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目的探讨盐酸利多卡因热湿敷在小儿留置针穿刺中的应用效果。方法选取连云港市妇幼保健院2015年5月—2016年5月收治的采取静脉留置针穿刺患儿130例,按照穿刺期间有无实施相应措施分成对照组58例与观察组72例。对照组行常规性静脉留置针穿刺治疗,观察组于穿刺前10min应用盐酸利多卡因热湿敷后再给予静脉留置针穿刺治疗,比较两组患儿止痛效果、一次性穿刺成功率、重复穿刺率、液体外渗发生率及第1次穿刺时间、第2天穿刺和静脉滴注时间。结果观察组患儿疼痛程度轻于对照组,差异有统计学意义(P<0.05)。观察组患儿一次性穿刺成功率高于对照组,重复穿刺率和液体外渗发生率低于对照组,差异有统计学意义(P<0.05)。观察组第1次穿刺时间、第2天穿刺时间、静脉滴注时间短于对照组,差异有统计学意义(P<0.05)。结论于小儿静脉留置针穿刺中应用盐酸利多卡因热湿敷的止痛效果确切,可提高穿刺成功率,降低液体外渗发生率,缩短穿刺和静脉滴注时间。
Objective To investigate the application effect of lidocaine hydrochloride heat and moisture in pediatric needle placement. Methods 130 cases of children admitted to Lianyungang Maternal and Child Health Hospital from May 2015 to May 2016 were enrolled and divided into control group (58 cases) and observation group (72 cases) according to the presence or absence of corresponding measures during puncture. The control group received conventional venous catheterization. The observation group was treated with lidocaine hydrochloride heat and moisture 10 minutes before the puncture, and then treated with intravenous indwelling needle puncture. The analgesic effect, the success rate of one-time puncture, repeated puncture Rate, the incidence of fluid extravasation and the first puncture time, the second day puncture and intravenous infusion time. Results The pain degree in the observation group was lighter than that in the control group, with significant difference (P <0.05). The success rate of one-time puncture in observation group was higher than that in control group, and the incidence of repeated puncture and extravasation was lower than that of control group (P <0.05). The first puncture time, the second puncture time and the IV infusion time in the observation group were shorter than those in the control group (P <0.05). Conclusion The analgesic effect of lidocaine hydrochloride heat and wet compress in pediatric intravenous catheterization is exact, which can improve the puncture success rate, reduce the incidence of fluid extravasation and shorten the time of puncture and intravenous drip.