各种局部麻醉剂的安全性和有效性用于静脉内注射:一个随机对照试验
Tal Yahalomi1, Asaf Achiron2, Doron Moscovici3
1Department of Ophthalmology, Samson Assuta Ashdod Hospital, Faculty of Health Sciences, Ben-Gurion University of the Negev, Be'er Sheva, Israel. yatal25@gmail.com.
International ophthalmology
|January 31, 2026
概括
卡因或冰块和氧基布洛卡因的组合显著减少疼痛,并改善了对静脉内注射的耐受性. 这些局部麻醉方法提供了更好的患者舒适性和遵守治疗方案.
科学领域:
- 眼科医生 眼科 眼科
- 麻醉学 麻醉学
背景情况:
- 静脉内注射是常见的眼科手术.
- 疼痛和副结膜出血是常见的不良反应.
- 有效的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:
- 为了评估不同局部麻醉剂在静脉内注射之前的疗效.
- 为了比较与各种麻醉方法相关的疼痛,不适和出血.
- 为了确定减轻副作用的麻醉选择.
主要方法:
- 这是一项随机对照研究,涉及239名患者.
- 利多卡因凝 (3%和10%),氧基布洛卡因眼液,卡因眼液和氧基布洛卡因与冰块组合的比较.
- 使用视觉模拟尺度评估疼痛,不适,,灼热,注射后出血大小.
主要成果:
- 甲和氧基布洛卡因与冰块的组合显示了最低的平均耐受性得分.
- 这两种方法也显示了不适,灼伤和疼痛的最低分数.
- 在外科医生评估的标准 (如患者的运动或投诉) 中没有发现显著差异,群体之间的出血大小也没有明显差异.
结论:
- 甲或冰块和氧基布洛卡因的组合显著降低疼痛,并在静脉内注射期间改善整体耐受性.
- 这些麻醉策略可以提高患者的舒适性和耐受性.
- 进一步的研究可能会探索长期的结果和患者报告的满意度.
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