表面麻醉乳膏与局部浸润麻醉在皮肤挫裂伤清创缝合中麻醉效果的比较

来源 :2014中华医学会整形外科分会第十三次全国学术交流会 | 被引量 : 0次 | 上传用户:huangtongfeng
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  目的:研究表面麻醉乳膏在皮肤挫裂伤清创缝合中麻醉效果.方法:45名年龄大于16周岁,伤口短于6cm的面部挫裂伤患者被随机分为两组,实验组(n=23)给予EMLA乳膏表面麻醉,对照组(n=22)进行1%利多卡因局部浸润麻醉.采用视觉模拟评分法(VAS)对患者术中疼痛情况进行评分,记录结果用SPSS13.0进行统计分析.患者随访2周至6个月并记录术后并发症.结果:45名患者伤口长度2.1±0.6cm,实验组和对照组的VAS评分分别为33±19mm和29±8mm.两组无显著差异(p=0.91).术后未见麻醉相关并发症.结论:表面麻醉乳膏(EMLA)用于面部挫裂伤局部麻醉安全且有效,可作为临床选择之一.
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