振动辅助麻醉减轻皮肤外科手术中的疼痛：一项分裂损伤研究。

IF 2.2 3区医学 Q2 DERMATOLOGY

Dermatologic Surgery Pub Date : 2025-09-03 DOI:10.1097/DSS.0000000000004850

Rohan Manoj, Amod Apastamb, Aayush Gupta, Shrishti Singh, Aditi Gupta, Shubham Deokar, Sandra Arora, Rohit Kothari

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引用次数: 0

摘要

背景：基于门控制理论的振动辅助麻醉提供了一种非药物替代方法来减轻疼痛；然而，真实世界的皮肤病学数据仍然稀少。目的：评价一种新型可穿戴振动动力麻醉（VKA）装置在皮肤外科手术中减轻疼痛的效果，该装置采用裂伤、病人内部控制设计。方法：在这项前瞻性观察研究中，629例患者接受了皮肤科手术。每位患者在两个可比较的部位接受相同的手术，一个有VKA，一个没有VKA。采用视觉模拟量表（VAS）、数字评定量表（NRS）和改良言语评定量表（MVRS）对疼痛进行评定。综合临床成功的定义是VAS和NRS评分均降低≥2分，并明确首选VKA。结果：使用VKA可显著减轻疼痛：平均ΔVAS = 2.61 (95% CI: 2.46-2.76, p < .001)， ΔNRS = 2.44 （95% CI: 2.30-2.58, p < .001）。效应量很大（Cohen’s d > 1.0）， 81.5%的手术获得了综合成功。94.6%的患者选择VKA。语言描述从“刺痛”和“燃烧”转变为“沉闷”和“刺痛”。手术类型和基线VAS评分是疗效的重要预测因子。结论：振动辅助麻醉可显著减少手术疼痛，改善皮肤病学患者体验。

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查看原文本刊更多论文

Vibration-Assisted Anesthesia Reduces Pain in Dermatologic Procedures: A Split-Lesion Study.

Background: Vibration-assisted anesthesia, grounded in the gate control theory, offers a nonpharmacologic alternative to reduce pain; however, real-world dermatologic data remain sparse.

Objective: To evaluate the efficacy of a novel wearable vibrating kinetic anesthesia (VKA) device in reducing pain during dermatologic procedures, using a split-lesion, intrapatient-controlled design.

Methods: In this prospective observational study, 629 patients underwent dermatologic procedures. Each patient received the same procedure on 2 comparable sites, one with and one without VKA. Pain was assessed using the Visual Analog Scale (VAS), Numeric Rating Scale (NRS), and Modified Verbal Rating Scale (MVRS). Composite clinical success was defined as a ≥2-point reduction in both VAS and NRS along with a stated preference for VKA.

Results: Use of VKA resulted in significant pain reduction: mean ΔVAS = 2.61 (95% CI: 2.46-2.76, p < .001), ΔNRS = 2.44 (95% CI: 2.30-2.58, p < .001). Effect sizes were large (Cohen's d > 1.0), and composite success was achieved in 81.5% of procedures. Patients preferred VKA in 94.6% of cases. Verbal descriptors shifted from "stabbing" and "burning" to "dull" and "prickling." Procedure type and baseline VAS score were significant predictors of response.

Conclusion: Vibration-assisted anesthesia significantly reduces procedural pain and improves patient experience in dermatology.

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来源期刊

Dermatologic Surgery 医学-皮肤病学

CiteScore

3.10

自引率

16.70%

发文量

547

期刊介绍： Exclusively devoted to dermatologic surgery, the Dermatologic Surgery journal publishes the most clinically comprehensive and up-to-date information in its field. This unique monthly journal provides today’s most expansive and in-depth coverage of cosmetic and reconstructive skin surgery and skin cancer through peer-reviewed original articles, extensive illustrations, case reports, ongoing features, literature reviews and correspondence. The journal provides information on the latest scientific information for all types of dermatologic surgery including: -Ambulatory phlebectomy- Blepharoplasty- Body contouring- Chemical peels- Cryosurgery- Curettage and desiccation- Dermabrasion- Excision and closure- Flap Surgery- Grafting- Hair restoration surgery- Injectable neuromodulators- Laser surgery- Liposuction- Microdermabrasion- Microlipoinjection- Micropigmentation- Mohs micrographic surgery- Nail surgery- Phlebology- Sclerotherapy- Skin cancer surgery- Skin resurfacing- Soft-tissue fillers. Dermatologists, dermatologic surgeons, plastic surgeons, oculoplastic surgeons and facial plastic surgeons consider this a must-read publication for anyone in the field.