Quality of Recovery after Intraoral Surgery: Total Intravenous Anaesthesia versus Sevoflurane: A Randomised Controlled Trial.

IF 1.8 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Acta Stomatologica Croatica Pub Date : 2026-03-01 DOI:10.15644/asc60/1/4

Ivan Šitum, Slobodan Mihaljević, Igor Blivajs, Martina Perić Šitum, Pjetra Karlović, Željko Verzak, Zoran Karlović

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引用次数: 0

Abstract

Objectives: To compare the quality of recovery between total intravenous anaesthesia (TIVA) with propofol and balanced inhalational anaesthesia with sevoflurane in patients undergoing intraoral surgical procedures.

Materials and methods: We conducted a prospective randomised controlled clinical trial on 50 patients (25 per group) who underwent intraoral surgical procedures longer than 30 minutes. The primary outcome was the quality of recovery measured by the QoR-40 questionnaire at 1 hour, 24 hours, and 30 days after surgery. Secondary outcomes included bite force, hand grip strength, incidence of postoperative nausea and vomiting (PONV), and postoperative shivering.

Results: QoR-40 scores did not differ between groups at any time point (differences from -0.04 to 1.2 points, all p>0.05). Bite force and hand grip strength did not differ between groups. However, TIVA eliminated PONV (0% vs 28%, p=0.010, NNT=4) and shivering (0% vs 36%, p=0.002, NNT=3).

Conclusion: TIVA and sevoflurane result in a similar quality of recovery after intraoral procedures. However, TIVA eliminates PONV and shivering, which represents a clinically significant benefit for patients undergoing intraoral surgery.

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口腔内手术后的恢复质量：全静脉麻醉与七氟醚：一项随机对照试验。

目的：比较异丙酚全静脉麻醉与七氟醚平衡吸入麻醉对口腔外科手术患者的恢复质量。材料和方法：我们对50例患者（每组25例）进行了前瞻性随机对照临床试验，这些患者接受了超过30分钟的口腔内手术。主要终点是术后1小时、24小时和30天通过QoR-40问卷测量的恢复质量。次要结果包括咬合力、手握力、术后恶心呕吐（PONV）发生率和术后寒战。结果：各组间各时间点QoR-40评分差异无统计学意义（差异为-0.04 ~ 1.2分，p < 0.05）。咬合力和手握力在两组之间没有差异。然而，TIVA消除了PONV （0% vs 28%, p=0.010， NNT=4）和颤抖（0% vs 36%, p=0.002， NNT=3）。结论：TIVA和七氟醚在口腔内手术后的恢复质量相似。然而，TIVA消除了PONV和颤抖，这对接受口腔内手术的患者来说是一个临床显著的好处。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Stomatologica Croatica DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

2.40

自引率

28.60%

发文量

审稿时长

12 weeks

期刊介绍： The Acta Stomatologica Croatica (ASCRO) is a leading scientific non-profit journal in the field of dental, oral and cranio-facial sciences during the past 44 years in Croatia. ASCRO publishes original scientific and clinical papers, preliminary communications, case reports, book reviews, letters to the editor and news. Review articles are published by invitation from the Editor-in-Chief by acclaimed professionals in distinct fields of dental medicine. All manuscripts are subjected to peer review process.