复方利多卡因乳膏在静脉留置针穿刺中的临床效果研究  

Clinical efficacy of compound lidocaine cream in the puncture process of venous indwelling needle

作　　者：赵丽燕[1] 刘雄涛[1] 钞海莲[1] 李小英[1] 倪秀梅[1] 邓蕊[1] 李荣[1] 李向利[1] 

机构地区：[1]西安交通大学医学院第二附属医院麻醉手术科,陕西西安710004

出　　处：《现代肿瘤医学》2015年第10期1440-1442,共3页Journal of Modern Oncology

摘　　要：目的:观察局部涂抹复方利多卡因乳膏在静脉留置针穿刺中镇痛效果及静脉留置针留置时间和静脉炎的影响。方法:选择我院2013年8月-2013年12月择期手术患者264例,随机分为实验组和对照组,实验组130例,在静脉留置针穿刺前60分钟对患者穿刺部位局部涂抹利多卡因乳膏后建立静脉通路。对照组134例采用常规静脉留置针穿刺。采用世界卫生组织(WHO)的数字评分法对两组患者疼痛进行评分。统计两组患者术后静脉留置针的留置时间和静脉炎的发生情况。结果:实验组和对照组患者在静脉留置针穿刺过程中1级疼痛(轻微疼痛)发生率分别为53.8%和85.1%,实验组显著性低于对照组,两组之间具有显著性统计学差异(P<0.05)。两组患者静脉留置针的留置时间和静脉炎的发生率无显著性统计学差异(P>0.05)。结论:静脉留置针穿刺部位局部涂抹复方利多卡因可以明显减轻患者穿刺过程中的疼痛,值得推广应用。Objective：To investigate cliniced efficacy of compound lidocaine cream included analgesic efficacy,indwelling time of the venous needle and phlebitis in the puncture process of venous indwelling needle. Methods： A total of 264 patients with elective surgery were divided into two groups ,the experimented group and the control group 130 cases of the experimental group was daubed compound lidoeaine cream lay on the skin of the patients puncture 60 minuters prior to the venous indwelling needle puncture, and 134 cases of the control group was not daubed. To evaluate the patients pain by numerical rating scales of WTO and record indwelling time of the venous needle and the rate of phlebitis. Results ：The rate of 1 scale pain in the experimented group and the control group were 53.8% and 85. 1 % respectively, which were more significant between two groups （P 〈 0.05 ）. The indwelling time of venous needle and the rate of phlebitis were not significant between two groups （ P 〉 0. 05 ）. Conclusion ： Compound lidocaine cream daubed lay on the skin of the patients puncture can reduce pain in the puncture process of venous indwelling needle.

关 键 词：利多卡因乳膏 静脉留置针 疼痛 并发症 

分 类 号：R730[医药卫生—肿瘤]