摘要
目的:研究局部涂抹复方利多卡因乳膏在预防患儿静脉穿刺疼痛中的价值。方法:选取2019年1月-2020年12月厦门大学附属妇女儿童医院小儿外科收治的86例需行静脉留置针穿刺患儿,随机分为常规组与研究组,每组43例。常规组患儿皮肤常规消毒后随即穿刺,研究组患儿皮肤局部涂抹复方利多卡因乳膏后再行穿刺,对比两组患儿穿刺前后的心率、平均动脉压、穿刺后的疼痛程度、不良反应发生率及家属满意程度。结果:常规组穿刺后30 min儿童疼痛评估量表(FLACC)评分与穿刺后5 min比较差异无统计学意义(P>0.05);研究组穿刺后30 min FLACC评分低于穿刺后5 min,且研究组穿刺后5、30 min FLACC评分均低于常规组(P<0.05)。常规组穿刺后5 min心率、平均动脉压均大于穿刺前(P<0.05);研究组穿刺后5 min心率、平均动脉压与穿刺前比较,差异无统计学意义(P>0.05);研究组穿刺后5 min心率、平均动脉压均小于常规组(P<0.05)。研究组不良反应发生率为4.65%,低于常规组的18.60%(P<0.05)。研究组家属满意度为97.67%,高于常规组的79.07%(P<0.05)。结论:在静脉留置针患儿静脉穿刺前局部涂抹复方利多卡因乳膏,有利于预防或减轻静脉穿刺疼痛,降低患儿应激反应,减少其他不良反应的发生,患儿家属满意度高。
Objective:To study the value of topical application of Compound Lidocaine Cream in preventing venipuncture pain in children.Method:From January 2019 to December 2020,86 children undergoing intravenous indwelling needle puncture in department of pediatric surgery of Women and Children’s Hospital Affiliated to Xiamen University were selected and randomly divided into routine group and study group,with 43 cases in each group.The children in the routine group was punctured immediately after routine skin disinfection.The children in the study group were topically applied with Compound Lidocaine Cream and then punctured.The heart rate,mean arterial pressure before and after puncture,pain degree after puncture,incidence of adverse reaction and the degree of family satisfaction of the two groups of children were compared.Result:There was no significant difference between the FLACC score of 30 min after puncture in the routine group and 5 min after puncture (P>0.05);the FLACC score of 30 min after puncture in the study group was lower than that of 5 min after puncture,and the FLACC score of 5 min and 30 min after puncture in the study group were lower than those of the routine group (P<0.05).The heart rate and average arterial pressure 5 min after puncture in the routine group were higher than those before puncture (P<0.05);the heart rate and average arterial pressure 5 min after puncture in the study group were not significantly different from those before puncture (P>0.05);the heart rate and average arterial pressure in the study group 5 min after puncture were lower than those of the routine group (P<0.05).The incidence of adverse reactions in the study group was 4.65%,which was lower than 18.60% in the routine group (P<0.05).The satisfaction degree of family members in the study group was 97.67%,which was higher than 79.07% in the routine group (P<0.05).Conclusion:The topical application of Compound Lidocaine Cream before venipuncture in children with intravenous indwelling needles is beneficial to prevent or reduce the pain of venipuncture,reduce the children’s stress response,reduce the occurrence of other adverse reactions,and the children’s family members are highly satisfied.
作者
祝丽娇
ZHU Lijiao(Women and Children’s Hospital Affiliated to Xiamen University,Xiamen 361000,China)
出处
《中外医学研究》
2022年第2期91-94,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
复方利多卡因乳膏
患儿
静脉穿刺
静脉留置针
Compound Lidocaine Cream
Children
Venipuncture
Intravenous indwelling needle