鼻内浸润麻醉用于鼻骨骨折复位

Endonasal Infiltrative Anesthesia for Nasal Fracture Reduction.

作者信息

Pérez-García Alberto, Esteban-Vico Juan Ramón, Lorca-García Concepción, García-Sánchez Jose María, Miranda Gómez Luis, Llinás Porte Abel, García-Sanz Pilar

机构信息

Alberto Pérez-García, MD, Department of Plastic Surgery, La Fe University and Polytechnic Hospital, Valencia, Spain. Juan Ramón Esteban-Vico, MD, Department of Plastic Surgery, La Fe University and Polytechnic Hospital, Valencia, Spain. Concepción Lorca-García, MD, Department of Pediatric Surgery, Gregorio Marañón Hospital, Madrid, Spain. Jose María García-Sánchez, MD, Department of Plastic Surgery, La Fe University and Polytechnic Hospital, Valencia, Spain. Luis Miranda Gómez, PhD, Department of Plastic Surgery, La Fe University and Polytechnic Hospital, Valencia, Spain. Abel Llinás Porte, MD, Department of Plastic Surgery, La Fe University and Polytechnic Hospital, Valencia, Spain. Pilar García-Sanz, RN, School of Nursing, University of Valencia, Spain.

出版信息

Plast Surg Nurs. 2019 Jan/Mar;39(1):22-24. doi: 10.1097/PSN.0000000000000248.

DOI:10.1097/PSN.0000000000000248

PMID:30801495

Abstract

This study investigated the use of endonasal infiltrative anesthesia for the management of pain associated with nasal bone fracture reduction. Fifty-two patients with nasal bone fractures were distributed in 2 groups. In the first group, topical endonasal anesthesia and external transcutaneous infiltrative anesthesia were employed. In the second group, endonasal infiltrative anesthesia was also added. Visual analog scale pain scores related to the different steps of the procedure were registered. The addition of endonasal infiltrative anesthesia was associated with a significant decrease (p < .05) in pain during reduction maneuvers (6.71 vs. 4.83) and nasal packing (5.18 vs. 3.46). Addition of endonasal infiltrative anesthesia is an effective method of pain reduction during nasal bone fracture treatment.

摘要

本研究调查了鼻内浸润麻醉在鼻骨骨折复位相关疼痛管理中的应用。52例鼻骨骨折患者被分为两组。第一组采用鼻内表面麻醉和经皮外部浸润麻醉。第二组在此基础上还增加了鼻内浸润麻醉。记录了与手术不同步骤相关的视觉模拟评分疼痛分数。增加鼻内浸润麻醉与复位操作期间（6.71对4.83）和鼻腔填塞期间（5.18对3.46）的疼痛显著降低（p<0.05）相关。增加鼻内浸润麻醉是鼻骨骨折治疗期间减轻疼痛的有效方法。