CAJ | 학술논문

目的探讨薄荷醇新型无痛消毒液应用于小儿静脉穿刺中的临床效果.方法选取2010年1月至2012年5月在我院儿科住院的300例患儿,随机平分为A、B、C三组,A组采用40％乙醇+2％利多卡因+2％山莨菪碱+3％薄荷醇、安尔碘对患者静脉穿刺部位进行局部消毒、麻醉;B组采用40％乙醇+2％利多卡因+2％山莨菪碱、安尔碘对患者静脉穿刺部位进行局部消毒、麻醉；C组采用40％乙醇、安尔碘直接消毒；对比分析各组患者的疼痛评分及成功穿刺率差异.结果采用薄荷醇处方的A组患者疼痛评分及成功穿刺率较其他两组优势,差异具显著性,P＜ 0.05.结论在利多卡因、山莨菪碱、酒精消毒的静脉穿刺模式中加入薄荷醇可以有效减轻患儿的疼痛感,提高患儿静脉穿刺的成功率,值得临床推广应用.
목적 탐토박하순신형무통소독액응용우소인정맥천자중적림상효과.방법 선취2010년1월지2012년5월재아원인과주원적300례환인,수궤평분위A、B、C삼조,A조채용40％을순+2％리다잡인+2％산랑탕감+3％박하순、안이전대환자정맥천자부위진행국부소독、마취;B조채용40％을순+2％리다잡인+2％산랑탕감、안이전대환자정맥천자부위진행국부소독、마취；C조채용40％을순、안이전직접소독；대비분석각조환자적동통평분급성공천자솔차이.결과 채용박하순처방적A조환자동통평분급성공천자솔교기타량조우세,차이구현저성,P＜ 0.05.결론 재리다잡인、산랑탕감、주정소독적정맥천자모식중가입박하순가이유효감경환인적동통감,제고환인정맥천자적성공솔,치득림상추엄응용.
Objective To investigate the clinical effect of a new painless disinfectant menthol in venipuncture in pediatric patients.Methods 300 pediatric patients who had been hospitalizaed during the period of January 2010 to May 2012 were randomly divided into groups A,B,and C.Group A group received local disinfection of venous puncture site with 40％ ethanol,2％ lidocaine and 2％ anisodamine plus 3％ menthol AnEr iodine; group B received 40％ ethanol and 2％ lidocaine plus 2％ mountainhyoscyamine AnEr iodine; and group C received direct disinfection with 40％ ethanol and AnEr iodine.The differences in pain scores and rate of successful venipuncture were compared among the three groups.Results The pain scores and rate of successful venipuncture were much better in group A than in groups B and C (P＜0.05).Conclusions Additional menthol in local disinfection of venipuncture site with lidocaine,anisodamine,and alcohol can effectively reduce pain and improve the success rate of venipuncture in pediatric patients.It is worth popularizing clinically.