笑气/氧气吸入镇静技术在急性牙髓炎治疗中的应用

上海口腔医学 ›› 2013, Vol. 22 ›› Issue (6): 702-704.

笑气/氧气吸入镇静技术在急性牙髓炎治疗中的应用

周新文，王立新，刘希云

(首都医科大学附属北京世纪坛医院口腔科，北京 100038)

收稿日期:2013-03-22 修回日期:2013-05-10 出版日期:2013-04-12 发布日期:2013-04-12
通讯作者: 刘希云，E-mail：bjdentist@sina.com
作者简介:周新文(1971- )，男，博士，主治医师，E-mail:zhxw630@sohu.com

Clinical trail on the effect of nitrous oxide/ oxygen inhalation sedation on the treatment of acute pulpitis

ZHOU Xin-wen, WANG Li-xin, LIU Xi-yun

Department of Stomatology, Beijing Shijitan Hospital, Capital Medical University. Beijing 100038, China

Received:2013-03-22 Revised:2013-05-10 Online:2013-04-12 Published:2013-04-12

摘要/Abstract

摘要： 目的：评价笑气/氧气吸入镇静技术在急性牙髓炎治疗中的临床效果。方法：选择2012年9月—2013年3月收治的急性牙髓炎患者72例，随机分为2组，实验组患者(37例)在笑气/氧气吸入镇静辅以局麻下开髓，对照组(35例)仅在局麻下开髓。利用临床焦虑与合作行为级别和WHO临床疼痛评估标准对患者进行评估，采用SPSS14.0软件包对数据进行秩和检验和χ²检验。结果：临床焦虑与合作行为级别评估中，实验组表现自如者占86.5%，对照组仅为42.9%；临床疼痛评级实验组94.6%选择无痛，对照组68.6%选择无痛，差异显著(P<0.01)。结论：笑气/氧气吸入镇静技术用于急性牙髓炎治疗可获得良好的镇痛、镇静效果。

关键词: 笑气/氧气吸入镇静, 急性牙髓炎, 牙科焦虑

Abstract: PURPOSE: To evaluate the effectiveness and safety of nitrous oxide/ oxygen inhalation sedation in the treatment of acute pulpitis. METHODS: The study population comprised 72 patients of acute pulpitis treated from September 2012 to March 2013. They were randomly divided into 2 groups, which included experimental group (37 cases) and control group (35 cases). Venham clinical anxiety, cooperative behavior level and WHO clinical pain level evaluation were conducted for the patients. Wilcoxon and Chi-square test were used respectively for statistical analysis with SPSS 14.0 software package. RESULTS: In the experimental group, 86.5% cases behaved comfortable, while in the control group the rate was only 42.9%. 94.6% of the patients in the experimental group felt painless after therapy. The proportion of that in the control group was 68.6%. There was significant difference between the 2 groups (P<0.01). CONCLUSIONS: The technique of nitrous oxide/oxygen inhalation sedation provides a safe and effective way to release pain and anxiety during treatment of acute pulpitis, while the long-term clinical result still needs further investigation.

Key words: Nitrous oxide/ oxygen inhalation sedation, Acute pulpitis, Dental anxiety

中图分类号:

R781.3

周新文, 王立新, 刘希云. 笑气/氧气吸入镇静技术在急性牙髓炎治疗中的应用[J]. 上海口腔医学, 2013, 22(6): 702-704.

ZHOU Xin-wen, WANG Li-xin, LIU Xi-yun. Clinical trail on the effect of nitrous oxide/ oxygen inhalation sedation on the treatment of acute pulpitis[J]. Shanghai Journal of Stomatology, 2013, 22(6): 702-704.

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