在皮肤注射注射器外皮切割过程中,在局部麻醉透之前,对蒸汽冷却剂喷雾的评估:一项随机对照试验
Ishith Seth1, Brett K Sacks2, Omar Shadid2
1Department of Plastic and Reconstructive Surgery, Peninsula Health, Frankston, Victoria, Australia; Faculty of Medicine and Surgery, Peninsula Clinical School, Monash University, Victoria, Australia.
蒸汽冷却剂喷雾显著减少了Dupuytren病的皮肤注射针神经膜切除 (PNA) 期间的注射疼痛. 这种简单的技术提高了患者的舒适度,没有副作用,在手术中提供了实用的止痛选择.
科学领域:
- 手术手术手术手术手术
- 疼痛管理 疼痛管理
- 最少侵入性手术的方法
背景情况:
- 穿皮针肌切除术 (PNA) 是杜普伊特伦病的有效治疗方法.
- 在PNA期间局部麻醉的透会导致显著的手术疼痛.
- 蒸汽冷却剂喷雾剂通过皮肤冷却提供潜在的疼痛缓解.
研究的目的:
- 评估在局部麻醉透之前应用的蒸汽冷却剂喷雾在PNA期间减少注射疼痛时的有效性.
- 在这种情况下,评估蒸汽冷却剂喷雾的安全性和耐受性.
主要方法:
- 进行了一项单中心,单盲,随机对照试验.
- 接受PNA治疗的成年人接受了蒸汽冷却剂喷雾,随后进行了林戈卡因透或仅仅是林戈卡因透.
- 在第一次注射时,使用10点视觉模拟尺度 (VAS) 测量疼痛.
主要成果:
- 与对照组相比,蒸汽冷却剂组的平均注射疼痛显著减少 (-2.70 VAS 单位).
- 这种减少超过了急性手术疼痛的临床重要差异最小值.
- 在蒸汽冷却剂组中没有报告任何不良事件或并发症.
结论:
- 预透蒸汽冷却剂喷雾有效地减少了PNA期间的注射疼痛.
- 该技术是安全的,具有成本效益,并且很容易被纳入临床实践.
- 更广泛地采用蒸汽冷却剂喷雾剂可以提高患者在手部手术过程中的舒适度和满意度.
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