当代医学
噹代醫學
당대의학
CHINA CONTEMPORARY MEDICINE
2013年
22期
130-131,132
,共3页
桡动脉穿刺%疼痛%护理%利多卡因
橈動脈穿刺%疼痛%護理%利多卡因
뇨동맥천자%동통%호리%리다잡인
Radial artery puncture%Pain%Lidocaine%Nursing
目的探讨利多卡因静脉预处理预防桡动脉穿刺疼痛的效果。方法需行单次桡动脉采血的患者80例随机分为两组，每组40例。静脉阻断后对照组静脉预注生理盐水3 mL，利多卡因组预注利多卡因30 mg（3 mL），2 min后松开橡皮止血带即行同侧桡动脉穿刺采血。评估两组患者桡动脉穿刺导致的疼痛程度和对操作的满意度。结果利多卡因预处理组桡动脉穿刺所致的疼痛评分显著低于对照组（P＜0.01)，患者满意度显著高于对照组（P＜0.01)。结论局部静脉阻断后静脉预注30 mg利多卡因能有效缓解桡动脉穿刺导致的疼痛，提高患者满意度。
目的探討利多卡因靜脈預處理預防橈動脈穿刺疼痛的效果。方法需行單次橈動脈採血的患者80例隨機分為兩組，每組40例。靜脈阻斷後對照組靜脈預註生理鹽水3 mL，利多卡因組預註利多卡因30 mg（3 mL），2 min後鬆開橡皮止血帶即行同側橈動脈穿刺採血。評估兩組患者橈動脈穿刺導緻的疼痛程度和對操作的滿意度。結果利多卡因預處理組橈動脈穿刺所緻的疼痛評分顯著低于對照組（P＜0.01)，患者滿意度顯著高于對照組（P＜0.01)。結論跼部靜脈阻斷後靜脈預註30 mg利多卡因能有效緩解橈動脈穿刺導緻的疼痛，提高患者滿意度。
목적탐토리다잡인정맥예처리예방뇨동맥천자동통적효과。방법수행단차뇨동맥채혈적환자80례수궤분위량조，매조40례。정맥조단후대조조정맥예주생리염수3 mL，리다잡인조예주리다잡인30 mg（3 mL），2 min후송개상피지혈대즉행동측뇨동맥천자채혈。평고량조환자뇨동맥천자도치적동통정도화대조작적만의도。결과리다잡인예처리조뇨동맥천자소치적동통평분현저저우대조조（P＜0.01)，환자만의도현저고우대조조（P＜0.01)。결론국부정맥조단후정맥예주30 mg리다잡인능유효완해뇨동맥천자도치적동통，제고환자만의도。
Objective To research the effects of lidocaine pretreatment reduces the pain induced by radial artery puncture. Methods Eighty parturients underwent radial artery puncture was randomly divided into two groups (40 cases in each group). After occluding venous drainage using a tourniquet, the control group received 3 mL of 0.9%sodium chloride solution, the lidocaine group received 30 mg of lidocaine(3 mL). Two minutes later, the rubber tourniquet was released for arteriopuncture, the degree of pain and satisfaction of parturients was assessed and recorded. Results In experimental group, the visual analogue scale (VAS) was signiifcantly lower than control group and the patient's overall satisfaction was improved (P<0. 01). Conclusion Pretreatment with lidocaine after occluding venous drainage was effective for preventing pain and increasing patient's overall satisfaction during radial artery puncture.
