局部麻醉用于皮肤烧伤的酶分解:对27例病例的前性分析
1Burns and Plastic Surgery Department, Queen Victoria Hospital NHS Trust, East Grinstead, UK.
Annals of burns and fire disasters
|April 29, 2024
概括
局部麻醉 (LA) 有效地管理在微小烧伤的酶解 (ED) 期间的疼痛. 这项研究发现LA提供了显著的疼痛缓解,往往消除了额外止痛的需要.
科学领域:
- 皮肤病学 皮肤病学
- 疼痛管理 疼痛管理
- 烧伤护理 烧伤护理
背景情况:
- 酵素脱bridement (ED) 是一种烧伤治疗方法,与手术脱bridement相比,它具有优势.
- 勃起障碍可能是痛苦的,目前对局部麻醉 (LA) 的建议缺乏强有力的证据.
- 有效的疼痛管理对于患者在ED期间的舒适性至关重要.
研究的目的:
- 为了评估皮肤下局部麻醉 (LA) 在皮肤烧伤的酶分离 (ED) 过程中控制疼痛的疗效.
- 为了评估患者经历ED与LA经历的疼痛水平.
- 将LA的有效性与其他疼痛管理策略进行比较.
主要方法:
- 一项前性,单中心研究,涉及27名表面部分厚度烧伤的患者.
- 在酶性除bridement (ED) 之前,进行皮下局部麻醉 (LA).
- 在手术前,手术期间和手术后使用1-10数值表来评估疼痛.
主要成果:
- 脱bridement期间的平均疼痛分数在1-10级别上为1.9.
- 大多数患者 (n=25) 为LA接受了0.25%的布皮瓦卡因.
- 只有8名患者需要额外的口服止痛药,2名患者需要区域阻塞.
结论:
- 皮下局部麻醉 (LA) 是一种有效和实用的止痛药,用于在轻微的皮肤烧伤中进行酶解脱 (ED).
- 与口腔止痛或区域阻塞相比,LA提供了有利的疼痛评分.
- 作为一种独立的止痛药,LA可以充足,简化了手术并减少了对专业人员的需求.
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