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局部麻醉法和失活法在磨牙牙髓摘除术中的临床应用体会 被引量:3
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作者 朱亚斌 张亚梅 《甘肃医药》 2016年第4期292-295,共4页
目的:观察局部麻醉法和失活法在成人磨牙牙髓摘除术中的疗效。方法:选择280例成人磨牙慢性牙髓炎患者,按患牙部位随机分为麻醉组和失活组,各组上下颌磨牙各70例。麻醉组上颌磨牙采用含1:100 000肾上腺素的2%利多卡因2ml,行上牙槽后... 目的:观察局部麻醉法和失活法在成人磨牙牙髓摘除术中的疗效。方法:选择280例成人磨牙慢性牙髓炎患者,按患牙部位随机分为麻醉组和失活组,各组上下颌磨牙各70例。麻醉组上颌磨牙采用含1:100 000肾上腺素的2%利多卡因2ml,行上牙槽后神经阻滞麻醉,下颌磨牙行下牙槽神经阻滞麻醉,麻醉显效后行开髓引流、牙髓摘除术。失活组取尽腐质露髓者,直接封多聚甲醛失活剂,12-14d天复诊,未露髓者封三氧化二砷失活剂,行间接失活法,4d复诊,封药之前适当制备洞形,形成较好的固位形,复诊时常规开髓,摘除牙髓,两组患者在牙髓摘除术后行传统的根管治疗,观察每位患者在牙髓摘除术中的镇痛效果、开髓及牙髓摘除的时间、根管治疗期间疼痛反应及根管治疗术后1年进行临床疗效评价。结果:镇痛效果:麻醉组成功率70%,失活组成功率93%,两组差异有统计学意义(P〈0.05);开髓及牙髓摘除的平均时间:麻醉组平均(14±3.0)min,失活组平均(10±2.3)min,两组差异有统计学意义(P〈0.05);根管治疗期间麻醉组出现疼痛反应的发生率为15.71%,显著高于失活组的8.57%(P〈0.05);临床疗效评价:失活组成功率95%,麻醉组成功率90%,两组比较差异无统计学意义(P〉0.05)。结论:失活法在磨牙慢性牙髓炎牙髓摘除术中基本无疼痛、髓腔内无渗血、牙髓摘除效率高,根管治疗期间疼痛反应轻微,整体效果优于局部麻醉法。 展开更多
关键词 局部麻醉法 牙髓失活 磨牙 牙髓摘除术 疼痛
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局部肿胀麻醉法腋窝切口隆乳术 被引量:3
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作者 官纯平 胡斌 黎涛 《中国实用美容整形外科杂志》 2004年第6期293-293,共1页
关键词 局部肿胀麻醉 腋窝切口隆乳术 美施康定 杜冷丁 非那根
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用左布比卡因局部浸润麻醉法对行腹腔镜胆囊切除术患者实施术后镇痛治疗的效果研究 被引量:2
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作者 何群 吴春生 《当代医药论丛》 2015年第8期3-4,共2页
目的 :探讨用左布比卡因局部浸润麻醉法对行腹腔镜胆囊切除术的患者实施术后镇痛治疗的临床效果。方法 :对2012年8月~2014年6月期间在我院进行腹腔镜胆囊切除术的120例患者的临床资料进行回顾性研究。我们将这120例患者随机分为观察1组... 目的 :探讨用左布比卡因局部浸润麻醉法对行腹腔镜胆囊切除术的患者实施术后镇痛治疗的临床效果。方法 :对2012年8月~2014年6月期间在我院进行腹腔镜胆囊切除术的120例患者的临床资料进行回顾性研究。我们将这120例患者随机分为观察1组、观察2组和对照组,每组各有40例患者。在这三组患者进行腹腔镜胆囊切除术期间,我院在观察1组患者进行手术切皮前,使用左布比卡因局部浸润麻醉法对其进行术后镇痛治疗,在观察2组患者手术结束后,使用左布比卡因局部浸润麻醉法对其进行术后镇痛治疗,同时不给对照组患者使用任何术后镇痛的方法。在手术结束后1小时、2小时、4小时、6小时、8小时和24小时这6个时间段内,比较这三组患者在静态情况下手术切口疼痛症状的评分和在动态情况下手术切口疼痛症状的评分。结果 :在手术后的不同时间段内,观察1组患者和观察2组患者在静态情况下手术切口疼痛症状的评分相比无显著性差异(P>0.05),但这两组患者在静态情况下手术切口疼痛症状的评分均明显低于对照组患者,组间比较差异具有显著性(P<0.05)。在手术后的不同时间段内,观察1组患者和观察2组患者在动态情况下手术切口疼痛症状的评分相比无显著性差异(P>0.05),但这两组患者在动态情况下手术切口疼痛症状的评分均明显低于对照组患者,组间比较差异具有显著性(P<0.05)。结论 :接受腹腔镜胆囊切除术的患者无论在进行手术切皮前还是在手术结束后,使用左布比卡因局部浸润麻醉法进行术后镇痛治疗均可取得很好的效果。因此,此麻醉方法可作为进行腹腔镜胆囊切除术患者首选的术后镇痛方法。 展开更多
关键词 腹腔镜胆囊切除术 左布比卡因局部浸润麻醉 术后镇痛治疗 效果
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INFLUENCE OF LOCAL INFILITRATION ANESTHESIA OF SCALP-POINT ON ACUPUNCTURE INDUCED CHANGES OF CEREBRAL BLOOD PERFUSION DETECTED BY SPECT 被引量:6
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作者 郭长春 王凡 贾少微 《World Journal of Acupuncture-Moxibustion》 2003年第3期14-19,共6页
Objective: To observe the influence of local infiltration anesthesia at the scalp point on acupuncture stimulation induced changes of cerebral blood perfusion in the brain. Methods: Experiments were conducted in 10 he... Objective: To observe the influence of local infiltration anesthesia at the scalp point on acupuncture stimulation induced changes of cerebral blood perfusion in the brain. Methods: Experiments were conducted in 10 healthy volunteer subjects (8 males and 2 females) who were ordered to take a lying position on a specific bed with their heads keeping in a fixed position. Scalp point used was Motor Area (MS 6). The first syringe needle (gauge 5) was inserted into the scalp from the upper 1/5 of MS 6 and the second syringe needle inserted into the scalp from the middle 2/5 of MS 6 and advanced downward, with the two needles connected to a HAN’s Therapeutic Apparatus. Images of the brain were then taken before and after electroacupuncture (EA) stimulation, and after local injection of 1% lidocaine [mixed with epinephrine (1∶200,000, 3 mL)] plus EA by using Siemens ECAM/ICON Single Photo Emission Computed Tomography (SPECT). Intravenous injection of Ethyl