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Register a new userThe Relation Between Dental Anesthetic and Puls and Blood Pressure
العلاقة بين المخدر السني و النبض و الضغط الشرياني
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هيثم بحاح( باحث )
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تم إجراء البحث على 600 مريض في عيادة التخدير و القلع في كلية طب الأسـنان جامعـة دمشق، إِذْ تم اختيارهم بشكل عشوائي و ذلك لدراسة تأثير المخدر السني في النبض و الضغط الشرياني كان عدد الذكور 322 و عدد الإناث 278 تم إعطاؤهم مخـدراً دون أدرينـالين ثـم مخدراً بأدرينالين و تم قياس الضغط الشرياني و النبض بعد إجراء التخدير مباشرة ثم بعد ربع ساعة ثم بعد نصف ساعة، و بنتيجة الدراسة تبين أنه خلال إجراء التخـدير الـسني بمـادة الزيلو كائين الحاوي على الأدرينالين تارة و غير الحاوي عليه تارة أخرى أنّه يحدث ارتفاع في النبض و التوتر الشرياني بمقدار 4-% 5 % على الترتيب عند عدم استخدام الأدرينـالين 12-%15 % على الترتيب عند استخدام الأدرينالين. و ذلك عندما يتم القياس بعد الحقن مباشرةً. و عند إجراء القياس بعد ربع ساعة وجدنا أن مقدار ارتفاع الضغط و النبض يبقى نفسه كمـا في الحالة السابقة. أما عند إجراء القياس بعد نصف ساعة فقد وجدنا عودة النبض و الضغط إلى الطبيعي عنـد إعطاء المخدر دون أدرينالين و ارتفاع النبض بمقدار 1 نبضة و ارتفاع الضغط بمقدار 1سـم زئبقاً عند إعطاء مخدر بأدرينالين.
The purpose of this study was to investigate the relation between dental anesthetic and pulse and blood pressure. A sample of 600 patients was taken randomly ( 322 males - 278 females). The research was done on patients by giving dental anesthetic with and without adrenaline . The results of the study indicated that: - The heart rate and blood pressure of the patients receiving an injection of xylocaine without adrenaline increased by average of 4% -5% respectively. - The heart rate and blood pressure of the patients receiving an injection of xylocain with adrenaline increased by average of 12%-15% respectively. - the heart rate and blood pressure were mesured after 15 minutes we found that there was not any change in the value from the previous result. - when the heart rate and blood pressurewere mesured after 30 minuts hour we found that: - The heart rate and blood pressure returned to the normal value in case an injection without adrenaline . -in case an injection with adrenaline the heart rate increase by 1 puls The blood pressure l increased by 1 cm.m.
References used
BENNETT,C-RICHARD- MONHEIMS LOCAL ANESTHESIA AND PAIN CONTROL IN DENTAL PRACTICE
CHANCELLOR JW DR WEELS’impAct on dentistry AND medicine JADA1994,125-12-1585
GUYTON,A,C HALL JE:text book of medical physiology 1994,9 EDITION HBJ INTERNATIONAL EDITION
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