目的:探讨阿替卡因局部浸润麻醉在牙体牙髓病治疗中的疗效。方法:将莒南县人民医院于2015年1月至2016年5月收治的92例牙体牙髓病患者实施研究,按照随机分配的原则,分成对照组(46例)和观察组(46例)。给予对照组利多卡因麻醉,观察组则实施阿替卡因麻醉。将两组疼痛程度评分与麻醉效果展开对比。结果:相对于对照组,观察组的疼痛程度更轻,且数据组间差异具有统计学意义(P<0.05)。观察组视觉模拟量表(VAS)评分同对照组相比存在明显差异,组间差异有统计学意义(P<0.05);对照组的治疗总有效率为73.91%,而使用阿替卡因进行麻醉的观察组,其治疗总有效率为91.30%,两组数据差异具有统计学意义(P<0.05)。结论:阿替卡因局部浸润麻醉在牙体牙髓病治疗中效果显著,能够使患者在治疗时的疼痛感降低,从而使治疗的舒适度提高。 Objective: To investigate the efficacy of local anesthesia with articaine in the treatment of dental pulp diseases. Methods: Totally 92 patients with dental pulp disease who were treated in Junan County People’s Hospital from January 2015 to May 2016 were divided into control group (n = 46) and observation group (n = 46) according to the principle of random assignment ). The control group was given lidocaine anesthesia while the observation group was given articaine anesthesia. The pain scores of two groups were compared with the results of anesthesia. Results: Compared with the control group, the pain intensity of the observation group was lighter and the difference between the data groups was statistically significant (P <0.05). Visual analog scale (VAS) score of the observation group was significantly different from that of the control group, and the difference between the two groups was statistically significant (P <0.05). The total effective rate of the control group was 73.91%, while the use of articaine The anesthesia observation group, the total effective rate was 91.30%, the difference between the two groups was statistically significant (P <0.05). CONCLUSIONS: Particulary effects of local anesthesia with articaine in the treatment of dental pulp diseases have led to a reduction in the pain of patients during treatment and improved treatment comfort.