两种镇痛方式改善静脉输液港无损伤针穿刺疼痛的效果比较  

Comparison of two analgesia methods in relieving pain during non-invasive needle insertion into the totally implantable access port

作　　者：石思梅[1] 朱瑞云 邓波 黄旭霞[1] 辛明珠[2] Shi Simei;Zhu Ruiyun;Deng Bo;Huang Xuxia;Xin Mingzhu(Department of Internal Medicine,Sun Yat-Sen University Cancer Center,Guangzhou 510080,China)

机构地区：[1]中山大学肿瘤防治中心内科,广东广州510080 [2]中山大学肿瘤防治中心护理部,广东广州510080

出　　处：《护理学杂志》2023年第7期63-66,共4页Journal of Nursing Science

基　　金：广东省护士协会科研课题(gdshsxh2021b009)。

摘　　要：目的 观察Valsalva呼吸、复方利多卡因乳膏减轻输液港无损伤针穿刺疼痛感的效果。方法 采用便利抽样法选取148例接受抗肿瘤药物治疗患者作为研究对象,随机分为对照组、利多卡因组和Valsalva组,分别在无损伤针穿刺前1 h涂抹医用凡士林(安慰剂)、复方利多卡因乳膏和穿刺时采用Valsalva呼吸。观察患者穿刺疼痛程度。结果 利多卡因组疼痛评分显著低于Valsalva组和对照组(均P<0.05)。结论 涂抹复方利多卡因乳膏可缓解输液港无损伤针穿刺疼痛,提升患者舒适度。Objective To compare the effectiveness of Valsalva maneuver and compound lidocaine cream in relieving pain during non-invasive needle insertion into the totally implantable access port.Methods A total of 148 patients treated with antineoplastic drugs were conveniently enrolled,and randomized to received any of the 3 interventions for non-invasive needle insertion into the port:applying medical Vaseline as placebo(the control group)or compound lidocaine cream(the lidocaine group)1 hour before puncture,or asking the patients to breathe with Valsalva maneuver(the Valsalva group)upon puncture.Pain scores during needle insertion were measured and compared.Results The lidocaine group had the lowest pain scores as compared with the other two groups(all P<0.05).Conclusion Use of compound lidocaine cream could alleviate pain during non-invasive needle insertion into the totally implantable access port,and enhance overall comfort of patients.

关 键 词：肿瘤患者 输液港 疼痛 复方利多卡因乳膏 凡士林 Valsalva呼吸 舒适度 静脉治疗 

分 类 号：R472[医药卫生—护理学]