مجله دانشکده دندان‌پزشکی اصفهان

بررسی تغییرات فشارخون متعاقب تزریق بلاک فک تحتانی با کارپول لیدوکائین حاوی اپی‌نفرین 1:80000 و ارتباط آن با سطح اضطراب بیماران

نوع مقاله : مقاله‌های پژوهشی

چکیده

مقدمه: بسیاری از بیماران در هنگام مراجعه به دندان‌پزشک، دچار اضطراب می‌شوند که بروز اضطراب، باعث بالا رفتن فشارخون بیمار شده و همچنین تزریق داروی اپی‌نفرین نیز در بالا رفتن فشارخون بیماران مؤثر می‌باشد. هدف از این مطالعه، بررسی تغییرات فشارخون متعاقب تزریق بلاک فک تحتانی با کارپول لیدوکائین حاوی اپی‌نفرین 1:80000 و ارتباط آن با سطح اضطراب در بیماران بود.
مواد و روش‌ها: در این مطالعه‌ی مشاهده‌ای و مقطعی، 129 بیمار مراجعه‌کننده به دانشکده‌ی دندان‌پزشکی دانشگاه آزاد اسلامی خوراسگان اصفهان انتخاب شده و فشارخون آنان قبل از تزریق داروی بی‌حسی و ده دقیقه بعد از تزریق اندازه‌گیری شد. سطح اضطراب بیماران نیز با استفاده از پرسش‌نامه‌ی اضطراب دندان‌پزشکی DAI (Dental Anxiety Inventory) تعیین شده و ارتباط بین سطح اضطراب و فشارخون بیماران قبل و بعد از تزریق اندازه‌گیری گردید. داده‌ها با آزمون‌های آماری Paired-t، Regression و Pearson تجزیه و تحلیل شدند (0/05 = α).
یافته‌ها: بین فشارخون سیستول و دیاستول بیماران در قبل از تزریق دارو و نمره‌ی اضطراب، ارتباط مستقیم و معنی‌دار وجود داشت (0/001 > p value). مقدار همبستگی بین فشار متوسط و نمره‌ی اضطراب نیز ارتباط معنی‌دار وجود داشت (0/001 > p value). بین فشارخون بعد از تزریق و نمره‌ی اضطراب نیز ارتباط مستقیم و معنی‌دار وجود داشت (0/001 > p value).
نتیجه‌گیری: تزریق لیدوکائین حاوی اپی‌نفرین 1:80000 در بیمارانی که تحت تزریق بلاک فک تحتانی قرار می‌گیرند با افزایش معنی‌دار فشارخون سیستولیک بیماران همراه می‌باشد. همچنین بین سطح اضطراب و فشارخون بیماران، ارتباط معنی‌دار وجود داشت که تأثیر اضطراب، بیشتر از تأثیر تزریق اپی‌نفرین بر فشار‌خون بیماران بود.
کلید واژه‌ها: دندان‌پزشکی، اضطراب، فشارخون، اپی‌نفرین

عنوان مقاله [English]

Evaluation of Blood Pressure Changes after IAN Block Injection with Lidocaine and Epinephrine 1:80000 and its Relation with Anxiety

چکیده [English]

Introduction: Many patients experience anxiety when they visit a dentist and anxiety causes an increase in the patient's blood pressure, as well as an injection of epinephrine, is also effective in increasing the blood pressure of the patients. The aim of this study was to investigate changes in blood pressure following injection of lower jaw blocking with lidocaine containing 1: 80000 epinephrine and its association with anxiety level in patients
Materials and Methods: In this cross sectional study, 129 patients referred to the dental school of Islamic Azad University of Khorasgan were selected and their blood pressure was measured before injection of anesthetic drug and ten minutes later. The anxiety level of the patients was determined using a dental anxiety inventory and the relationship between the level of anxiety and blood pressure in the patients before and after injection was measured. Data were analyzed by T-paired statistical test, regression and Pearson test.
Results: There is a positive correlation between the patient's systolic and diastolic blood pressure before the injection and the anxiety score is significant (p value < 0.001). There was also a significant association between the degree of correlation between mean pressure and anxiety score (p value < 0.001). There was a positive and significant correlation between injection pressure and anxiety scores. (p value < 0.001).
Conclusion: Lidocaine injection containing epinephrine 1: 80,000 in patients undergoing mandibular block is associated with a significant increase in patients' systolic blood pressure. There was also a significant relationship between patients 'levels of anxiety and blood pressure, which had a greater effect on patients' blood pressure than epinephrine injections.
Keywords: Anxiety, Dentistry, Blood pressure, Epinephrine

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مجله دانشکده دندان‌پزشکی اصفهان
دوره 17، شماره 1 - شماره پیاپی 1
اسفند 1399
صفحه 23-31