一项对儿童疼痛感知的比较研究,在局部麻醉剂施用时应用预冷和普通局部麻醉凝后 - - 一项并行三臂随机控制试验
Prabhadevi C Maganur1, Atiah Abdulrahman Ghawi2, Ghadi DuhDuh Arishi3
1Division of Pediatric Dentistry, Department of Preventive Dental Sciences, College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia.
与普通凝或冰包相比,冷却前的局部麻醉凝显著降低了儿童在局部麻醉剂施用期间的疼痛感知. 这种方法为儿科疼痛管理提供了更有效的方法.
科学领域:
- 儿科麻醉学 儿科麻醉学
- 疼痛管理 疼痛管理
- 儿童健康 儿童健康
背景情况:
- 有效的疼痛管理对于接受需要局部麻醉的手术的儿童至关重要.
- 这项研究调查了在局部麻醉剂施用期间儿科患者的疼痛感知.
研究的目的:
- 为了比较预冷局部麻醉凝与普通凝和冰包应用在儿童局部麻醉期间减轻疼痛的疗效.
- 评估儿科患者的疼痛和行为反应.
主要方法:
- 一个随机的,单盲的受控试验,涉及51名6-12岁儿童.
- 参与者被分为三组:普通局部凝,预冷局部凝和冰包应用.
- 用面部,腿部,活动,哭声,安慰度 (FLACC) 尺度,修改的贝克尺度 (WBS) 和弗兰克尔行为评分尺度 (FBRS) 来评估疼痛和行为.
主要成果:
- 预冷局部麻醉凝显示,与普通凝和冰包相比,在修改后的Wong-Baker尺度 (WBS) 上的疼痛得分明显较低.
- 弗兰克尔行为评分表 (FBRS) 表明麻醉期间的行为有显著差异,预冷凝组显示最高的中位数得分.
- FLACC得分有显著差异,冰包组的中位数得分最高.
结论:
- 预冷局部麻醉凝比普通凝或冰包更有效地减少儿童在局部麻醉期间的疼痛.
- 这一发现表明,在牙科和小手术过程中改善了儿童疼痛管理的方法.
- 进一步的研究可能会探索局部麻醉剂的最佳冷却温度和持续时间.
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