STA控制上牙槽前、中神经阻滞麻醉在儿童口腔舒适化治疗中的效果评价

doi:10.19438/j.cjoms.2026.03.015

摘要/Abstract

摘要： 目的: 评估STA计算机控制上牙槽前、中神经阻滞麻醉（AMSA）技术在儿童口腔舒适化治疗中的应用效果,探讨其在提升治疗依从性、减轻焦虑反应中的作用。方法: 选取2024年5月—2025年5月需行双侧上颌第一、第二乳磨牙非急性病症治疗的4~8岁患儿60例,采用随机数字表法分为STA-AMSA组（n=30,应用STA系统实施AMSA阻滞麻醉）和传统组（n=30,行常规颊侧浸润麻醉）,两组均使用4%阿替卡因肾上腺素注射液。对比两组基线特征、SEM量表疼痛评分、Wong-Baker面部表情疼痛量表评分、麻醉技术参数及并发症发生率。结果: 麻醉及治疗全程中,STA-AMSA组SEM各维度评分及总分显著低于传统组（P<0.05）。麻醉过程中,STA-AMSA组针刺入时Wong-Baker评分显著高于传统组,但药物注射、针退出时评分及总体评分均更低（P<0.05）。治疗过程中,STA-AMSA组牙体预备、充填修复环节Wong-Baker评分显著低于传统组（P<0.05）。STA-AMSA组麻醉起效时间更短、持续时间更长,麻醉范围及深度评分显著高于传统组（P<0.05）。局部不良反应中,STA-AMSA组注射部位疼痛发生率显著低于传统组（P<0.05）。结论: STA-AMSA技术可显著优化儿童口腔舒适化治疗的麻醉效果,有效减轻疼痛与焦虑反应,具备良好的临床适用性与推广前景。

关键词: STA控制技术, 上牙槽前、中神经阻滞麻醉, AMSA, 儿童口腔舒适化治疗, 治疗依从性

Abstract: PURPOSE: To evaluate the effect of STA-controlled anterior middle superior alveolar (AMSA) nerve block anesthesia in pediatric comfortable dental treatment, and to explore its role in improving treatment compliance and reducing anxiety responses. METHODS: A total of 60 children aged 4-8 years who required non-acute conditions treatment for bilateral maxillary first and second deciduous molars from May 2024 to May 2025 were enrolled and randomly divided into the STA-AMSA group (n=30, AMSA nerve block anesthesia via STA computer-controlled system) and the traditional group (n=30, conventional buccal infiltration anesthesia). Both groups were administered 4% articaine with epinephrine as the anesthetic. Baseline characteristics, Sound-Eye-Motor (SEM) pain scores, Wong-Baker Faces Pain Rating Scale scores, anesthetic technical parameters, and complication rates were compared between the two groups. RESULTS: During anesthesia and treatment, the STA-AMSA group showed significantly lower SEM scores in all dimensions and total scores than the traditional group (P<0.05). During anesthesia, the Wong-Baker score for needle insertion was higher in the STA-AMSA group, while scores for drug injection, needle withdrawal, and overall rating were significantly lower than those in the traditional group (P<0.05). During treatment, the Wong-Baker scores for tooth preparation and filling repair in the STA-AMSA group were significantly lower than those in the traditional group (P<0.05). The STA-AMSA group had shorter anesthetic onset time, longer duration, and higher scores for anesthetic coverage and depth than the traditional group (P<0.05). Regarding local adverse reactions, the incidence of injection site pain in the STA-AMSA group was significantly lower than that in the traditional group (P<0.05). CONCLUSIONS: STA-AMSA anesthesia can significantly optimize the anesthetic effect in pediatric comfortable dental treatment, effectively reduce pain and anxiety responses, and has good clinical applicability and promotion prospects.

Key words: STA-controlled technology, Anterior middle superior alveolar nerve block anesthesia, AMSA, Pediatric comfortable dental treatment, Treatment compliance

中图分类号:

R782.05

蔡婷婷, 韩梦然, 付永伟. STA控制上牙槽前、中神经阻滞麻醉在儿童口腔舒适化治疗中的效果评价[J]. 中国口腔颌面外科杂志, 2026, 24(3): 302-307.

Cai Tingting, Han Mengran, Fu Yongwei. Application of STA-controlled anterior middle superior alveolar nerve block anesthesia in pediatric comfortable dental treatment[J]. China J Oral Maxillofac Surg, 2026, 24(3): 302-307.

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