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利多卡因-丙胺卡因乳膏可减轻静脉穿刺疼痛。

A lignocaine-prilocaine cream reduces venipuncture pain.

作者信息

Möller C

出版信息

Ups J Med Sci. 1985;90(3):293-8. doi: 10.3109/03009738509178485.

DOI:10.3109/03009738509178485
PMID:3913095
Abstract

A new, topical anaesthetic formulation, EMLA 5% cream (Eutectic Mixture of Local Anaesthetics), and placebo have been compared in a randomized double-blind study of 51 children. The objectives were to test if EMLA diminishes pain from venipuncture, to evaluate possible adverse reactions, and to determine if there is any influence upon the ease with which the insertion procedure is carried out. Pain was evaluated using a three-graded verbal rating scale. EMLA relieved pain significantly better than placebo (p less than 0.001), and the procedure was considered to be easier after EMLA treatment. No oedema occurred, but a few cases of local redness and paleness were observed after EMLA treatment. However, these reactions were clinically insignificant. It is concluded that EMLA significantly reduces pain from venipuncture, and side effects are mild and transient.

摘要

在一项针对51名儿童的随机双盲研究中,对一种新型局部麻醉制剂——复方利多卡因乳膏(EMLA 5%乳膏,局部麻醉剂的共熔混合物)与安慰剂进行了比较。目的是测试EMLA是否能减轻静脉穿刺引起的疼痛,评估可能的不良反应,并确定其对静脉穿刺操作难易程度是否有影响。使用三级语言评分量表评估疼痛。EMLA缓解疼痛的效果明显优于安慰剂(p<0.001),并且在使用EMLA治疗后,静脉穿刺操作被认为更容易进行。未出现水肿,但在使用EMLA治疗后观察到少数局部发红和苍白的病例。然而,这些反应在临床上并不显著。结论是EMLA能显著减轻静脉穿刺引起的疼痛,且副作用轻微且短暂。

相似文献

1
A lignocaine-prilocaine cream reduces venipuncture pain.利多卡因-丙胺卡因乳膏可减轻静脉穿刺疼痛。
Ups J Med Sci. 1985;90(3):293-8. doi: 10.3109/03009738509178485.
2
EMLA for pain relief during arterial cannulation. A double-blind, placebo-controlled study of a lidocaine-prilocaine cream.用于动脉插管时缓解疼痛的EMLA。利多卡因-丙胺卡因乳膏的双盲、安慰剂对照研究。
Ups J Med Sci. 1990;95(1):87-94. doi: 10.3109/03009739009178579.
3
A clinical study to evaluate the efficacy of ELA-Max (4% liposomal lidocaine) as compared with eutectic mixture of local anesthetics cream for pain reduction of venipuncture in children.一项临床研究,旨在评估ELA-Max(4%脂质体利多卡因)与局部麻醉膏剂(共熔混合物)相比,在减轻儿童静脉穿刺疼痛方面的疗效。
Pediatrics. 2002 Jun;109(6):1093-9. doi: 10.1542/peds.109.6.1093.
4
EMLA cream reduces the pain of venepuncture in children.
Eur J Anaesthesiol. 1987 Nov;4(6):441-8.
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EMLA cream as a topical anesthetic before office phlebotomy in children.在儿童门诊静脉穿刺术前使用复方利多卡因乳膏作为局部麻醉剂。
South Med J. 1996 Dec;89(12):1184-7. doi: 10.1097/00007611-199612000-00010.
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A systematic review of lidocaine-prilocaine cream (EMLA) in the treatment of acute pain in neonates.利多卡因-丙胺卡因乳膏(EMLA)治疗新生儿急性疼痛的系统评价。
Pediatrics. 1998 Feb;101(2):E1. doi: 10.1542/peds.101.2.e1.
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Eutectic mixture of local anesthetics reduces pain during intravenous catheter insertion in the pediatric patient.局部麻醉药的共熔混合物可减轻儿科患者静脉置管时的疼痛。
Clin J Pain. 2001 Jun;17(2):115-8. doi: 10.1097/00002508-200106000-00003.
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Topical skin anesthesia for venous, subcutaneous drug reservoir and lumbar punctures in children.儿童静脉、皮下药物储库及腰椎穿刺的局部皮肤麻醉。
Pediatrics. 1989 Aug;84(2):281-4.
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Treatment of molluscum contagiosum using a lidocaine/prilocaine cream (EMLA) for analgesia.使用利多卡因/丙胺卡因乳膏(复方利多卡因乳膏)镇痛治疗传染性软疣。
J Am Acad Dermatol. 1990 Oct;23(4 Pt 1):685-8. doi: 10.1016/0190-9622(90)70274-l.
10
[Pain relief in vein puncture. Application time and effectiveness of lidocaine-prilocaine-cream].
Anaesthesist. 1985 Jul;34(7):355-8.

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