摘要
目的 观察Valsalva呼吸、复方利多卡因乳膏减轻输液港无损伤针穿刺疼痛感的效果。方法 采用便利抽样法选取148例接受抗肿瘤药物治疗患者作为研究对象,随机分为对照组、利多卡因组和Valsalva组,分别在无损伤针穿刺前1 h涂抹医用凡士林(安慰剂)、复方利多卡因乳膏和穿刺时采用Valsalva呼吸。观察患者穿刺疼痛程度。结果 利多卡因组疼痛评分显著低于Valsalva组和对照组(均P<0.05)。结论 涂抹复方利多卡因乳膏可缓解输液港无损伤针穿刺疼痛,提升患者舒适度。
Objective To compare the effectiveness of Valsalva maneuver and compound lidocaine cream in relieving pain during non-invasive needle insertion into the totally implantable access port.Methods A total of 148 patients treated with antineoplastic drugs were conveniently enrolled,and randomized to received any of the 3 interventions for non-invasive needle insertion into the port:applying medical Vaseline as placebo(the control group)or compound lidocaine cream(the lidocaine group)1 hour before puncture,or asking the patients to breathe with Valsalva maneuver(the Valsalva group)upon puncture.Pain scores during needle insertion were measured and compared.Results The lidocaine group had the lowest pain scores as compared with the other two groups(all P<0.05).Conclusion Use of compound lidocaine cream could alleviate pain during non-invasive needle insertion into the totally implantable access port,and enhance overall comfort of patients.
作者
石思梅
朱瑞云
邓波
黄旭霞
辛明珠
Shi Simei;Zhu Ruiyun;Deng Bo;Huang Xuxia;Xin Mingzhu(Department of Internal Medicine,Sun Yat-Sen University Cancer Center,Guangzhou 510080,China)
出处
《护理学杂志》
CSCD
北大核心
2023年第7期63-66,共4页
Journal of Nursing Science
基金
广东省护士协会科研课题(gdshsxh2021b009)。
关键词
肿瘤患者
输液港
疼痛
复方利多卡因乳膏
凡士林
Valsalva呼吸
舒适度
静脉治疗
oncological patients
totally implantable access port
pain
compound lidocaine cream
Vaseline
Valsalva maneuver
comfort
intravenous infusion
