通过鼻灵活喉腔镜的局部麻醉技术之间的满意度比较:随机对照试验
Phatchara Ruampattana1, Supaporn Srirompotong1, Patorn Piromchai1
1Otorhinolaryngology Department, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
透鼻柔性喉腔镜 (TNF) 可以在没有局部麻醉的情况下进行,保持高患者和医生满意度. 建议仅使用滑剂来最大限度地降低气溶风险,而利多卡因果是焦虑患者的选择.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 医疗程序 医疗程序
- 患者安全 患者安全
背景情况:
- 随着COVID-19大流行,人们对跨鼻灵活喉镜 (TNF) 局部麻醉期间的气溶产生产生了担忧.
- 小直径TNF范围的进步为替代程序方法提供了潜力.
研究的目的:
- 为了比较患者和医生在诊断TNF期间的满意度,使用利多卡因化 (HCl) 喷雾剂,利多卡因HCl凝或无麻醉.
- 为了评估不同麻醉方法的疼痛评分,程序难度,可视化质量和不良影响.
主要方法:
- 一个单中心,双盲随机受控试验,涉及210名成年患者,接受3毫米范围的诊断TNF.
- 患者被分配到三个组:利多卡因HCl喷雾,利多卡因HCl果,或没有麻醉.
- 结果包括患者和医生的满意度,疼痛评分,插入困难,可视化,程序持续时间和不良事件.
主要成果:
- 在三组患者满意度 (中位疼痛分数为0) 或医生满意度方面,没有发现统计学上显著的差异.
- 在TNF插入难度,可视化质量或程序持续时间方面没有发现显著差异.
- 所有结果都显示出高满意度,无论局部麻醉使用.
结论:
- 诊断TNF可以安全地在没有局部利多卡因 (喷雾或果) 的情况下使用直径较小的视野镜进行,确保高患者和医生满意度.
- 建议仅使用滑剂进行例行使用,以尽量减少气溶的风险.
- 利多卡因HCl果可以作为一种选择,为担心手术不适的患者提供.
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