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在资源有限环境下将苯酚用作成人鼓膜置管局部麻醉剂的应用:初步报告

Use of Phenol as a Local Anaesthetic for Adult Grommet Insertion in Resource-Limited Settings: A Preliminary Report.

作者信息

Aluko AbdulAkeem Adebayo

机构信息

Department of Otorhinolaryngology, Bayero University/Aminu Kano Teaching Hospital, Kano, Nigeria.

出版信息

Int J Otolaryngol. 2019 Aug 1;2019:2893418. doi: 10.1155/2019/2893418. eCollection 2019.

DOI:10.1155/2019/2893418
PMID:31467553
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6699334/
Abstract

BACKGROUND

Grommet insertion is one of the most commonly performed minor surgical procedures in otolaryngological practice. For such minor procedures in the outpatient, local anaesthetics are preferred; this is even more so in adults especially for grommet insertion. This study described our experience with the use of phenol as a local anaesthetic agent for grommet insertion in adults.

METHODS

Phenol was used as a local anaesthetic agent that was applied topically for grommet insertion in adult patients as outpatient procedures between January and September 2018 in two tertiary hospitals. Data collected were analyzed using the Statistical Package for Social Sciences (SPSS IBM) version 23.0 computer software.

RESULTS

Nineteen ear drums were operated in patients aged between 20 and 52 years. No pain or discomfort was reported by 89.5% and 94.7% had no bleeding. There was no vertigo in all the cases that completed the procedures.

CONCLUSION

This preliminary result shows that the use of phenol as a topical local anesthetic is simple, safe, and effective especially in resource-limited environments.

摘要

背景

鼓膜置管术是耳鼻喉科最常见的小型外科手术之一。对于门诊的此类小型手术,局部麻醉剂更为可取;在成人中尤其如此,特别是对于鼓膜置管术。本研究描述了我们在成人鼓膜置管术中使用苯酚作为局部麻醉剂的经验。

方法

2018年1月至9月期间,在两家三级医院将苯酚用作局部麻醉剂,对成年患者作为门诊手术进行鼓膜置管时局部应用。收集的数据使用社会科学统计软件包(SPSS IBM)23.0版计算机软件进行分析。

结果

对年龄在20至52岁之间的患者的19只鼓膜进行了手术。89.5%的患者未报告疼痛或不适,94.7%的患者无出血。所有完成手术的病例均无眩晕。

结论

这一初步结果表明,使用苯酚作为局部局部麻醉剂简单、安全且有效,尤其是在资源有限的环境中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f4e/6699334/72dc274003a3/IJOTO2019-2893418.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f4e/6699334/5e38d12e470d/IJOTO2019-2893418.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f4e/6699334/1fef3cbab4fd/IJOTO2019-2893418.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f4e/6699334/ec24eb6b5513/IJOTO2019-2893418.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f4e/6699334/72dc274003a3/IJOTO2019-2893418.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f4e/6699334/5e38d12e470d/IJOTO2019-2893418.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f4e/6699334/1fef3cbab4fd/IJOTO2019-2893418.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f4e/6699334/ec24eb6b5513/IJOTO2019-2893418.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f4e/6699334/72dc274003a3/IJOTO2019-2893418.004.jpg

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本文引用的文献

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Iatrogenic Phenol Injury Causing Facial Paralysis With Tympanic Membrane and Ossicular Necrosis.医源性苯酚损伤导致面神经麻痹伴鼓膜及听小骨坏死。
Otol Neurotol. 2016 Apr;37(4):385-7. doi: 10.1097/MAO.0000000000000979.
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Response to: 'The use of Phenol as a topical anaesthetic for the tympanic membrane'.回应:“苯酚作为鼓膜表面麻醉剂的应用”
Clin Otolaryngol. 2015 Oct;40(5):506-7. doi: 10.1111/coa.12471.
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Declaration of Helsinki. Ethical principles for medical research involving human subjects.《赫尔辛基宣言》。涉及人类受试者的医学研究伦理原则。
J Indian Med Assoc. 2009 Jun;107(6):403-5.
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Is phenol a safe local anaesthetic for grommet insertion?
J Laryngol Otol. 2006 Jan;120(1):20-3. doi: 10.1017/S0022215105005840.
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[Myringotomy under topical anesthesia with phenol].[局部麻醉下用苯酚行鼓膜切开术]
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Late effects of topical anesthetics on the healing of guinea pig tympanic membranes after myringotomy.鼓膜切开术后局部麻醉剂对豚鼠鼓膜愈合的远期影响。
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Recovery characteristics of sevoflurane and halothane in preschool-aged children undergoing bilateral myringotomy and pressure equalization tube insertion.接受双侧鼓膜切开置管术的学龄前儿童中七氟烷和氟烷的恢复特征
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A safe, effective anesthetic technique for outpatient myringotomy tube placement.一种用于门诊鼓膜切开置管术的安全、有效的麻醉技术。
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