两种麻醉方法对激光治疗颈部软纤维瘤患者接受程度的探讨

Observation On The Acceptability Of Two Anesthesia Methods For Patients With Cervical Soft Fibroma Treated By Laser

目的比较两种麻醉方法对激光治疗颈部软纤维瘤患者接受程度。方法该科于2015年9月—2018年8月选取67例门诊患者67例颈部软纤维瘤患者,按照随机数字表分组方法分成外敷复方利多卡因乳膏组(外敷组)34例,局部注射利多卡因组(注射组)33例。以视觉模拟评分法(VAS)评定激光治疗颈部软纤维瘤过程两组患者的疼痛程度,并比较两种麻醉方式病人的接受程度。结果VAS评分外敷组为(2.35±0.30)分,注射组为(7.31±0.87)分,两组比较差异有统计学意义(t=21.92,P<0.05)。接受程度外敷组为94.12%,注射组为36.36%,两组比较差异有统计学意义(χ^2=24.78,P<0.01)。结论激光治疗颈部软纤维瘤时使用复方利多卡因乳膏浅表麻醉比局部注射利多卡因麻醉更容易让患者接受,且安全可行。

Objective To explore the acceptance level of anesthesia methods for cervical soft fibroma patients before laser treatment. Methods A total of 67 cases of cervical soft fibroma were selected from dermatology department of our hospital from September 2015 to August 2018. They were randomly divided into external application of compound lidocaine cream group (external application group) in 34 cases, local injection of lidocaine group (injection group), 33 cases in each group. Visual analogue scale (VAS) was used to assess the pain level of two groups of patients undergoing laser treatment for cervical soft fibroma, and to compare the acceptance level of the two anesthetic methods. Results VAS in the external application group was (2.35±0.30)points and that in the injection group was(7.31±0.87)points, there were significant differences between the two groups (t=21.92, P<0.05). The acceptance level of the external application group was 94.12%, while that of the injection group was 36.36%. There was significant difference between the two groups (χ^2=24.78, P<0.01). Conclusion It is more acceptable and safe to use compound lidocaine cream for superficial anesthesia before laser treatment for cervical soft fibroma.