上海口腔医学

上海口腔医学 ›› 2022, Vol. 31 ›› Issue (1): 109-112.doi: 10.19439/j.sjos.2022.01.023

• 临床总结 • 上一篇    

2种不同舒适化技术在60例高血压患者阻生牙拔除术中的应用评价

邵云1,*, 程庆涛2,*, 何欢1, 李晶1, 朱微燕1, 刘嘉靓2   

  1. 1.上海市口腔医院 麻醉科,2.口腔颌面外科,上海 200001
  • 收稿日期:2021-02-23 修回日期:2021-05-06 出版日期:2022-02-25 发布日期:2022-03-10
  • 通讯作者: 邵云,E-mail:shaoyun07078@sina.com
  • 作者简介:邵云（1971-）,女,硕士,副主任医师;程庆涛（1975-）,男,学士,主任医师,E-mail:drcqt@163.com。*并列第一作者

Application of two different comfort techniques in extraction of impacted teeth among 60 patients with hypertension

SHAO Yun1, CHENG Qing-tao2, HE Huan1, LI Jing1, ZHU Wei-yan1, LIU Jia-liang2   

  1. 1. Department of Anesthesiology, 2. Department of Oral and Maxillofacial Surgery, Shanghai Stomatological Hospital, Fudan University. Shanghai 200001, China
  • Received:2021-02-23 Revised:2021-05-06 Online:2022-02-25 Published:2022-03-10

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摘要： 目的: 比较氧化亚氮/氧吸入镇静镇痛、右美托咪定联合氟比洛芬酯辅助镇静镇痛2种舒适化技术在高血压患者阻生牙拔除术中的效果。方法: 将60例高血压阻生牙拔除术患者随机分为2组（n=30）,X组（氧化亚氮/氧吸入镇静镇痛组）和Y组（右美托咪定联合氟比洛芬酯辅助镇静镇痛组）。记录T0（术前）、T1（局部麻醉）、T2（手术操作）、T3（术后5 min）4个时间点的平均动脉压（MAP）、心率（HR）、Ramsay评分、VAS 评分。采用SPSS 20.0软件包对数据进行统计学分析。结果: 2种舒适化技术,组间各指标比较无统计学差异（P>0.05）;每组中T1、T2、T3,与T0时相比,情绪稳定、血流动力学平稳（P<0.05）。结论: 2种舒适化技术在高血压患者阻生牙拔除术中均能稳定患者情绪,保持患者血流动力学平稳,安全有效。

关键词: 氧化亚氮/氧, 右美托咪定, 氟比洛芬酯, 高血压, 阻生牙拔除

Abstract: PURPOSE: To compare the effect of two comfort techniques of nitrous oxide/oxygen inhalation and dexmedetomidine combined with flurbiprofen axetil sedation and analgesia in impacted teeth extraction among patients with hypertension. METHODS: According to the inclusion and exclusion criteria, sixty patients undergoing impacted teeth extraction with hypertension were randomly divided into 2 groups: X group(nitrous oxide/oxygen inhalation, n=30) and Y group(dexmedetomidine combined with flurbiprofen axetil assisted sedation and analgesia, n=30). The following parameters at T0(preoperative), T1(local anesthesia), T2 (surgical operation), and T3 (5 minutes after surgery) were recorded: mean arterial pressure(MAP), heart rate (HR), Ramsay sedation score, VAS pain score. SPSS 20.0 software package was used for statistical analysis. RESULTS: The parameters at each time point between the two groups were not significantly different (P>0.05). Mood and hemodynamics at T1, T2 and T3 in each group were more stable compared with those at T0(P<0.05). CONCLUSIONS: The two comfort techniques can stabilize the patients' mood, keep the patients' hemodynamics stable, and are safe and effective in extraction of impacted teeth among patients with hypertension.

Key words: Nitrous oxide/oxygen, Dexmedetomidine, Flurbiprofen axetil, Hypertension, Extraction of impacted teeth

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