Journal of Yeungnam Medical Science
- Volume 11 Issue 2
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- Pages.270-276
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- 1994
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- 2799-8010(eISSN)
The Effect of the Local Anesthetic Cream in Alleviating Pain from Vaccination
영아의 예방 접종시의 국소 마취 연고의 통증 완화 효과
- Kim, Sang-Dug (Department of Pediatrics College of Medicine, Yeungnam University) ;
- Shin, Son-Moon (Department of Pediatrics College of Medicine, Yeungnam University) ;
- Park, Yang-Hoon (Department of Pediatrics College of Medicine, Yeungnam University)
- Published : 1994.12.30
Abstract
To evaluate the effect of a new topical anesthetic cream (EMLA: Eutectic mixture of local anesthetics) on reducing pain associated with DPT vaccination, we conducted a clinical observation on eighty infants who were brought to well baby clinic of Yeungnam University Hospital for DPT vaccination. 80 Infants, who were between 2 months and 8 months in age, were divided into two groups. EMLA treated group and control group. Male to femle sex ratio was 1.4 to 1. EMLA cream was applied 60 minutes before DPT vaccination, the effect of reducing pain was assessed by using McGrath's face scale, Oucher pain scale and modified behavioral pain scale (MBPS) and also evaluated by measuring the duration and time of crying (the time of the first crying after injection, duration of the first crying, total duration of crying). The scores of those scales were lower in EMLA treated group than in control group significantly (P(0.01 in McGrath's face scale, MBPS and p<0.05 in Oucher pain scale). There was no difference in the time of the first crying after vaccination in both groups. The duration of the first crying was shorter in EMLA treated group than control group of crying was also shorter in EMLA treated group (EMLA treated group
최근 소아과 영역에서 통증 완화를 위해 사용되기 시작한 통증 완화용 연고 제재인 EMLA를 영아의 예방 접종시에 사용함으로써 영아의 통증 완화 효과를 알아 보기 위해 영남대학교 의과대학 부속병원 육아 상담실에서 DPT 예방 접종을 시행한 2개월에서 8개월 사이의 영아 80명을 대상으로 하여 통증 완화용 연고제를 사용한 40례(남아 25례, 여아 15례)와 사용하지 않은 40례(남아 21례, 여아 19례)로 나누어 비교 관찰하였다. 통증에 대한 반응을 McGrath's face scale과 Oucher pain scale, MBPS로 비교 관찰하였으며, 접종후 울음 시작 시간, 첫 울음 지속 시간, 총 울음지속 시간 등을 비교하여 다음과 같은 결과를 얻었다. 1) 대상 환아의 성별이나 연령의 분포상의 차이가 보이지 않았다.(EMLA 사용군의 평균 연령 :