摘要
目的:观察复方利多卡因乳膏应用于患者椎管内麻醉穿刺的镇痛效果。方法:选取行椎管内麻醉的择期手术患者80例,随机分为乳膏组(L组)和对照组(C组),每组各40例,乳膏组患者采用复方利多卡因乳膏表面麻醉30分钟后进行椎管内麻醉的常规穿刺操作,对照组则在相应部位涂抹护手霜。记录患者穿刺时疼痛评分(VAS评分),记录入手术室后基础心率(T1)和穿刺成功后平卧3 min的心率(T2),记录穿刺时因疼痛发生体动的人数。结果:乳膏组患者穿刺时VAS评分显著低于对照组患者;乳膏组患者穿刺成功后平卧3 min时的心率显著低于对照组;乳膏组因疼痛发生体动的人数显著少于对照组;两组患者穿刺成功率比较无统计学差异。结论:复方利多卡因乳膏表面麻醉30分钟能有效减轻患者椎管内麻醉穿刺时的疼痛,提高患者舒适度和满意度。
Objective:To observe the analgesic effect of compound lidocaine cream in patients undergoing intraspinal anesthesia puncture.Methods:Eighty patients undergoing elective surgery under intraspinal anesthesia were randomly divided into the cream group(group L)and the control group(group C),with 40 patients in each group.The patients in the cream group were performed routine puncture operation of intraspinal anesthesia after compound lidocaine cream surface anesthesia for 30 minutes,while the control group was treated with hand cream around the puncture point.The patient's pain score at the puncture time was recorded(visual analogue scale,VAS).The heart rate at the baseline(T1)and three minutes after successful puncture(T2)were observed.The number of patients who have body movements due to pain at the puncture time were also recorded.Results:The VAS scores in the cream group were noticeably lower than those of control group;The heart rate at three minutes after successful puncture(T2)in the cream group was significantly lower than that of control group;The number of patients who have body movements due to pain at the puncture time were less in the cream group;There was no significant difference in puncture success rate between the two groups.Conclusion:The application of compound lidocaine cream surface anesthesia more than 30 minutes could effectively alleviate puncture pain of intraspinal anesthesia,and improve the patient comfort and satisfaction.
作者
陈芳
叶西就
CHEN Fang;YE Xi-jiu(Department of Anesthesiology,Sun Yat-sen MemorialHospital of Sun Yat-sen University,Guangzhou 510120)
出处
《岭南急诊医学杂志》
2021年第6期614-616,共3页
Lingnan Journal of Emergency Medicine
