利多卡因表面麻醉在急诊挫擦伤患者伤口换药镇痛及不良情绪的影响  

Analgesic Effect of Lidocaine Topical Anesthesia in Wound Dressing of Patients with Contusion and Abrasion in Emergency Department

作　　者：黄宝珍 庄陆香 朱艳芳 刘淑琼 HUANG Bao-zhen;ZHUANG Lu-xiang;ZHU Yan-fang;LIU Shu-qiong(Emergency Department,Quanzhou Orthopedic Hospital,Quanzhou,Fujian Province,362000 China)

机构地区：[1]福建省泉州市正骨医院急诊科,福建泉州362000

出　　处：《中外医疗》2020年第27期86-89,共4页China & Foreign Medical Treatment

摘　　要：目的分析利多卡因表面麻醉在急诊挫擦伤患者伤口换药镇痛及不良情绪的影响。方法方便选取该院2017年12月—2019年12月收治的80例急诊挫擦伤患者纳入至该次研究,依照数字随机表法将其分为对照组(40例)与观察组(40例),对照组给予常规换药治疗,观察组则行利多卡因联合常规换药治疗,比较两组患者治疗前后镇痛、镇静效果,统计并发症情况,观察心理状态变化情况。结果观察组患者治疗后3 d VAS评分(1.21±0.11)分显著低于对照组(3.18±0.56)分,对比差异有统计学意义(t=21.832,P<0.05);观察组患者治疗后3 d Ramsay评分(4.73±1.02)分明显高于对照组(3.05±0.56)分,对比差异有统计学意义(t=9.131,P<0.05);观察组患者治疗1 d、3 d的SAS评分(51.36±2.17,40.16±1.28)分低于对照组(58.29±3.09,49.84±1.02)分,对比差异有统计学意义(t=11.608,P<0.05;t=37.405,P<0.05);观察组患者治疗1 d、3 d SDS评分(52.17±2.04,40.28±1.56)分显著低于对照组(59.42±3.01,48.23±1.82)分,对比差异有统计学意义(t=12.610,P<0.05;t=20.976,P<0.05)。结论在急诊挫擦伤患者伤口换药过程中,利多卡因具有良好的镇痛镇静效果,显著缓解患者的不良情绪,值得在临床治疗中推广。Objective To analyze the effect of topical anesthesia with lidocaine for analgesia of wound dressing in patients with contusion and abrasion in emergency.Methods 80 emergency contusion patients admitted to the hospital from December 2017 to December 2019 were included in this study,and they were divided into a control group(40 cases)and an observation group(40 cases)according to the number random table method,the control group was given conventional dressing change treatment,and the observation group was given lidocaine combined with conventional dressing change treatment.The analgesia and sedation effects of the two groups were compared before and after treatment,the complications were counted,and the mental state changes were observed.Results The VAS score 3 d after treatment(1.21±0.11)points of the observation group was significantly lower than that of the control group(3.18±0.56)points,and the difference was statistically significant(t=21.832,P<0.05).The Ramsay score 3 d after treatment(4.73±1.02)points in the observation group was significantly higher than that in the control group(3.05±0.56)points,and the difference was statistically significant(t=9.131,P<0.05).The SAS scores of the observation group was(51.36±2.17,40.16±1.28)points on the first day and the third day after treatment were lower than that of the control group(58.29±3.09,49.84±1.02)points,and the difference was statistically significant(t=11.608,P<0.05;t=37.405,P<0.05).The SDS scores of observation group on 1 d and 3 d after treatment(52.17±2.04,40.28±1.56)points were significantly lower than that of control group(59.42±3.01,48.23±1.82),and the difference was statistically significant(t=12.610,P<0.05;t=20.976,P<0.05).Conclusion:Lidocaine has a good analgesic and sedative effect in the process of dressing change of emergency patients with contusion and bruise,which can significantly relieve the adverse emotions of patients,and is worthy of promotion in clinical treatment.

关 键 词：利多卡因 综合护理 挫擦伤 镇痛镇静 

分 类 号：R614.3[医药卫生—麻醉学]