摘要
为探讨盐酸利多卡因胶浆用于肛瘘术后换药的镇痛效果，将90例肛瘘手术患者随机分为治疗组和对照组，备45例，对照组术后给予常规换药，治疗组术后在常规换药前应用盐酸利多卡因胶浆喷撒创面。对比观察两组患者术后首次换约前及换药时疼痛评分，以及血压、心率变化。结果显示，治疗组换药前与换药时VAS评分无统计学意义，P〉0．05；对照绀换药时VAS评分明显高于换药前，亦明显高于治疗组换药时，P〈0．05。治疗组换药时患者收缩压、舒张压、心率无明显变化，P〉0．05；对照组换药时患者收缩压、舒张压明显升高，心率明显加快，P〈0．05。结果表明，肛瘘患者术后换药前应用盐酸利多卡因胶浆喷撒创面，可有效减轻患者换药时疼痛，而且无不良反应，值得临床推广应用。
In order to investigate the analgesic efficacy of lidocaine hydrochloride mucilago dressing changes after operation for anal fistula authors divided 90 cases randomly into treatment group and control one,45 cases for each;gave control group with routine exchange of dressing,but first gave treatment group with li- docaine hydrochloride mucilago spred on the surface of wound before routine exchange of dressing,then ob- served and compared the score rating of pain before the first exchange of dressing after operation and dur- ing exchange of dressing,the changes of blood pressure and heart rate in the patients of both groups. As re- sults,in treatment group VAS had no oboious difference between before and during exchange of dressing（ P 〉0.05）;in control group VAS during exchange of dressing was significantly higher than before exh- cange of dressing,also than that during exchange of dressing in treatment group（ P 〈0.05） ; during ex- change of dressing the systolic pressure, diastolic pressure and heart rate of patients of treatment group had no obvious changes（ P 〉0.05） ,but both of the systolic and diastolic pressure in control group had all sig- nificant rise,and heart rate became significantly faster（ P 〈0.05）. Results show that before exchange of dressing following operation lidocaine hydrochloride mucilago used to spread on wound-surface can effec- tive reduce pain of patients during exchange of dressing, and has no adverse reaction,thus it is wortly to be popularized clinically.
出处
《中国肛肠病杂志》
2013年第8期63-64,共2页
Chinese Journal of Coloproctology
关键词
肛瘘
换药
疼痛
盐酸利多卡因胶浆
Anal fistula
Dressing change
Pain
Lidocaine hydrochloride mucilago
