用于上消化道内镜检查咽部局部麻醉的粘性利多卡因溶液与利多卡因喷雾剂的比较
Viscous lidocaine solution versus lidocaine spray for pharyngeal local anesthesia in upper gastroesophageal endoscopy.
作者信息
Khodadoostan Mahsa, Sadeghian Sina, Safaei Ali, Shavakhi Ali Reza, Shavakhi Ahmad
机构信息
Department of Gastroenterology and Hepatology, Al-Zahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Gastroenterology and Hepatology, Shahr-e-Kord University of Medical Sciences, Shahr-e-Kord, Iran.
出版信息
J Res Med Sci. 2018 Nov 28;23:102. doi: 10.4103/jrms.JRMS_579_17. eCollection 2018.
BACKGROUND
Advantage of using local sedation during upper gastrointestinal endoscopy (UGE) is still challenging. In the current study, the effect of lidocaine spray versus lidocaine viscous solution for pharyngeal local anesthesia during UGE has been compared.
MATERIALS AND METHODS
This is a randomized clinical trial conducted on 130 patients conducting UGE in 2013. Patients were randomly divided into two groups of viscous lidocaine solution (Group V) and lidocaine spray (Group S). Patients' tolerance, satisfaction, pain/discomfort, and anxiety (based on 11-point numerical score scale) and ease of endoscopy were compared.
RESULTS
Ease of procedure, patients' tolerance, and patients' satisfaction were not statistically different between two groups ( > 0.05). Patients' pain/discomfort and anxiety during endoscopy were significantly different between groups ( < 0.05).
CONCLUSION
As a conclusion, there was not any difference between two groups except for pain, discomfort, and anxiety that was higher in those who administered spray that might be due to the method of usage.
背景
在上消化道内镜检查（UGE）期间使用局部镇静的优势仍具有挑战性。在本研究中，比较了利多卡因喷雾与利多卡因粘性溶液在上消化道内镜检查期间用于咽部局部麻醉的效果。
材料与方法
这是一项于2013年对130例行上消化道内镜检查的患者进行的随机临床试验。患者被随机分为两组，即利多卡因粘性溶液组（V组）和利多卡因喷雾组（S组）。比较了患者的耐受性、满意度、疼痛/不适和焦虑（基于11分数字评分量表）以及内镜检查的难易程度。
结果
两组之间的操作难易程度、患者耐受性和患者满意度无统计学差异（>0.05）。两组患者在内镜检查期间的疼痛/不适和焦虑有显著差异（<0.05）。
结论
总之，两组之间除了疼痛、不适和焦虑外没有任何差异，使用喷雾的患者这些情况更高，这可能归因于使用方法。
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