Comite Stephen L, Rahaman Samita, Malkowiak Martha
Dr. Comite is a Clinical Professor with the Department of Dermatology at the Icahn School of Medicine at Mount Sinai Hospital in New York, New York.
Ms. Rahaman is a medical student at New York Institute of Technology College of Osteopathic Medicine in Old Westbury, New York.
J Clin Aesthet Dermatol. 2024 Oct;17(10):29-40.
Dermatologic office procedures involving needles including injection of local anesthetic both cutaneously and intraorally, botulinum toxin, fillers and keloids, as well as venipuncture and a plethora of other procedures can often cause pain that ranges from mild to severe. The technique of utilizing vibration frequently lessens pain. Vibration anesthesia is a non-invasive, inexpensive, virtually side-effect free, and well-established method of lessening pain during dermatologic procedures. We conducted a review of prior studies which used vibration anesthesia in a variety of invasive procedures.
A comprehensive search was performed using PubMed and EMBASE (Ovid) to look for original studies related to the usage of vibration to reduce pain in invasive procedures. Terms searched were "vibration anesthesia", "vibration analgesia", "vibratory anesthesia", and "vibratory analgesia." Since these terms, especially the most commonly accepted, "Vibration Anesthesia", are generally but not universally recognized, a small number of journal articles were found by searching references of acceptable papers. A total of 35 papers were included for analysis.
Many studies have reported that vibration anesthesia is a useful method for reducing uncomfortable symptoms before dermatologic procedures.
A small number of suitable papers, especially in the dermatologic literature, met the criteria. The instrumentation and techniques used are not standardized.
Studies involving injection of local anesthesia as well as venipuncture in pediatric populations show vibration anesthesia as a useful method to minimize pain. There is additional literature suggesting that vibration is able to help minimize discomfort associated with injections of botox, fillers, intramuscular antibiotic injections and intralesional cortisone for keloids.
皮肤科门诊操作中使用针头的情况，包括经皮和口腔内注射局部麻醉剂、肉毒杆菌毒素、填充剂和瘢痕疙瘩治疗，以及静脉穿刺和许多其他操作，常常会引起程度不等的疼痛，从轻微到严重。使用振动技术常常能减轻疼痛。振动麻醉是一种非侵入性、廉价、几乎无副作用且成熟的减轻皮肤科操作疼痛的方法。我们对之前在各种侵入性操作中使用振动麻醉的研究进行了综述。
使用PubMed和EMBASE（Ovid）进行全面检索，以查找与使用振动减轻侵入性操作疼痛相关的原始研究。检索词包括“振动麻醉”“振动镇痛”“振动性麻醉”和“振动性镇痛”。由于这些术语，尤其是最常用的“振动麻醉”，虽然被普遍但并非被所有人认可，因此通过检索可接受论文的参考文献又找到了少量期刊文章。总共纳入35篇论文进行分析。
许多研究报告称，振动麻醉是减轻皮肤科操作前不适症状的一种有用方法。
符合标准的合适论文数量较少，尤其是在皮肤科文献中。所使用的仪器和技术未标准化。
涉及儿科人群局部麻醉注射以及静脉穿刺的研究表明，振动麻醉是将疼痛降至最低的一种有用方法。还有文献表明，振动能够帮助减轻与肉毒杆菌毒素注射、填充剂注射、肌肉注射抗生素以及瘢痕疙瘩病灶内注射可的松相关的不适。
