摘要
目的观察自制镇痛棉应用于静脉留置针穿刺的镇痛效果。方法随机将68例在硬膜外麻醉下行择期手术患者分为观察组(38例)和对照组(30例)。对照组按传统法穿刺;观察组手术日去病房接患者时,选择静脉留置针穿刺的血管,向患者解释并在该处涂75%乙醇脱去皮脂,再敷上自制镇痛棉片保护膜密封。待患者接入手术室40min后揭去镇痛棉片,按常规行静脉穿刺。结果两组均一次穿刺成功;两组穿刺时及穿刺后VAS评分比较,差异有统计学意义(P<0.01);两组穿刺后生命体征稳定;观察组未发现局部及全身不良反应;95.59%患者愿意使用镇痛棉。结论外敷镇痛棉再行静脉留置针穿刺,其镇痛效果肯定,维持时间更长,有安全、操作简单的特点。
Objective To explore the analgesic effect of home-made analgesic cotton for venopuncture in introcan placement. Methods A total of 68 patients who were scheduled for operation under peridural anesthesia were divided into a control group（30 cases） and an observation group（38 cases）. The control group was given conventional method for venopuncture, while subjects in the observation group used home-made analgesic cottons at puncture sites 40 minutes before the venopuncture. Results The score of VAS at different observation time showed significant differences between the two groups（P〈0.01）; the vital signs of patients in both groups were stable; the analgesic effect in the observation group maintained up to 120 min, and there were no adverse reactions; 95.59% patients in the observation group would like to use the cotton. Conclusion The application of home-made cottons before venopuncture can achieve a satisfactory analgesic effect and it is safe and easy to implement.
基金
广西桂林市科学技术局项目(市科[2008]30号-19)
关键词
静脉输液
静脉留置针
镇痛棉
镇痛
venous infusion
venous indwelling catheter
analgesic cotton
analgesia
