目的:评价咪达唑仑静脉泵入技术,在老年患者口腔治疗过程中的临床应用效果。方法:选取2010年8月至2013年8月在济宁市第一人民医院口腔科进行口腔治疗的100例老年患者随机分为咪达唑仑组和试验组各50例,分别给于心电监护和咪达唑仑泵入进行口腔操作,比较两组患者操作前、中、后的收缩压、舒张压、心率、和脉搏血氧饱和度,并采用 Frankl 量表评价患者的配合程度,采用 Houpt 行为量表评价治疗完成情况,患者疼痛程度采用 VAS 评分评估。结果:咪达唑仑组操作中及造作后血压及心率较对照组均有明显降低,血氧饱和度改变不明显,咪达唑仑组、对照组的 Houpt 行为治疗效果评分和 Frankl 治疗依从性评分均存在显著性差异,咪达唑仑组术中及术后疼痛程度 VAS 评分均低于对照组。结论:咪达唑仑泵入技术对于进行口腔操作的老年患者具有较好的疗效。
The research on Application of midazolam in elderly patients with oral treatment
Objective:to evaluate the application of midazolam in elderly patients with oral treatment.Methods:100 cases of elderly patients were randomly divided into midazolam group and Control group in the Department of Stomatology of the jining first people's Hospital.The blood pressure,heart rate,pulse oxygen saturation were measured,and the treat dependence and be-havior therapy ef icacy were evaluated and pain severity scores (VAS)were recorded.Results:the blood pressure,heart rate in experiment group were lower than in control group,and there were statistical dif erence in the Houpt score and the Frankl score between midazolam group and control group,the VAS in midazolam group was decreased than that in control group.Conclusion:The single use of midazolam as an intravenous sedation agent has satisfactory ef ect on eldly patients with oral treatment.