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目的 :评价自控镇静术在拔除阻生牙中的应用价值。方法 :2 2例患者的双侧阻生下颌第三磨牙 ,分别在单纯局麻 (L组 )或自控镇静术联合局麻 (PCS组 )下拔除 ,观察两种麻醉的镇静效果和对呼吸循环的影响。结果 :①PCS组和L组患者血压、心律稳定 ;两组患者脉搏氧饱和度均维持在 97%以上 ,镇静评分小于或等于 3分 (Ramsy评分 )。②PCS组术中和术后患者满意度、手术医师满意度都明显比L组高 (P <0 0 5 )。结论 :自控镇静术能提供安全有效的拔牙术中镇静 ,是一种具有应用价值的术中镇静方法
Objective: To evaluate the value of self-controlled sedation in the removal of impacted teeth. METHODS: Twenty-two patients with bilateral impacted mandibular third molars were enrolled in this study. The patients were anesthetized with local anesthesia alone (L group) or controlled-sedation combined with local anesthesia (PCS group) Impact. Results: ① The blood pressure and heart rate were stable in both PCS group and L group. The pulse oxygen saturation of both groups was maintained at above 97% and the sedation score was less than or equal to 3 (Ramsy score). (2) The intraoperative and postoperative patient satisfaction and surgeon satisfaction were significantly higher in the PCS group than in the L group (P <0.05). Conclusion: Self-controlled sedation can provide safe and effective sedation during tooth extraction, which is a valuable method for intraoperative sedation