CAJ | 학술논문

目的探讨利多卡因在动脉穿刺中应用的有效性、可行性和安全性。为准确快速建立有创血压监测通道提供依据。方法在桡动脉对116例血管条件类似危重患者随机分成对照组和观察组进行动脉穿刺，对照组58例常规消毒后，采用BD安全型留置针桡动脉直接进行穿刺；观察组58例常规消毒后，在桡动脉穿刺点周围局部注射2%的利多卡因1～2ml后采用BD安全型留置针进行动脉穿刺。结果两次穿刺的成功率有显著差异P＜0.05，实验组患者的疼痛感明显低于观察组。结论观察组采用利多卡因局部注射后明显减少患者痛苦，且安全有效，节省医务人员工作时间，减轻工作量，提高工作效率。
목적탐토리다잡인재동맥천자중응용적유효성、가행성화안전성。위준학쾌속건립유창혈압감측통도제공의거。방법재뇨동맥대116례혈관조건유사위중환자수궤분성대조조화관찰조진행동맥천자，대조조58례상규소독후，채용BD안전형류치침뇨동맥직접진행천자；관찰조58례상규소독후，재뇨동맥천자점주위국부주사2%적리다잡인1～2ml후채용BD안전형류치침진행동맥천자。결과량차천자적성공솔유현저차이P＜0.05，실험조환자적동통감명현저우관찰조。결론관찰조채용리다잡인국부주사후명현감소환자통고，차안전유효，절성의무인원공작시간，감경공작량，제고공작효솔。
Objective To explore the application of lidocaine in arterial puncture the validity, feasibility and safety. For accurate rapid establishment of invasive blood pressure monitoring channel provides basis. Method in radial artery of 116 cases of vascular conditions similar to critically ill patients were randomly divided into control group and observation group were arterial puncture, 58 cases of the control group after routine disinfection, using BD safety indwelling needle radial artery direct puncture; observation group of 58 cases after routine disinfection, in radial artery puncture point around the local injection of 2% lidocaine in 1~2ml use of BD safety indwelling needle for arterial puncture. Results the two puncture success rate has a significant difference at P<0.05, the patients in experimental group were significantly lower than those observed in the pain group. Conclusion the observation group was treated with topical lidocaine injection after patients had significantly less pain, safe and effective work of medical staff, save time, reduce workload, improve work efficiency.