Shanghai Journal of Stomatology ›› 2022, Vol. 31 ›› Issue (1): 109-112.doi: 10.19439/j.sjos.2022.01.023

• Clinical Reports • Previous Articles    

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

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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