口服局部利多卡因和丙罗卡因在纳米结构脂质纳米载体中的麻醉效果:一项随机临床试验

Aylla Mesquita Pestana, Ana Luiza Martins Lucas, Gabriela Gama Xavier Augusto, Lígia Ribeiro, Y. Costa, M. Franz-Montan
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摘要

在一项随机安慰剂对照交叉试验中,本研究评估了纳米结构脂质纳米载体(NLC)是否可以改善口腔黄原胶水凝胶中掺入利多卡因和丙罗卡因(L+P)的局部麻醉效果。局部配方在减少针插入或局部麻醉注射时的疼痛方面没有差异。尽管如此,探索性分析表明,机械疼痛敏感性低的个体可能更容易受到安慰剂效应的影响,这也可能干扰局部配方的麻醉效果。因此,机械疼痛敏感性可以是一个有趣的方法,以增加分析敏感性的临床试验的表面麻醉。在一项随机安慰剂对照交叉试验中,本研究评估了纳米结构脂质纳米载体(NLC)是否可以改善口腔黄原胶水凝胶中掺入利多卡因和丙罗卡因(L+P)的局部麻醉效果。局部配方在减少针插入或局部麻醉注射时的疼痛方面没有差异。尽管如此,探索性分析表明,机械疼痛敏感性低的个体可能更容易受到安慰剂效应的影响,这也可能干扰局部配方的麻醉效果。因此,机械疼痛敏感性可以是一个有趣的方法,以增加分析敏感性的临床试验的表面麻醉。
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Anaesthetic efficacy of intraoral topical lidocaine and prilocaine in nanostrusctured lipid nanocarriers: a randomized clinical trial Efficacy of intraoral topical anaesthetics in nanostrusctured lipid nanocarriers
In a randomizedplacebo-controlledcrossover trial the present study evaluated if nanostructured lipidnanocarriers (NLC) could improve the topical anaesthetic efficacy of lidocaineand prilocaine (L+P) incorporated in a xanthan-hydrogel on the oral cavity.There was no difference among topical formulations in reducing pain duringneedle insertion or local anaesthetic injection. Nonetheless, exploratoryanalyses indicate that individuals with low mechanical pain sensitivity mightbe more susceptible to placebo effects which could also interfere with theanaesthetic effects of the topical formulations. Thus, mechanical painsensitivity can be an interesting approach to increase assay sensitivity inclinical trials of topical anaesthesia.In a randomizedplacebo-controlledcrossover trial the present study evaluated if nanostructured lipidnanocarriers (NLC) could improve the topical anaesthetic efficacy of lidocaineand prilocaine (L+P) incorporated in a xanthan-hydrogel on the oral cavity.There was no difference among topical formulations in reducing pain duringneedle insertion or local anaesthetic injection. Nonetheless, exploratoryanalyses indicate that individuals with low mechanical pain sensitivity mightbe more susceptible to placebo effects which could also interfere with theanaesthetic effects of the topical formulations. Thus, mechanical painsensitivity can be an interesting approach to increase assay sensitivity inclinical trials of topical anaesthesia.
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