中国实用口腔科杂志

中国实用口腔科杂志

• 论著 • 上一篇    下一篇

不可逆性牙髓炎治疗中浸润麻醉与阻滞麻醉效果Meta分析

张梅a ，张耀b ，任双双c ，李雯a，禹怡君a，苗雷英a   

  1. 南京大学医学院附属口腔医院，南京市口腔医院 a牙体牙髓科，b正畸科，c牙周科，江苏  南京  210008
  • 出版日期:2018-03-15 发布日期:2018-04-17
  • 基金资助:

    国家自然科学基金（81570952）；江苏省自然科学基金（BK20161114）；南京市医学科技发展项目重点项目（ZKX16054，YKK14109）

  • Online:2018-03-15 Published:2018-04-17

摘要：

目的　研究在不可逆性牙髓炎治疗中浸润麻醉与阻滞麻醉的效果。方法　检索PubMed、Cochrane Library和CNKI等7个数据库，时间截止于2017年4月，由2位作者独立完成文献筛选、数据提取和偏倚风险评估。使用RevMan5.2软件进行资料的提取和统计学分析。结果　在不可逆性牙髓炎的治疗中，浸润麻醉与阻滞麻醉相比，成功率差异无统计学意义（RR = 0.96，95% CI = 0.85～1.09，P = 0.56）；浸润麻醉较阻滞麻醉在注射时产生的疼痛更小（RR = 0.41，95% CI = 0.19～0.88，P = 0.02）。结论　在不可逆性牙髓炎的治疗中，浸润麻醉与阻滞麻醉的效果无显著差异；浸润麻醉较阻滞麻醉在注射时产生的疼痛反应更小。

关键词: 阻滞麻醉, 浸润麻醉, 不可逆性牙髓炎

Abstract:

Objective　To study the anesthetic effect of infiltration anesthesia and block anesthesia in the treatment for irreversible pulpitis. Methods　Seven electronic databases were searched including Pubmed，Cochrane Library and CNKI，which were updated until April 1st，2017. Two researchers finished the screenings，data extraction and bias risk evaluation separately. RevMan 5.2 was utilized to finish the data processing and statistical analysis. Results　There was no significant difference in the success rate of anesthesia in the treatment of irreversible pulpitis （RR = 0.96，95% CI = 0.85～1.09，P =0.56） comparing infiltration anesthesia with block anesthesia. Infiltration anesthesia was less painful at the time of injection （RR = 0.41，95% CI = 0.19～0.88，P = 0.02）. Conclusion　There is no significant difference in anesthesia effect between infiltration anesthesia and block anesthesia in the treatment of irreversible pulpitis. Infiltration anesthesia is less painful than block anesthesia at injection.

Key words: block anesthesia, infiltration anesthesia, irreversible pulpitis