CAJ | 학술논문

目的研究丁卡因联合透皮吸收促进剂应用于静脉留置针穿刺的镇痛效果.方法随机选取60例在硬膜外麻醉下行择期手术的患者,分为实验组和对照组各30例,对照组不用任何药物,按传统常规法穿刺,实验组在静脉穿刺前50 min于肘部贵要静脉或头静脉处外敷丁卡因加透皮吸收促进剂棉片(下称止痛棉),静脉穿刺后按视觉模拟评级法(VAS 0～100 mm),评测镇痛效果,观察局部反应.结果实验组麻醉镇痛效果明显优于对照组,VAS评级明显低于对照组,2组镇痛率比较差异显著,实验组镇痛维持时间达90 min以上.结论通过外敷止痛棉再行静脉留置针穿刺,其镇痛效果肯定,镇痛率高,而且镇痛时间较以往方法大为缩短,镇痛维持时间长.
목적 연구정잡인연합투피흡수촉진제응용우정맥류치침천자적진통효과.방법 수궤선취60례재경막외마취하행택기수술적환자,분위실험조화대조조각30례,대조조불용임하약물,안전통상규법천자,실험조재정맥천자전50 min우주부귀요정맥혹두정맥처외부정잡인가투피흡수촉진제면편(하칭지통면),정맥천자후안시각모의평급법(VAS 0～100 mm),평측진통효과,관찰국부반응.결과 실험조마취진통효과명현우우대조조,VAS평급명현저우대조조,2조진통솔비교차이현저,실험조진통유지시간체90 min이상.결론 통과외부지통면재행정맥류치침천자,기진통효과긍정,진통솔고,이차진통시간교이왕방법 대위축단,진통유지시간장.
Objective To explore the analgesic effect of dicaine combined with penetration en-hancer applied to venipuncture with venous indwelling needle. Methods 60 patients treated with selec-five operation under epidural anesthesia were divided into the control group and the experimental group with 30 patients in each group. The control group was treated with conventional method of venipuncture. The experimental group was externally applied with dicaine combined with penetration enhancer 50 min-utes before the venipuneture in basilic or cephalic vein. Local reactions were observed after venipuncture and the analgesic effects were evaluated with visual analogue scale(VAS 0～100 mm). Results The analgesic ef-fect in the experimental group was obviously better than that of the control group with a significantly lower VAS. The maintaince of analgesic time in the experimental group lasted above 90 minutes. Condusious The analgesic effect of dieaine combined with penetration enhancer can be approved with a very high analgesia rate, its onset time is much shorter than conventional method and maintenance time is much longer.