摘要
目的分析研究小儿静脉穿刺中采取利多卡因气雾剂和丁卡因气雾剂的应用效果。方法选自2021年5月至2022年2月住院患儿90例作为本次研究对象,按照信封抽签法分成3组,即为试验A组、试验B组以及对照组,每组各30例。所筛选的患儿年龄段在6~12岁。其中对照组患儿施行常规静脉穿刺干预,试验A组采取利多卡因气雾剂,试验B组采取丁卡因气雾剂。采用儿童疼痛行为(FLACC)量表检测患儿静脉穿刺期间的疼痛情况,分析疼痛分度和患儿年龄之间的关系,记录并比较3组患儿静脉穿刺一次性成功率、家属满意度的差异。结果从疼痛情况方面来看,试验A组、试验B组相比较对照组较低(P<0.05),且试验B组相比较试验A组较低(P<0.05)。从疼痛分度和患儿年龄之间的关系来看,试验A组轻度疼痛相比较试验B组及对照组较高(P<0.05),且试验A组高于对照组(P<0.05)。从静脉穿刺一次性成功率方面来看,试验B组相比较试验A组及对照组较高(P<0.05)。从家属满意度方面来看,试验B组与试验A组及对照组比较相对较高(P<0.05),且试验A组高于对照组(P<0.05)。结论在小儿静脉穿刺中采取利多卡因气雾剂和丁卡因气雾剂进行干预,均能够起到一定的缓解患儿痛疼效果,但丁卡因气雾剂相比较利多卡因气雾剂的应用效果更好,该方法能够减少使用次数,且能够提升静脉穿刺一次性成功率,从而能够起到较好的穿刺效果,同时提升家长的满意度。
Objective To analyze and study the application effect of lidocaine aerosol and tetracaine aerosol in pediatric venipuncture.Methods Ninety hospitalized children from May 2021 to February 2022 were selected as the research object,and were divided into three groups according to the envelope drawing method,namely experimental group A,experimental group B and control group,with 30 cases in each group.The selected children are aged 6-12 years.Among them,the control group was given routine venipuncture intervention,the experimental group A was given lidocaine aerosol,and the experimental group B was given tetracaine aerosol.This study used FLACC scale to detect the pain of children during venipuncture,and observed the relationship between the degree of pain and the age of children,recorded and compare the one-time success rate of venipuncture and family satisfaction of three groups of children.Results In terms of pain,experimental group A and experimental group B were lower than those of the control group(P<0.05),and experimental group B was lower than experimental group A(P<0.05).According to the relationship between the pain grade and the age of children,the mild pain in experimental group A was higher than that in experimental group B and control group(P<0.05),and that in experimental group A was higher than that in control group(P<0.05).From the aspect of one-time success rate of venipuncture,experimental group B was higher than experimental group A and control group(P<0.05).From the aspect of family satisfaction,experimental group B was relatively higher than experimental group A and control group(P<0.05),and experimental group A was higher than control group(P<0.05).Conclusion The intervention of lidocaine aerosol and tetracaine aerosol in children's venipuncture can both play a certain role in relieving the pain of children,but tetracaine aerosol is more effective than lidocaine aerosol.This method can reduce the number of times of use and increase the one-time success rate of venipuncture,thus achieving a bette
作者
胡群
HU Qun(Jiangxi Children's Hospital,Nanchang 360000,China)
出处
《中国医药指南》
2022年第25期1-4,共4页
Guide of China Medicine
基金
江西省卫生健康委科技计划项目(编号:SKJP220202613)。
