摘要
目的探讨复方利多卡因乳膏在先天性肛门闭锁患儿术后扩肛中的应用效果。方法将64例先天性肛门闭锁术后患儿随机分为观察组和对照组，每组各32例，对照组按常规方法扩肛，观察组扩肛前在肛门处涂抹复方利多卡因乳膏；比较两组患儿对疼痛的反应。结果观察组患儿扩肛第1，2，3天FLACC评分分别为（5．91±1．75），（3．38±1．50），（1．72±0．58）分；血氧饱和度（％）分别为（96．34±1．12）％，（96．47±1．11）％，（98．03±0．74）％；心率分另0为（132．00±1．3t），（126．31±5．11），（118．09±7．67）次／min；与对照组相比，差异均有统计学意义（P〈0．05）；扩肛第3天观察组及对照组患儿的FLACC评分下降，血氧饱和度升高，心率下降，与扩肛第1天组内比较，差异有统计学意义（P〈0．05）。结论复方利多卡因乳膏能够有效减轻先天性肛门闭锁患儿术后扩肛时的疼痛，使用安全、方法简单，可以在临床推广应用。
Objective To explore the application effect of Compound Lidocaine Cream on dilation of anus in children with anal atresia after operation. Methods A total of 64 children with anal atresia were randomly divided into the observation group and the control group （32 cases in each group）. The patients of control group used conventional methods to dilate anus, and the patients observation group received Compound Lidocaine Cream before dilatation of anus. We compared children＇s reaction of the pain. Results In observation group, atthe 1st, 2nd, 3rd day, FLACC Score were （5.91 ±1.75）, （3.38 ±1.50） and （1.72 ±0.58）; oxygen saturation （%） were （96.34 ±1.12 ）, （96.47 ±1.11） and （98.03 ±0.74） ; heart rate （beats per minute） were （ 132.00± 1.31 ）, （ 126.31 ± 5.11 ）, （ 118.09 ± 7.67 ）. Compared with the control group, the difference was statistically significant （P 〈0.05 ）. On the 3rd day, FLACC score decreased, and blood oxygen saturation increased, and heart rate decreased in both groups compared with the first day of anus dilation, the difference was statistically significant （P 〈 0. 05）. Conclusions Compound Lidocaine Cream can relieve the pain of dilatation. It is safe, simple, and is worthy of clinical promotion.
作者
乔俊华
高坤
祁伯祥
曹培
Qiao Junhua Gao Kun Qi Boxiang Cao Pei(SICU, Xuzhou Children＇ s Hospital, Xuzhou 221006, China Department of Neonatal Surgery, Xuzhou Children＇s Hospital, Xuzhou 221006, China)
出处
《中华现代护理杂志》
2016年第21期3094-3096,共3页
Chinese Journal of Modern Nursing
