Effect of Xylocaine 4% Solution on Patient's Anxiety with Nasal Packing After Septoplasty

Journal of Saidu Medical College, Swat Pub Date : 2022-03-12 DOI:10.52206/jsmc.2022.12.1.525

Raza Muhammad, Asif Kamal, Fazal-i-Wahid, Aftab Ahmad Tarand, Johar Iqbal, Arshad Abbass

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Abstract

Background: Removal of nasal pack after septoplasty causes pain and anxiety in patients. Xylocaine 4% solution used as topical anesthetic reduces pain and anxiety if infiltrated postoperatively into nasal packing. Objective: To evaluate the effect of xylocaine 4% solution on patient's anxiety infiltrated in to nasal pack after septoplasty. Material and Methods: This prospective case control study conducted at the ENT and Psychiatry departments of Gajju Khan Medical College (GKMC) Swabi from June 2019 to December 2019. A total of 100 patients who underwent septoplasty with bilateral antibiotic ointment soaked nasal packing were randomly divided in to two groups, A & B. Xylocaine 4% solution (5ml in each nostril) was infiltrated into nasal pack in 50 patients in group A while group B including 50 patients were infiltrated with liquid paraffin (5ml in each nostril) fifteen minutes before nasal pack removal. Results: A total of 100 patients were included with age ranging from 18 to 40 years with a mean age of 25.2 years with male predominance. Hamilton anxiety scale scores in Xylocaine group were11.81+3.47, 15.05+2.99 and 10.6+3.51 at 24 hrs before surgery, 24hrs after surgery and 20 minutes after pack removal while 10.4+4.34, 14.21+4.13 and 12.6+4.54 were in the liquid paraffin group which suggests that anxiety was less in the xylocaine group at 20 minutes after pack removal. Conclusion: There was significant reduction in pain and anxiety after infiltration of xylocaine 4% solution into nasal pack post septoplasty. KEY WORDS: Xylocaine, Anxiety, Septoplasty

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4%木卡因溶液对鼻中隔成形术后鼻腔填塞患者焦虑的影响

背景:鼻中隔成形术后鼻塞的去除会引起患者的疼痛和焦虑。4%的木locaine溶液用于局部麻醉，如果术后渗透到鼻腔填充物中，可以减轻疼痛和焦虑。目的:探讨4%木卡因溶液对鼻中隔成形术后患者渗透性焦虑的影响。材料和方法:本前瞻性病例对照研究于2019年6月至2019年12月在斯瓦比Gajju Khan医学院(GKMC)耳鼻喉科和精神科进行。采用双侧抗生素软膏浸泡鼻填充物行鼻中隔成形术的患者共100例，随机分为A、B两组，A组50例，在鼻填充物取出前15分钟向鼻填充物中浸润4% Xylocaine溶液(每个鼻孔5ml)， B组50例，在鼻填充物取出前15分钟向鼻填充物中浸润液体石蜡(每个鼻孔5ml)。结果:共纳入100例患者，年龄18 ~ 40岁，平均年龄25.2岁，男性居多。在术前24h、术后24h和脱包后20 min, Xylocaine组汉密尔顿焦虑量表得分分别为11.81+3.47、15.05+2.99和10.6+3.51，而液体石蜡组的汉密尔顿焦虑量表得分分别为10.4+4.34、14.21+4.13和12.6+4.54，说明Xylocaine组在脱包后20 min焦虑程度较轻。结论:鼻中隔成形术后鼻填充物中浸润4%木卡因溶液可明显减轻疼痛和焦虑。关键词:木卡因，焦虑，鼻中隔成形术

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Journal of Saidu Medical College, Swat

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