首页|利多卡因凝胶贴膏(得百宁?)用于ALA光动力封包的止痛效果研究

利多卡因凝胶贴膏(得百宁?)用于ALA光动力封包的止痛效果研究

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目的:使用利多卡因凝胶贴膏(得百宁®)进行患处氨基酮戊酸(ALA)敷药后封包,能否有效减轻光动力治疗的疼痛程度及是否影响光动力治疗效果.方法:2020年8月1日~2021年7月31 日,共纳入在本院就诊的9例泛发性女性外阴尖锐湿疣患者为观察对象,采用自身对照的方法进行临床观察.每位患者进行4次治疗,间隔7~14d治疗1次,4次治疗中随机选择2次作为试验组,术前使用复方利多卡因凝胶贴膏(得百宁®)直接覆盖病灶封包3h;另外2次治疗作为对照组在凝胶贴膏下隔离保鲜膜进行封包,术前对药物吸收情况进行评价、术中通过VAS评分法进行疼痛评估,术后对病灶清除情况进行比较.结果:试验组、对照组敷药后荧光诊断显影无明显差异;试验组疼痛VAS评分(6.7±1.6)分,对照组(8.1±1.9)分,差异有统计学意义(P<0.01);试验组单次治疗皮损清除率61.78%,对照组60.22%,无统计学差异(P>0.05).结论:利多卡因凝胶贴膏使用方便,对ALA光敏剂药物吸收无影响,不影响治疗效果,对于治疗过程中的疼痛能够起到缓解作用.
A Study on the Analgesic Effect of Lidocaine Cataplasms(Debaining?)Application for Aminolevulinic Acid-Based Photodynamic Therapy
Objective:To study whether the use of Lidocaine Cataplasms(Debaining®)after applying ALA to the affected area can effectively reduce the pain of photodynamic therapy.And whether it affects the effect of photodynamic therapy.Methods:A total of 9 cases(from August 1st,2020,to July 31,2021)of generalised female vulvar condyloma acuminatum patients attending our clinic were enrolled as the observation objects.Using the self-control method,each patient was treated for 4 times with an interval of 7-14 days.2 of the 4 treatments were randomly selected as the treatment group.In this group,lidocaine cataplasms(Debaining®)were used to cover the lesion for 3 hours prior to the procedure.In the control group,the affected area was isolated and sealed with cling film under the lidocaine cataplasms.Drug absorption was assessed before operation,and pain was assessed by VAS score during operation.Lesion clearance was compared after operation.Results:There was no significant difference in fluorescence diagnostic visualisation between the treatment group and the control group after drug application.The pain VAS score was(6.7±1.6)in the treatment group,and(8.1±1.9)in the control group,and the difference was statistically significant(P<0.01).The lesion clearance rate after single treatment was 61.78%in the treatment group,and 60.22%in the control group,with no statistically significant difference(P>0.05).Conclusion:Lidocaine cataplasms is easy to use,does not affect the absorption of ALA,and does not interfere with the therapeutic effect,suggesting that it may play a role in pain control during treatment.

photodynamicpain controllidocaine cataplasms

张芊、赵芳、吴雯婷、门月华

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北京大学第三医院皮肤科(北京 100191)

光动力 止痛 利多卡因凝胶贴膏

北京大学第三医院院创新转化基金(2022)

BYSYZHKC2022120

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(3)
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