在皮肤神经评估之前补充利多卡因贴片,这是一个随机试验
Rodger W Rothenberger1, Taylen Henry2, Laurel Carbone1
1From the Division of Urogynecology and Reconstructive Pelvic Surgery, Department of OBGYN and Women's Health, University of Louisville, Louisville, KY.
Urogynecology (Philadelphia, Pa.)
|February 27, 2025
概括
与安慰剂相比,利多卡因贴片显著降低了神经神经调节的皮肤神经评估 (PNE) 期间的疼痛. 这提高了患者的舒适度,而不会影响其他程序的结果.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 疼痛管理 疼痛管理
- 神经调节是一种神经调节.
背景情况:
- 穿皮神经评估 (PNE) 是神经神经调节的关键诊断步骤.
- 在PNE期间患者的舒适性是影响程序接受和遵守的重要因素.
- 在PNE期间最大限度地减少疼痛对于改善患者体验至关重要.
研究的目的:
- 评估利多卡因贴片 (LP) 在减少与PNE手术相关的疼痛方面的疗效.
- 为了比较接受利多卡因贴片的患者和在PNE之前接受安慰剂贴片的患者之间的疼痛评分.
主要方法:
- 进行了一项双面罩,随机对照试验,将4%的利多卡因补丁与安慰剂补丁进行比较.
- 招募了18岁或以上的女性患者,这些患者正在办公室接受PNE.
- 在PNE前30分钟应用了贴片,根据需要进行额外的局部麻醉.
主要成果:
- 20名患者接受了利多卡因贴片,19名患者接受了安慰剂贴片.
- 利多卡因补丁组报告了明显较低的视觉模拟尺度疼痛得分 (45 ± 17 与 61 ± 21 相比,P = 0.018).
- 在可注射利多卡因体积,患者满意度或进展到永久植入物方面没有发现显著差异.
结论:
- 在手术前应用利多卡因贴片显著减少神经神经调节神经神经调节期间的PNE的疼痛.
- 利多卡因贴片在临床和统计学上显著地改善了患者的舒适度.
- 在这两组治疗中,患者满意度都很高.
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