在内镜内内的乳囊静止术中应用阿尔蒂卡因:一项回顾性研究
Shulin Liu1, Li Shui1, Zhaohui Liu1
1Chongqing Key Laboratory of Ophthalmology, Chongqing Eye Institute, Chongqing Branch (Municipality Division) of National Clinical Research Center for Ocular Diseases, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Frontiers in medicine
|August 15, 2024
概括
与上腺素配合的利多卡因相比,与上腺素配合的利多卡因相比,在内镜内细胞静脉缩术 (EN-DCR) 中提供更好的疼痛控制和减少出血. 这种局部麻醉选择可以提高EN-DCR手术的外科结果.
科学领域:
- 眼科医生 眼科 眼科
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 麻醉学 麻醉学
背景情况:
- 内镜内内性乳囊鼻术 (EN-DCR) 是一种治疗鼻管阻塞的外科手术.
- 在EN-DCR期间,局部麻醉对于患者的舒适性和手术成功至关重要.
研究的目的:
- 在EN-DCR中,比较使用阿尔蒂卡因与上腺素与利多卡因与上腺素的局部麻醉的疗效.
- 为了评估这两种药物之间的手术内疼痛,出血和麻醉疗效.
主要方法:
- 这是一项对180名接受EN-DCR.患者的回顾性研究.
- 患者接受了2%的利多卡因与上腺素或4%的上腺素与上腺素进行局部麻醉.
- 视觉模拟尺度 (VAS) 疼痛评分,麻醉疗效,出血,心率和血压变化的比较.
主要成果:
- 与利多卡因组 (5.0 ± 1.0厘米) 相比,阿尔蒂卡因组的VAS疼痛评分显著较低 (4.4 ± 0.6厘米).
- 与利多卡因组 (76.6%) 相比,阿尔蒂卡因组 (89.0%) 的麻醉疗效更高.
- 在阿尔蒂卡因组 (p=0.004) 中,鼻粘膜出血显著减少 (p=0.004).
结论:
- 4%的阿提卡因与上腺素在EN-DCR中表现出更高的临床有效性,而不是2%的利多卡因与上腺素.
- 在EN-DCR手术中,Articaine提供了更好的疼痛管理,并减少了手术内出血.
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