口腔医学研究

口腔医学研究 ›› 2017, Vol. 33 ›› Issue (10): 1103-1105.DOI: 10.13701/j.cnki.kqyxyj.2017.10.021

• 临床研究论著 • 上一篇    下一篇

下颌第三磨牙拔除术中不同操作过程对心率影响的临床研究

洪小伟，王志勇*，王育新，赵苏峰   

  1. 南京大学医学院附属口腔医院,南京市口腔医院口腔颌面外科 江苏 南京 210008
  • 收稿日期:2017-04-13 出版日期:2017-10-20 发布日期:2017-10-24
  • 通讯作者: 王志勇,电话:13705175423
  • 作者简介:洪小伟(1979~ ),男,江苏人,硕士,主治医师,主要从事口腔颌面部肿瘤及牙槽外科的临床治疗工作。

Influence of Operation Process on Heart Rate during Extraction of Mandibular Third Molar

HONG Xiao-wei, WANG Zhi-yong*   

  1. WANG Yu-xin, ZHAO Su-feng. Department of Oral and Maxillofacial Surgery, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing 210008, China.
  • Received:2017-04-13 Online:2017-10-20 Published:2017-10-24

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摘要： 目的:通过监测下颌第三磨牙拔除术中患者心率变化,评估患者对不同手术操作过程的焦虑强度。方法:60例患者局麻下行下颌阻生第三磨牙拔除术,手术过程中持续监测心率。比较麻醉注射、切开翻瓣、涡轮机使用、锤击、牙挺使用、牙钳使用、缝合操作过程中患者心率变化以评估其焦虑强度。结果:麻醉注射、锤击、牙挺使用、牙钳使用操作过程中心率明显升高,且随着锤击、牙挺使用操作时间延长心率升高更为明显。结论:心率变化显示患者对麻醉注射、锤击、牙挺使用、牙钳使用操作过程焦虑强度较大,且与操作持续时间相关。

关键词: 下颌第三磨牙, 牙拔除术, 心率

Abstract: Objective: To assess the intensity of anxiety during extraction of mandibular third molar with different operation process by monitoring patients’ heart rate changes. Methods: The study included 60 patients who were extracted the mandibular third molar under local anesthesia. The heart rate was monitored continuously during treatment to measure the anxiety. Different operation processes, including narcotic injection, flap surgery, turbine using, hammer using, dental elevator using, dental forceps using, and suturing operation. Results: Significant increase of heart rate was observed during operation process of narcotic injection, hammer using, dental elevator using, and dental forceps using. It is more significant when the operation time of hammer using and dental elevator using was prolonged. Conclusion: Patients have higher levels of anxiety during the operation process of narcotic injection, hammer using, dental elevator using, and dental forceps using, which is positively correlated with the operating time.

Key words: Mandibular third molar, Tooth extraction, Heart rate

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