脊髄,筋肉内,静脈内注射による患者の痛みの知覚

B Simini

Lancet (London, England)

|April 1, 2000

まとめ

患者は,脊髄内注射が最も痛いと予想したが,痛みが最小だと判断した. 筋肉内注射は避けるべきであり,腰椎穿刺および静脈内カヌレーションでは局所麻酔が推奨されます.

科学分野:

アネステシオロジーアネステシオロジー
疼痛管理疼痛管理
神経外科は神経外科です.

背景:

注射の痛みに関する患者の期待は,痛みの知覚レベルに影響を与える可能性があります.
異なる注射経路における痛みの比喩的知覚を理解することは,患者の快適さとアデレンスに不可欠です.
以前の研究では,脊髄,筋肉内,静脈内注射の痛みの知覚を決定的に比較することができなかった.

研究の目的:

脊髄,筋肉内,静脈内注射経路における患者による痛みのレベルを比較する.
脊髄および静脈内アクセスを含む手順の局所麻酔の有効性を評価する.
一般的な注射手順の痛み管理戦略に関する臨床実務を伝えるために.

主な方法:

脊髄,筋肉内,静脈内注射を受けた46人の患者を対象とした前向きな研究.
患者は,手術後の標準化されたスケールで痛みを評価した.
患者の期待と実際の痛み体験を比較して収集されたデータです.

主要な成果:

予想に反して,脊髄内注射は,肌内注射や静脈内注射よりも痛みが有意に少ないと認識されました.
筋肉内注射は,最も高いレベルの痛みの知覚と関連していました.
腰椎穿刺や静脈カヌレーションで局所麻酔を受けた患者は,処置時の痛みが軽減されたと報告した.

結論:

患者の痛みの強度に対する期待が,実際の感覚体験と常に一致しているわけではない.
脊髄注射は,筋肉内および静脈内経路と比較して,実行可能で痛みが少ない代替手段です.
腰椎穿刺および静脈内カヌレーションの局所麻酔の実施は,患者の快適性を大幅に改善し,不安を軽減することができます.

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