Efficacy of compound hydrochloride articaine in the treatment of dental pulp diseases in children
Objective To explore the impact of compound hydrochloride articaine on pain level and anesthetic effect in the treatment of dental pulp diseases in children.Methods This study was a randomized controlled trial.A total of 80 children with dental pulp diseases who were admitted to Liaocheng Third People's Hospital from January 2020 to January 2023 were selected as the research subjects.They were divided into a control group and an observation group using the random number table method with 40 cases in each group.In the control group,there were 22 boys and 18 girls,aged 5 to 11(7.72±1.13)years.In the observation group,there were 21 boys and 19 girls,aged 5 to 12(7.58±1.05)years.The control group underwent anesthesia treatment with lidocaine,while the observation group underwent anesthesia treatment with compound hydrochloride articaine.The anesthesia effect(onset time of anesthesia,duration of anesthesia,and recovery time after anesthesia),anesthesia efficiency,pain degree[Visual Analog Scale(VAS)scores during surgery and during anesthesia],and incidence of adverse reactions(gingival pain,nausea and vomiting,dizziness and headache,and tachycardia)were compared between the two groups.Independent sample t test and X2 test were used.Results The onset time of anesthesia in the observation group was(2.19±0.33)min and the recovery time after anesthesia was(155.71± 26.17)min,which were shorter than those in the control group[(5.56±1.10)min and(172.15± 27.69)min];the duration of anesthesia was longer than that in the control group[(156.78±25.26)min vs.(141.57±19.82)min],with statistically significant differences(all P＜0.05).The total effective rate of anesthesia in the observation group[97.5％(39/40)]was higher than that in the control group[62.5％(25/40)],with a statistically significant difference(P＜0.05).The VAS scores during surgery[(1.16±0.25)]and during anesthesia[(1.69±0.37)]in the observation group were lower than those in the control group[(2.36±0.53)and(2.48±0.57)],with statistically significant differences(both P＜0.05).The total incidence of adverse reactions in the observation group[12.5％(5/40)]was lower than that in the control group[45.0％(18/40)],with a statistically significant difference(P=0.001).Conclusion Compound hydrochloride articaine can reduce the pain level and enhance the anesthetic effect in the treatment of dental pulp diseases in children.
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