摘要
目的 探讨老年人拔牙手术时麻药选用问题。方法 本组资料共收集450岁70岁以上老年人,拔牙术中随机采用不同麻醉药物,观察不同类型麻醉药物的麻醉持续时间;用心电监护仪监测患者从注入麻醉药至拔牙术结束时该时距内的心率变化,比较分析采用不同麻醉药物的临床反应。结果 0.5%布比卡因麻醉药麻醉持续时间最长;含与不含1∶10万肾上腺素的0.5%布比卡因麻醉药麻醉持续时间不存在显著差异;选用不含肾上腺素的麻醉药物的225例老年患者中,仅3例出现室性早搏。结论 高龄患者拔牙术中的局麻药物应首选不含肾上腺素的布比卡因。
Objective To study the feasible option of local anaesthetic in extraction of teeth for the elderly. Methods In this data, 450 patients over 70y old undergone extraction of teeth were randomly applied different local anaesthetic. Then ispected the duration of analgesia and the variation of heart rates for completion the injections with local anaesthetic to compare the clinical response of patients suspected to different local anaesthetic.Results The duration of analgesia of bupivacaine (0.5% concentration) was the longest. There was no significant difference when added or not added adrenaline to it. 225 patients injected with analgesia agents not including adrenaline appeared to normal rhythm of the hearts except 3 patients. Conclusion The feasible anaesthetic for the elderly undergone extraction of teeth was bupivacaine (0.5% concentration) not including adrenaline.
出处
《口腔颌面外科杂志》
CAS
2000年第1期60-61,共2页
Journal of Oral and Maxillofacial Surgery
关键词
局麻药物
老年人
拔牙手术
Local anaesthetic
elderly
extraction of teeth
