中国口腔颌面外科杂志2024,Vol.22Issue(1) :49-52.DOI:10.19438/j.cjoms.2024.01.008

超前镇痛对阻生牙微创拔牙术后镇痛效果及MDAS评分的影响

The effect of preemptive analgesia on postoperative pain relief and MDAS score after minimally invasive extrac-tion of impacted teeth

朱承章 万宏坤
中国口腔颌面外科杂志2024,Vol.22Issue(1) :49-52.DOI:10.19438/j.cjoms.2024.01.008

超前镇痛对阻生牙微创拔牙术后镇痛效果及MDAS评分的影响

The effect of preemptive analgesia on postoperative pain relief and MDAS score after minimally invasive extrac-tion of impacted teeth

朱承章 1万宏坤1
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作者信息

  • 1. 南通市如东中医院 口腔科,江苏 南通 226400
  • 折叠

摘要

目的:探讨超前镇痛对阻生牙微创拔牙术后镇痛效果及改良牙科焦虑量表(Modified Dental Anxiety Scale,MDAS)评分的影响.方法:选择2021年7月-2022年5月南通市如东中医院收治的阻生牙患者100例,采用随机数字表法分为试验组(微创拔牙术联合超前镇痛治疗,n=50)和对照组(微创拔牙术,n=50).比较2组患者手术时间、术中血压和心率、术后疼痛视觉模拟量表评分(VAS评分)、术后MDAS评分和不良反应.采用SPSS 22.0软件包对数据进行统计学分析.结果:试验组手术时间显著少于对照组(P<0.05),术后5、10和24 h疼痛VAS评分显著低于对照组(P<0.05);2组治疗后MDAS评分均低于治疗前,且试验组显著低于对照组(P<0.05);2组治疗后不良反应发生率均较低,无显著差异(P>0.05).结论:超前镇痛对阻生牙微创拔牙术后镇痛效果较好,可改善患者焦虑状况,且不良反应少,值得推广使用.

Abstract

PURPOSE:To investigate the effect of preemptive analgesia on postoperative pain relief after minimally inva-sive extraction of impacted teeth and the modified Dental Anxiety Scale(MDAS)score.METHODS:A total of 100 pa-tients with impacted teeth admitted to Rudong Hospital of Traditional Chinese Medicine in Nantong City from July 2021 to May 2022 were selected and randomly divided into the experimental group(minimally invasive tooth extraction combined with preemptive pain relief treatment,n=50)and control group(minimally invasive tooth extraction,n=50)using a random number table method.The operation time,intraoperative blood pressure and heart rate,analgesic efficacy,postoperative vi-sual analogue scale(VAS score)of pain,postoperative MDAS score and adverse reactions were compared between the two groups,and the data were statistically analyzed by SPSS 22.0 software package.RESULTS:The operation time of the ex-perimental group was significantly less than that of the control group(P<0.05).VAS scores at 5 h,10 h and 24 h in the exper-imental group were significantly lower than those in the control group(P<0.05).The MDAS score after treatment was lower than before treatment,and the experimental group was significantly lower than the control group(P<0.05).The incidence of adverse reactions after treatment was lower in both groups,and there was no significant difference between the two groups(P>0.05).CONCLUSIONS:Preemptive analgesia has a good analgesic effect on minimally invasive extraction of impacted teeth,which can improve the anxiety of patients,and has fewer adverse reactions.It can be widely used in clinical practice.

关键词

超前镇痛/微创拔牙术/利多卡因/洛索洛芬片/MDAS评分

Key words

Preemptive analgesia/Minimally invasive tooth extraction/Lidocaine/Loxoprofen Tablets/MDAS score

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基金项目

南通市基础科学研究和社会民生科技计划项目(JCZ2022056)

出版年

2024
中国口腔颌面外科杂志
中华口腔医学会

中国口腔颌面外科杂志

CSTPCD
影响因子:0.751
ISSN:1672-3244
参考文献量2
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