改良Gow-Gates下牙槽神经阻滞麻醉在下颌阻生第三磨牙拔除术中的应用

上海口腔医学 ›› 2015, Vol. 24 ›› Issue (3): 373-377.

改良Gow-Gates下牙槽神经阻滞麻醉在下颌阻生第三磨牙拔除术中的应用

胡艺平,金桂芳

浙江省乐清市第二人民医院口腔科,浙江乐清 325608

收稿日期:2014-12-20 出版日期:2015-06-20 发布日期:2015-07-24
通讯作者: 胡艺平,Tel：0577-62378513,E-mail:2690249383@qq.com
作者简介:胡艺平（1957-）,男,学士,副主任医师
基金资助:
乐清市科技计划项目(2014y027)

Clinical study of modified Gow-Gates technique of inferior alveolar nerve block in impacted mandibular third molar extraction

HU Yi-ping,JIN Gui-fang

Department of Stomatology, Second People’s Hospital of Yueqing City. Yueqing 325608, Zhejiang Province, China

Received:2014-12-20 Online:2015-06-20 Published:2015-07-24
Supported by:
Supported by Science and Technology Planning Project of Yueqing City (2014y027).

摘要/Abstract

摘要： 目的:探讨一种微创高效的下牙槽神经阻滞麻醉方法。方法:将206例门诊拔除下颌阻生第三磨牙患者随机分为2组,实验组105例采用改良Gow-Gates法,对照组101例采用传统口内注射法（Halstead法）。记录麻醉成功率、麻醉效果和并发症,采用SPSS17.0软件包对数据进行统计学分析。结果:改良Gow-Gates法麻醉成功率为97.15%,Halstead法为89.10%,2组间显著差异（P=0.038）。改良Gow-Gates法在麻醉效果A、B级比率为90.48%,Halstead法为87.13% ,2组间无显著性差异（P=0.446）。改良Gow-Gates法的并发症显著少于Halstead法（P=0.014）。结论:Gow-Gates下牙槽神经阻滞麻醉是一种微创高效的麻醉方法。

关键词: 下牙槽神经阻滞麻醉, 下颌阻生第三磨牙, 拔牙, Gow-Gates法, 微创高效

Abstract: PURPOSE: To introduce a minimally invasive and more effective technique of inferior alveolar nerve block. METHODS: Two hundred and six patients who needed extraction of the impacted mandibular third molar were divided randomly into 2 groups: the experimental group (105 cases ) with modified Gow-Gates technique (modified Gow-Gates group) and the control group (101 cases) with Halstead technique (Halstead group). The anesthetic success rates, effects and complications were recorded and analyzed with SPSS17.0 software package. RESULTS: The anesthetic success rate was 97.15% in modified Gow-Gates group and 89.10% in Halstead group with significant difference between the 2 groups (P=0.038<0.05); In comparing the anesthesia grade, the ration of grade A and B accounted for 90.48% in modified Gow-Gates group and 87.13% in Halstead group (P=0.446>0.05). Modified Gow-Gates group had much fewer of complications than Halstead group (P=0.014<0.05). CONCLUSIONS: Modified Gow-Gates technique is a minimally invasive and more effective technique for inferior alveolar nerve block anesthesia.

Key words: Inferior alveolar nerve block, Mandibular impacted third molar, Tooth extraction, Gow-Gates technique, Minimally invasive technique

中图分类号:

RT82.1

胡艺平,金桂芳. 改良Gow-Gates下牙槽神经阻滞麻醉在下颌阻生第三磨牙拔除术中的应用[J]. 上海口腔医学, 2015, 24(3): 373-377.

HU Yi-ping,JIN Gui-fang. Clinical study of modified Gow-Gates technique of inferior alveolar nerve block in impacted mandibular third molar extraction[J]. Shanghai Journal of Stomatology, 2015, 24(3): 373-377.

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