cysteinate dimmer 555 MBq was performed before displaying cerebral images. Data of blood functional changing rat (BFCR%) were analyzed quantitatively using a mathematic model. Results: Before EA stimulation, the blood perfusion and function of cerebral cortex, thalamus, basal ganglion and cerebellum on both sides of the brain were basically symmetry. Following EA of MS 6, BFCR% of the contralateral thalamus, parietal lobe and the frontal lobe increased significantly. Following local infiltration anesthesia, BFCR% of the contralatral thalamus declined markedly (P<0.05). The results of quantitative analysis were in agreement with those of visual observation. Conclusion: Local infiltration anesthesia of the scalp point can significantly weaken or block EA stimulation induced changes of BFCR%. 展开更多
关键词 Scalp acupuncture Local infiltration anesthesia SPECT examination
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CLINICAL OBSERVATION ON TREATMENT OF ALLERGIC BRONCHIAL ASTHMA WITH ACUPOINT APPLICATION THERAPY
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作者 陈劼 赖新生 《World Journal of Acupuncture-Moxibustion》 2003年第1期14-18,共5页
In the present paper, the therapeutic effect of acupoint application of Chinese Materia Medica in the treatment of allergic asthma was observed. The results revealed that topical application of drug paste [mixture of ... In the present paper, the therapeutic effect of acupoint application of Chinese Materia Medica in the treatment of allergic asthma was observed. The results revealed that topical application of drug paste [mixture of powder of Mahuang (Herba Ephedrae), Xixin (Herba Asari), Baijiezi (Semen Sinapis Albae), etc.] at the acupuncture points could improve symptoms and signs of allergic asthma patients, with the total effective rate being 69.57% (16/23) for the short term effect, and 52.17%(12/23) for the long term effect. In medication (Aminophylline) group, of the 25 cases of allergic asthma, 16 (64.0%) were effective after 4 weeks of treatment, while 6 (24.0%) were still effective that was shown by 6 months’ follow up. The therapeutic effect of acupoint application group was significantly better than that of medication group in the long term effect. Results also showed that no obvious interrelation between the short term therapeutic effect and the duration or the severity of the disease. Results also display that acupoint application therapy is an effective, safe and handy method with fewer side effects for asthma. 展开更多
关键词 Acupoint application therapy Allergic asthma
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A simple skin flap plasty to repair tracheocutaneous fistula after tracheotomy
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作者 Qilin Huang Haipeng Liu Shengqing Lu 《Chinese Journal of Traumatology》 CAS CSCD 2015年第1期46-47,共2页
The tracheocutaneous fistula after tracheostomy is a complex clinical problem. An ideal fistula closure is still difficult at present though a variety of fistula-closing methods have been reported in the literature. W... The tracheocutaneous fistula after tracheostomy is a complex clinical problem. An ideal fistula closure is still difficult at present though a variety of fistula-closing methods have been reported in the literature. We used a turnover skin flap to cover the fistula. All the procedures were completed at bedside under local anesthesia. The fistula was successfully closed and well healed without complications within 7-9 days. It has been proven that this operation is simple, effective, and safe. 展开更多
关键词 TRACHEOTOMY Cutaneous fistula Surgical flaps
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