摘要
目的观察硝酸甘油联合利多卡因在儿童穿刺部位涂布对进针疼痛及穿刺成功率的影响。方法选取280例5～6岁行静脉输液的患儿,采用随机双盲法将其分为试验1组(利多卡因)、试验2组(硝酸甘油)、试验3组(硝酸甘油联合利多卡因)及对照组(生理盐水),分别于输液前5min在进针处蘸取相应溶液涂擦,比较各组进针时的疼痛分值及一次穿刺成功率。结果试验2组(65%)及3组(68%)的静脉穿刺成功率高于试验1组(60%)及对照组(52%),差异有统计学意义(P<0.05);试验1组及3组的疼痛评分低于试验2组及对照组,差异有统计学意义(P<0.01)。结论利多卡因与硝酸甘油联合应用于局部涂擦既可减轻患儿穿刺时的疼痛,也可提高一次穿刺成功率,且操作方法简便、费用低廉,在临床中值得推广使用。
Objective To explore the efficacy of applying nitroglycerin and lidocaine in venepuncture site of child patients,in terms of reducing the needle insertion pain and success rate of venepuncture. Methods Two hundred eihgty children aged between 5 and 6 years and undergoing intravenous infusion were randomly divided into experimental group 1 （lidocaine）, experimental group 2 （nitroglycerin）, experimental group 3 （nitroglycerine combined with lidocaine） and control group （normal saline） by double blind method. All the children were applied corresponding solution in the site of venepuncture 5 minutes prior to administration. Score of pain and success rate of venepuncture for once were compared among different groups. Results The success rates of venepuncture in experimental group 2 and group 3 were 65% and 68%,respectively, significantly higher than that in experimental group 1 （60%）and control group （52%）（ P 〈0.05）. And the score of pain in experimental group 1 and 3 were both statistically lower than that in experimental group 2 and control group （ P 〈0.01）. Conclusion Local application of nitroglycerin and lidocaine can reduce the needle insertion pain and improve the success rate of venepuncture for once. It is also a convenient, easy and cheap method and worth popularizing.
出处
《解放军护理杂志》
2008年第21期18-19,共2页
Nursing Journal of Chinese People's Liberation Army
