This paper reported a case of fusion between an impacted third molar and a supernumerary tooth, in which a surgical intervention was carried out, with the objective of removing the dental elements. The panoramic radio...This paper reported a case of fusion between an impacted third molar and a supernumerary tooth, in which a surgical intervention was carried out, with the objective of removing the dental elements. The panoramic radiography was complemented by the Donovan＇s radiographic technique; but because of the proximity of the dental element to the mandibular ramus, it was not possible to have a final fusion diagnosis. Hence, the Cone-Beam Computed Tomography--which provides precise three- dimensional information--was used to determinate the fusion diagnosis and also to help in the surgical planning. In this case report we observed that the periapical, occlusal and panoramic were not able to show details which could only be examined through the cone-beam computed tomo- graphy.展开更多
目的探讨瑞马唑仑复合纳布啡麻醉在儿童多生牙拔除术中的应用效果。方法选取2021年8月至2024年8月接受多生牙拔除术患儿98例,采用随机数字表法分为观察组和对照组各49例,观察组予瑞马唑仑复合纳布啡麻醉,对照组予瑞马唑仑麻醉。比较两...目的探讨瑞马唑仑复合纳布啡麻醉在儿童多生牙拔除术中的应用效果。方法选取2021年8月至2024年8月接受多生牙拔除术患儿98例,采用随机数字表法分为观察组和对照组各49例,观察组予瑞马唑仑复合纳布啡麻醉,对照组予瑞马唑仑麻醉。比较两组手术指标、血流动力学指标[麻醉诱导前(T0)、插管前(T1)、插管后即刻(T2)、手术开始(T3)、术毕(T4)、拔管即刻(T5)、拔管后5 min(T6)平均动脉压(MAP)、心率(HR)、呼吸频率(RR)、血氧饱和度(SpO_(2))]、麻醉苏醒质量[苏醒后10、20、30 min儿童和婴儿术后疼痛量表评分(CHIPPS)、儿童苏醒期躁动评分量表(PAED)评分]、围术期不良反应。结果观察组意识消失时间较对照组短(P<0.01)。观察组T1、T3、T4时HR、MAP均较对照组高,T1、T3时RR较对照组低,T4时RR较对照组高(P<0.05);两组T0~T6时SpO_(2)几乎无波动(P>0.05),观察组T1~T6时MAP、RR、HR较T0时变化幅度小(P<0.05);对照组T1~T6时MAP、RR、HR较T0时变化幅度大(P<0.05)。观察组苏醒后10、20、30 min CHIPPS、PAED评分均低于对照组(P<0.05);两组苏醒后10、20、30 min CHIPPS、PAED评分呈逐渐降低趋势(P<0.05)。两组围术期不良反应总发生率比较差异无统计学意义(P>0.05)。结论在儿童多生牙拔除术中应用瑞马唑仑复合纳布啡麻醉起效迅速,可有效减轻血流动力学波动、苏醒期疼痛及减少苏醒期躁动,且安全可靠。展开更多
文摘This paper reported a case of fusion between an impacted third molar and a supernumerary tooth, in which a surgical intervention was carried out, with the objective of removing the dental elements. The panoramic radiography was complemented by the Donovan＇s radiographic technique; but because of the proximity of the dental element to the mandibular ramus, it was not possible to have a final fusion diagnosis. Hence, the Cone-Beam Computed Tomography--which provides precise three- dimensional information--was used to determinate the fusion diagnosis and also to help in the surgical planning. In this case report we observed that the periapical, occlusal and panoramic were not able to show details which could only be examined through the cone-beam computed tomo- graphy.
文摘目的探讨瑞马唑仑复合纳布啡麻醉在儿童多生牙拔除术中的应用效果。方法选取2021年8月至2024年8月接受多生牙拔除术患儿98例,采用随机数字表法分为观察组和对照组各49例,观察组予瑞马唑仑复合纳布啡麻醉,对照组予瑞马唑仑麻醉。比较两组手术指标、血流动力学指标[麻醉诱导前(T0)、插管前(T1)、插管后即刻(T2)、手术开始(T3)、术毕(T4)、拔管即刻(T5)、拔管后5 min(T6)平均动脉压(MAP)、心率(HR)、呼吸频率(RR)、血氧饱和度(SpO_(2))]、麻醉苏醒质量[苏醒后10、20、30 min儿童和婴儿术后疼痛量表评分(CHIPPS)、儿童苏醒期躁动评分量表(PAED)评分]、围术期不良反应。结果观察组意识消失时间较对照组短(P<0.01)。观察组T1、T3、T4时HR、MAP均较对照组高,T1、T3时RR较对照组低,T4时RR较对照组高(P<0.05);两组T0~T6时SpO_(2)几乎无波动(P>0.05),观察组T1~T6时MAP、RR、HR较T0时变化幅度小(P<0.05);对照组T1~T6时MAP、RR、HR较T0时变化幅度大(P<0.05)。观察组苏醒后10、20、30 min CHIPPS、PAED评分均低于对照组(P<0.05);两组苏醒后10、20、30 min CHIPPS、PAED评分呈逐渐降低趋势(P<0.05)。两组围术期不良反应总发生率比较差异无统计学意义(P>0.05)。结论在儿童多生牙拔除术中应用瑞马唑仑复合纳布啡麻醉起效迅速,可有效减轻血流动力学波动、苏醒期疼痛及减少苏醒期躁动,且安全可靠。
