下顎埋伏智歯抜歯術における骨削除時の血漿カテコールアミン濃度ならびに循環動態に及ぼす影響 Influence of bone removal on plasma catecholamine concentrations and hemodynamic response during extraction of impacted lower third molars

この論文にアクセスする

この論文をさがす

著者

    • 竹本 真一郎 TAKEMOTO Shin-ichiro
    • 日本歯科大学新潟歯学部附属病院口腔外科 Department of Oral and Maxillofacial Surgery, The Nippon Dental University, School of Dentistry at Niigata, University Dental Hospital
    • 山口 晃 YAMAGUCHI Akira
    • 日本歯科大学新潟歯学部附属病院口腔外科 Department of Oral and Maxillofacial Surgery, The Nippon Dental University, School of Dentistry at Niigata, University Dental Hospital
    • 佐野 公人 SANO Kimito
    • 日本歯科大学新潟歯学部附属病院歯科麻酔・全身管理科 Department of Dental Anesthesia and General Health Management, The Nippon Dental University, School of Dentistry at Niigata, University Dental Hospital

抄録

The extraction of impacted third molars is a rather invasive procedure among dental treatments. In this study, how the sound and stress of the extraction of impacted third molars affects patients was objectively evaluated by examining changes in plasma catecholamine concentrations and hemodynamics. We also examined whether intravenous sedation was useful for the management of problems associated with extraction.<BR>Twenty healthy patients who had impacted third molars (Class I Position A) were randomly assigned to receive local anesthesia (LA group, n=9) or intravenous sedation with midazolam (IVS group, n=11). Both groups received infiltration anesthesia with 3.6ml of 3% hydrochloric acid propitocaine with felypressin. The bone was removed with a bone chisel and mallet. Study variables were measured at five time points: after local anesthesia, before bone removal, during bone removal, after bone removal, and just after the end of operation.<BR>The plasma epinephrine concentration in the WS group was significantly lower than that in the LA group at all time points. The plasma norepinephrine concentration in the WS group was significantly lower than that in the LA group before and during bone removal. Hemodynamics did not significantly differ between the groups.<BR>Intravenous sedation with midazolam was considered a useful method to suppress the stress of patients caused by bone removal during the extraction of impacted third molars.

収録刊行物

  • 日本口腔外科学会雑誌  

    日本口腔外科学会雑誌 52(7), 386-392, 2006-07-20 

    Japanese Society of Oral and Maxillofacial Surgeons

参考文献:  24件

参考文献を見るにはログインが必要です。ユーザIDをお持ちでない方は新規登録してください。

各種コード

  • NII論文ID(NAID)
    10018859507
  • NII書誌ID(NCID)
    AN00189163
  • 本文言語コード
    JPN
  • 資料種別
    ART
  • ISSN
    00215163
  • NDL 記事登録ID
    8045794
  • NDL 雑誌分類
    ZS44(科学技術--医学--歯科学・口腔外科学)
  • NDL 請求記号
    Z19-145
  • データ提供元
    CJP書誌  NDL  J-STAGE 
ページトップへ