Gill Harvinder S, Denson Donald D, Burris Brett A, Prausnitz Mark R
Center for Drug Design, Development and Delivery, Georgia Institute of Technology, Atlanta, GA 30332-0100, USA.
Clin J Pain. 2008 Sep;24(7):585-94. doi: 10.1097/AJP.0b013e31816778f9.
To design microneedles that minimize pain, this study tested the hypothesis that microneedles cause significantly less pain than a 26-gauge hypodermic needle, and that decreasing microneedle length and the number of microneedles reduces pain in normal human volunteers.
Single microneedles with lengths ranging from 480 to 1450 microm, widths from 160 to 465 microm, thicknesses from 30 to 100 microm, and tip angles from 20 to 90 degrees; and arrays containing 5 or 50 microneedles were inserted into the volar forearms of 10 healthy, human volunteers in a double-blinded, randomized study. Visual analog scale pain scores were recorded and compared with each other and to the pain from a 26-gauge hypodermic needle.
All microneedles investigated were significantly less painful than the hypodermic needle with microneedle pain scores varying from 5% to 40% of the hypodermic needle. Microneedle length had the strongest effect on pain, where a 3-fold increase in length increased the pain score by 7-fold. The number of microneedles also affected the pain score, where a 10-fold increase in the number of microneedles increased pain just over 2-fold. Microneedle tip angle, thickness, and width did not significantly influence pain.
Microneedles are significantly less painful than a 26-gauge hypodermic needle over the range of dimensions investigated. Decreasing microneedle length and number of microneedles reduces pain.
为设计出能将疼痛降至最低的微针,本研究检验了以下假设:微针引起的疼痛明显低于26号皮下注射针,并且缩短微针长度和减少微针数量可减轻正常人类志愿者的疼痛。
在一项双盲、随机研究中,将长度范围为480至1450微米、宽度为160至465微米、厚度为30至100微米、尖端角度为20至90度的单根微针,以及包含5根或50根微针的阵列插入10名健康人类志愿者的掌侧前臂。记录视觉模拟评分法的疼痛评分,并相互比较,同时与26号皮下注射针引起的疼痛进行比较。
所有研究的微针引起的疼痛均明显低于皮下注射针,微针的疼痛评分在皮下注射针的5%至40%之间。微针长度对疼痛的影响最大,长度增加3倍,疼痛评分增加7倍。微针数量也会影响疼痛评分,微针数量增加10倍,疼痛仅增加2倍多一点。微针的尖端角度、厚度和宽度对疼痛没有显著影响。
在所研究的尺寸范围内,微针引起的疼痛明显低于26号皮下注射针。缩短微针长度和减少微针数量可减轻疼痛。