2%利多卡因胶浆在维持性血液透析患者中的应用
Application of 2% lidocaine mortar in maintenance hemodialysis patients
顾慧恩 1朱慧琴1
作者信息
- 1. 上海市浦东新区人民医院血净中心 201299
- 折叠
摘要
目的：观察2%利多卡因胶浆对维持性血液透析患者内瘘使用情况的影响。方法：将120例维持性血透患者随机分为观察组60例，对照组60例，观察组穿刺前使用2%利多卡因胶浆热敷，对照组采用常规消毒后穿刺。分别使用数字评定量表（numeric rating scale，NRS）及Wong- Baker 面部表情量表（face pain scale，FPS）评价患者穿刺后疼痛情况，共计观察4周，并记录每次血透时内瘘血流量及内瘘出现闭塞、感染情况。结果：观察组疼痛程度明显低于对照组(P<0.01)，且两组患者内瘘血流量、闭塞及感染发生次数无显著差异。结论：2%利多卡因胶浆热敷对减轻内瘘穿刺疼痛效果明显，并且不会影响内瘘血流量及诱发感染。
Abstract
Objective:To investigate the effects of 2% lidocaine mortar on the fistula in maintenance hemodialysis patients.Methods:120 patients were randomly divided into 2 groups (n=60 for each). The observation group using 2% lidocaine mortar to infiltrate before the puncture,while the control group using conventional disinfection. After the treatment,the patients were evaluated for the pain using numerical rating scale and the Wong-Baker facial expressions scale respectively for a total of 4 weeks. Recording each fistula blood flow and the rate of both blocking and infection in these patients. Results: The degree of pain in the observation group was significantly lower than that in the control group (P <0.01). There were no significant difference in the fistula blood flow and the rate of both blocking and infection in the two groups.Conclusion:Using 2% lidocaine mortar to infiltrate can significantly reduce the pain of puncture,but has little effect on blood flow and infection in the maintenance hemodialysis patients.
关键词
利多卡因胶浆/血液透析/内瘘穿刺/疼痛Key words
Lidocaine mortar/Hemodialysis/Fistula puncture Pain引用本文复制引用
出版年
2014
NETL
NSTL
万方数据