5%复方利多卡因乳膏在面部激光去痣美容术中的应用

5% Compound Lidocaine Cream Application on Facial Laser Freckle Nevus Cosmetic Surgery

目的:探讨一种可减轻面部激光去痣美容术患者治疗疼痛的方法。方法:选取2013年1月-3月在我院皮肤科美容治疗中心的符合纳入标准的面部激光去痣美容术患者80例,随机均分为对照组和试验组,对照组采用局部注射麻醉,完成术前准备后进行激光去痣治疗。试验组在对照组方法的基础上,去脂、碱化皮肤,进行激光去痣治疗前局部皮肤擦涂5%复方利多卡因乳膏,然后进行去痣治疗。对比观察分析两组局部皮肤反应、无痛率;视觉类比量表(visual ana2logue scale,VAS)及语言评价量表(verbal ratingscale,VRS)评分值等多项指标。结果:两组治疗部位皮肤在用药后无显著差异,均未出现苍白、红斑、水肿等局部皮肤反应;但两组VAS、VRS值比较有明显差异(P<0.05),对照组有6例患者表示无痛,无痛率仅为15%,试验组高达97.5%。结论:5%复方利多卡因乳膏应用于激光面部去痣美容术能有效消除病人的治疗疼痛,操作方便,成本经济实惠,具有可行性,值得推广应用。

Objective:To explore the method of releasing the pain of facial laser freckle nevus cosmetic surgery. Methods:Selecting 80 cases undergoing facial laser freckle nevus cosmetic surgery in the Sin Beauty Treatment Center in the hospital from January to March, 2013, and randomly dividing them into the control group and the experimental group. The control group was treated with local anesthetic injection, and with facial laser freckle nevus cosmetic surgery. The experimental group was added with 5% compound lidocaine, and then with freckle nevus surgery. Comparative observation analysis of local skin reactions, painless rate; VAS and VRS score values and so on in the two groups were observed and compared. Results:There was no significant difference between the two groups, they all did not appear pale, erythema, edema and local skin reactions. But the VAS and VRS value comparison of the two groups had obvious difference (P<0.05). 6 patients in the control group were painless, the pain-free rate was only 15%, and the experimental group was 97.5%. Conclusion:5%compound lidocaine cream applied to the laser can effectively eliminate facial laser freckle nevus cosmetic surgery, which is easy to operate, with economical cost and feasibility, so it is worth popularization and application.