甲哌卡因在牙体牙髓病治疗中的应用

华西口腔医学杂志

甲哌卡因在牙体牙髓病治疗中的应用

陈新梅,史宗道,黄定明,曾鸿宾,王晓毅,丁一

四川大学华西口腔医院，四川成都610041

收稿日期:2004-10-25 修回日期:2004-10-25 出版日期:2004-10-20 发布日期:2004-10-20
通讯作者: 陈新梅，Te1:028-85501439
作者简介:陈新梅(1965-)，女，四川人，副教授，博士

Anesthetic Efficacy of 2% Mepivacaine in Conservative Dentistry

CHEN Xin-mei, SHI Zong-dao，HUANG Ding-ruing, ZENG Hong-bin, WANGXiao-yi，DING Yi

West China College of Stomatology, Sichuan University, Chengdu 610041,China

Received:2004-10-25 Revised:2004-10-25 Online:2004-10-20 Published:2004-10-20

摘要/Abstract

摘要：

目的评价2%甲呱卡因在口腔临床局部麻醉应用中的有效性及安全性。方法将注射用2%甲呱卡因用于II例患者的深龋备洞或开髓治疗的局部浸润麻醉，观察麻醉时间、麻醉效果、对心血管的影响及其他不良反应，并与7例采用2%利多卡因麻醉作对照。结果试验组的麻醉起效时间短于对照组，而麻醉持续时间长于对照组，医生评价良好率达到90.91%。两组药物均不引起血压、心率的明显变化。结论2%甲呱卡因是一种安全可靠、麻效较好的口腔用局部麻醉剂。

关键词: 甲呱卡因, 利多卡因, 浸润麻醉

Abstract:

Obective To determine the efficacy of 2% mepivacaine in conservative dentistry. Methods The patients who needed cavity preparation or access to pulp chamber received local infitration with 2% mepivacaine. Anesthesia time, anesthetic efficacy and cardiovascular system influences were assessed. 3 % lidocaine with epinephrine was served as control. Results In experiment group, the anesthesia effects were quicker and anesthesia duration was longer than that in control group. Doctors highly appreciated the anesthetic efficacy. Tow groups did not show any evident change in blood pressure and heart rate. Conclusion 2% mepivacaine is a safe and efficacious local anesthetic drug in conservative dentistry.

Key words: mepivacaine, lidocaine, infiltration anesthetic

陈新梅,史宗道,黄定明,曾鸿宾,王晓毅,丁一. 甲哌卡因在牙体牙髓病治疗中的应用[J]. 华西口腔医学杂志.

CHEN Xin-mei, SHI Zong-dao，HUANG Ding-ruing, ZENG Hong-bin, WANGXiao-yi，DING Yi . Anesthetic Efficacy of 2% Mepivacaine in Conservative Dentistry[J]. West China Journal of Stomatology.

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