洋, 赵吉宏, 周青, 邹多宏, 陈松龄, 韩冰, 崔念晖, 刘显, 王了, 胡开进. 口服抗栓药物患者门诊拔牙围手术期管理的专家共识[J]. 华西口腔医学杂志, 2022, 40(3): 255-263.
[4]	王鲲鹏,李博龙,袁逸杰,孟昭松,张婷婷. 对角分根法在下颌双根阻生第三磨牙拔除术中的应用[J]. 华西口腔医学杂志, 2019, 37(6): 684-686.
[5]	赖颖,潘韦霖,刘畅,黄静远,华成舸. 埋伏阻生牙导致牙根外吸收邻牙的预后的临床观察[J]. 华西口腔医学杂志, 2019, 37(3): 280-284.
[6]	孙传玺,李志华,周子琦. 右下颌第一磨牙远中水平阻生1例[J]. 华西口腔医学杂志, 2019, 37(1): 106-108.
[7]	向思捷,潘剑. 拔牙后牙槽嵴保持的研究现状[J]. 华西口腔医学杂志, 2019, 37(1): 97-101.
[8]	崔庆赢, 陈思宇, 付帅, 张长彬, 黎明. 口腔颌面外科门诊拔牙患者牙科焦虑症调查分析[J]. 华西口腔医学杂志, 2018, 36(3): 314-318.
[9]	华成舸. 微创拔牙的刚体力学分析[J]. 华西口腔医学杂志, 2017, 35(2): 119-123.
[10]	谢乙加, 胡洲, 赵青, 林富伟, 曾阳, 徐晓梅, 曾琳, 杨璞. 正畸治疗中非常规拔牙的临床应用分析[J]. 华西口腔医学杂志, 2017, 35(2): 176-182.
[11]	彭明慧亢静周建明杜冰. 垂直生长型安氏Ⅱ类1分类拔牙矫治后鼻唇角改变的相关性分析[J]. 华西口腔医学杂志, 2015, 33(4): 397-400.
[12]	赵吉宏黄从发. 现代牙槽外科新技术[J]. 华西口腔医学杂志, 2014, 32(3): 213-216.
[13]	李志进郭家平石咏梅董青山王翔熊才华桂逍. 锥形束CT在诊治阻生牙所致邻牙牙根外吸收中的应用[J]. 华西口腔医学杂志, 2013, 31(6): 588-591.
[14]	周阳明胡赟郑雷蕾赵志河唐甜邓锋卫光曦霍金凤张晓歌. 邻近拔牙创植入正畸微种植体骨界面愈合的组织学研究[J]. 华西口腔医学杂志, 2013, 31(5): 509-513.
[15]	杨介平刘伟高庆红. Gow-Gates法下牙槽神经阻滞麻醉在下颌阻生第三磨牙拔除术中的麻醉效果研究[J]. 华西口腔医学杂志, 2013, 31(4): 381-384.