关节内注射利多卡因与恩托诺克斯用于复位急性前肩关节脱位的比较

Intra-articular lignocaine versus Entonox for reduction of acute anterior shoulder dislocation.

作者信息

Gleeson A P, Graham C A, Meyer A D

机构信息

Accident and Emergency Department, Royal Infirmary of Edinburgh, UK.

出版信息

Injury. 1999 Aug;30(6):403-5. doi: 10.1016/s0020-1383(99)00105-9.

DOI:10.1016/s0020-1383(99)00105-9

PMID:10645353

Abstract

We assessed, in a prospective randomised trial, the relative analgesic effects of Entonox and intra-articular lignocaine (IAL) in patients with acute anterior dislocation of the shoulder. A statistically significant reduction in pain scores was achieved with IAL (7.9 vs 5.2, P < 0.05), but the effect with Entonox was greater (7.8 vs 2.9, P < 0.001). We conclude that Entonox provides better analgesia than IAL in patients with acute anterior shoulder dislocation.

摘要

在一项前瞻性随机试验中，我们评估了恩托诺克斯（Entonox）和关节内注射利多卡因（IAL）对急性肩关节前脱位患者的相对镇痛效果。IAL使疼痛评分有统计学意义的降低（7.9对5.2，P<0.05），但恩托诺克斯的效果更佳（7.8对2.9，P<0.001）。我们得出结论，对于急性肩关节前脱位患者，恩托诺克斯比IAL提供更好的镇痛效果。