Effect of percutaneous local anaesthetics on pain reduction during pulse dye laser treatment of portwine stains

被引:28
作者
McCafferty, DF [1 ]
Woolfson, AD [1 ]
Handley, J [1 ]
Allen, G [1 ]
机构
[1] ULSTER HOSP,DEPT DERMATOL,DUNDONALD,NORTH IRELAND
关键词
anaesthetics local; amethocaine; EMLA; complications; portwine stains;
D O I
10.1093/bja/78.3.286
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
We have used EMLA, 4% amethocaine gel and placebo for facial portwine stains, for a period of 1 h, in a double-blind study. After removal of the preparations from the skin surface, each area was treated with six pulses of the laser, each 5 mm in diameter. Any pain noted immediately after treatment was recorded using both visual analogue (VAS) and verbal rating (VRS) scores. Twenty nine patients completed the study and statistical analysis of the results indicated that both EMLA and 4% amethocaine gel were superior to placebo (P<0.001). However, when EMLA and 4% amethocaine gel were compared, the amethocaine preparation was significantly better (P<0.05, VAS; P<0.005 VRS) than EMLA in reducing pain caused by the laser treatment.
引用
收藏
页码:286 / 289
页数:4
相关论文
共 7 条
[1]   EFFECT OF THE TOPICAL ANESTHETIC EMLA ON THE EFFICACY OF PULSED DYE-LASER TREATMENT OF PORT-WINE STAINS [J].
ASHINOFF, R ;
GERONEMUS, RG .
JOURNAL OF DERMATOLOGIC SURGERY AND ONCOLOGY, 1990, 16 (11) :1008-1011
[2]  
BOWSHER D, 1979, INTRO ANATOMY PHYSL
[3]  
Covino BG., 1976, LOCAL ANESTHETICS ME
[4]   NEW PATCH DELIVERY SYSTEM FOR PERCUTANEOUS LOCAL-ANESTHESIA [J].
MCCAFFERTY, DF ;
WOOLFSON, AD .
BRITISH JOURNAL OF ANAESTHESIA, 1993, 71 (03) :370-374
[5]   INVIVO ASSESSMENT OF PERCUTANEOUS LOCAL-ANESTHETIC PREPARATIONS [J].
MCCAFFERTY, DF ;
WOOLFSON, AD ;
BOSTON, V .
BRITISH JOURNAL OF ANAESTHESIA, 1989, 62 (01) :17-21
[6]  
WALL PD, 1974, RECENT ADV PAIN PATH, P36
[7]  
WOOLFSON AD, 1993, PERCUTANEOUS LOCAL A