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时间:2020-04-21
《鼻腔喷雾右美托咪定在下颌第三磨牙拔除术中的应用-论文.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、口腔颌面外科杂志2014年6月第24卷第3期·220·Journ~oforalandMaxillofacialSurgeryVo1.24No.3June.2014鼻腔喷雾右美托咪定在下颌第三磨牙拔除术中的应用顾春梅,仲元萍,黄兰柱,史艳红(南京大学医学院附属151腔医院急诊科,江苏南京210008)【摘要1目的:探讨鼻腔喷雾右美托咪定在下颌第三磨牙拔除术中的临床应用价值。方法:30例需拔除下颌第三磨牙的患者随机分为右美托咪定组(DEX组)和对照组(C组),每组l5例。DEX组鼻腔喷雾1.5右美托咪定,C组鼻腔喷雾生理盐水,30m
2、in以后实施局部麻醉,拔出下颌第三磨牙。每10min记录患者的收缩压(SBP)、心率(HR)、血氧饱和度(Sp02),评估患者的改良OAA/S评分,同时记录注射局麻药时的VAS评分。结果:DEX组的SBP和HR在鼻腔喷雾给药后的3060min出现一定程度下降,与C组比较,差异有统计学意义(P<0.05)。DEX组在给药后20~60min时出现镇静作用。差异有统计学意义(P<0.05)。注射局麻药时两组患者均感到轻微疼痛,差异无统计学意义(P>0.05)。结论:鼻腔喷雾右美托咪定1.5I~g/kg,能够有效、安全且便捷地应用于健康
3、成人下颌第三磨牙拔除术中的镇静,缓解患者的焦虑情绪。【关键词】下颌第三磨牙;右美托咪定;鼻腔喷雾;拔牙[中图分类号】R782.11;R614.3【文献标志码】B[文章编号】1005.4979(2014)03.0220.04doi:10.3969~.issn.1005—4979.2014.03.013SedativeandAnalgesicEfectsofIntranasalDexmedetomidineinMandibularThirdMolarExtractionGUChun—nuei,ZHONGYuan-ping,HUANG
4、Lan—zhu,SHIYah—hong(DepartmentofEmergency,HospitalofStomatology,NanjingUniversityMedicalCollege,Nanjing210008,JiangsuProvince,China)[Abstract】Objective:Toevaluatetheeffectofatomizeddexmedetomidineforsedationinpatientsundergoingmandibularthirdmolarremova1.Methods:Thir
5、typatientsunderwentmandibularthirdmolarremovalwererandomlyassignedinto2groups:groupDEX,nasalspraywith1.5~s/kgatomizeddexmedetomidine;groupC,nasalspraywithnormalsaline.Localanaesthesiawasinjected30minafternasalspray.Duringtheprocessofextraction,SBP,HRandSpO2wererecord
6、edatevery10rainperiod.Sedationstatuswasmeasuredatevery10rainwithamodifiedObserver'sAssessmentofAlertness/Sedation(OAA/S)scale.PainfromlocalanaesthesiainfiltrationwasratedOnascalefrom0to10.Results:GroupDEXpatientsdisplayeddecreasedSBPandHRat30—60minafterintranasaldexm
7、edetomidine.whichweresignificantlydifferentfromgroupC(P<0.05).SedationvaluesingroupDEXweresignificantlydiferentfromgroupCat20—60rainafterintranasaldrugadministration(P<0.05).NosignificantdifferenceswereobservedbetweenthegroupsintermsofthepainscoreduringLAinjection.Co
8、nclusion:Intranasaladministrationof1.5Ixg/kgatomizeddexmedetomidinewasclinicallyeffective,safeandconvenientforthesedationofhealthyp
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