利多卡因冷敷减轻肺癌患者采集血气分析疼痛的疗效观察  

作　　者：周爱娇[1] 邵秋月[1] 郁青[1] 李丽[1] 施秀苇[1] 

机构地区：[1]浙江省肿瘤医院,310022

出　　处：《浙江临床医学》2017年第9期1670-1671,共2页Zhejiang Clinical Medical Journal

摘　　要：目的观察2％利多卡因冷敷对桡动脉采血所致疼痛的影响。方法经桡动脉穿刺患者80例，采用方便取样法分为观察组与对照组，各40例两组均按桡动脉采血操作程序，常规消毒穿刺点皮肤后进行桡动脉穿刺。观察组在动脉穿刺前，以穿刺点为中心．用4cm×5cm的0℃2％30多卡因纱布湿敷2—3min后常规消毒皮肤后采集。对照组在动脉穿刺前采用生理盐水冷湿敷。观察动脉穿刺时、穿刺后15min疼痛发生率及其程度及一次性动脉穿刺成功率。结果观察组在穿刺时和穿刺后15min疼痛发生率及疼痛程度明显低于对照组（P〈0．05）。观察组一次性动脉穿刺成功率高于对照组（P〈0．05）。结论2％利多卡因冷敷有助于减轻患者采集动脉血气分析过程中的疼痛。Objective To investigate the effect of 2% lidocaine cold compresses on the pain caused by blood sampling in radial artery. Methods Eighty patients were randomly divided into experimental group and control group by convenient sampling method, 40 cases each. The two groups were operated according to the radial artery blood collection procedure, and the radial artery puncture was performed after routine disinfection of the puncture site. In the experimental group before the puncture, the puncture point as the center, with 4cm × 5cm 0℃ 2% lidocaine gauze wet compress 2-3 minutes after routine disinfection of skin collection. The patients in the control group were treated with cold saline and placebo before arterial puncture. The incidence and the degree of pain at 15 min after puncture and the success rate of one-time arterial puncture were observed. Results The incidence of pain and pain after puncture and puncture of 15min in the experimental group were significantly lower than those of the control group （ P〈0.05 ） . The success rate of one-time arterial puncture in the experimental group was significantly higher than that in the control group （ P〈0.05 ） . Conclusions 2% lidocaine is helpful to reduce the acquisitio n with arterial blood gas analysis in the process of pain.

关 键 词：利多卡因 冷敷 肺癌 血气分析 疼痛 

分 类 号：R446.11[医药卫生—诊断学]