首页|2%利多卡因胶浆在维持性血液透析患者中的应用

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

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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。
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.

Lidocaine mortarHemodialysisFistula puncture Pain

顾慧恩、朱慧琴

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上海市浦东新区人民医院血净中心 201299

利多卡因胶浆 血液透析 内瘘穿刺 疼痛

2014

中外健康文摘
中国中医药报社

中外健康文摘

影响因子:0.016
ISSN:1672-5085
年,卷(期):2014.(1)
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