摘要
目的观察局部涂抹复方利多卡因乳膏对内瘘血管穿刺的镇痛作用。方法采用自身前后对照研究的方法,对62例进行维持性血液透析治疗的肾功能衰竭尿毒症终末期患者在穿刺动静脉内瘘时先后采取不同的镇痛方法:常规组不镇痛,在常规消毒后进行穿刺;试验组在穿刺前60分钟给予复方利多卡因乳膏涂擦;安慰剂对照组在穿刺前60分钟给予消毒凝胶涂擦。各组均在1个月内连续3次使用视觉类比量表(visual analogue scale,VAS)及语言评价量表(verbal rating scale,VRS)评定疼痛程度,并进行比较。结果试验组VAS评分为(34.13±18.02)分,与常规组的(54.98±19.77)分及安慰剂对照组的(49.64±18.56)分比较,差异均有统计学意义(P<0.05);试验组疼痛缓解有效率明显高于安慰剂对照组(P<0.05)。结论复方利多卡因乳膏可明显降低动静脉内瘘血管穿刺时的疼痛。
Objective To evaluate the analgesic effect of Compound Lidocaine Cream for arteriovenous fistula puncture.Methods Sixty-two cases of renal failure in end stage uremia（test group）were treated with maintenance hemodialysis and different Methods of analgesia during arteriovenous fistula puncture.The conventional group was treated by puncture after regular disinfection without analgesia.The test group was given Compound Lidocaine Cream 60 minutes before puncture.The control group was given disinfection gel 60 minutes before puncture.We used WeWl Visual Analogue Scale（VAS）and Verbal Rating Scale（VRS）to evaluate degrees of pain three times per month.Results There was significant difference in VAS scores among the test group [VAS：（34.13±18.02）mm],the conventional group [VAS：（34.13 ± 18.02）mm] and the control group [VAS：（49.64 ±18.56）mm]（P0.05）.Treatment in test group was significantly more effective than in conventional group and control group in the easement of pain（P0.05）.Conclusion Compound Lidocaine Cream produces effective analgesic effect for arteriovenous fistula puncture.
出处
《实用医院临床杂志》
2011年第2期111-113,共3页
Practical Journal of Clinical Medicine
基金
四川省卫生科研基金资助项目(编号:080061)
关键词
复方利多卡因乳膏
内瘘
镇痛
Compound Lidocaine Cream
Internal fistula
Analgesia
