复方利多卡因乳膏超前镇痛在低压无针注射器瘢痕内注射中的应用

发布时间：2017-12-28 04:31

本文关键词：复方利多卡因乳膏超前镇痛在低压无针注射器瘢痕内注射中的应用　出处：《中华护理杂志》2017年02期 　论文类型：期刊论文

【摘要】：目的探讨复方利多卡因乳膏超前镇痛应用于低压无针注射器增生性瘢痕内药物注射过程中患者的疼痛、应激反应及不良反应。方法选取增生性瘢痕患者90例,随机分为实验组和对照组,每组45例。实验组在与对照组相同治疗方案实施前1 h,于注射瘢痕区域外涂复方利多卡因乳膏。对照组采用低压无针注射器向瘢痕内注射盐酸利多卡因注射液和复方倍他米松注射液进行治疗。观察并分析两组治疗前、治疗中及治疗后10 min患者疼痛视觉模拟评分、平均动脉压、心率变化及不良反应。结果两组治疗前疼痛视觉模拟评分、血压、心率的差异无统计学意义(P0.05);治疗中对照组疼痛视觉模拟评分、血压、心率均较实验组明显升高(P0.05);两组治疗前后均未观察到明显的不良反应。结论无针注射器瘢痕内注射前给予复方利多卡因乳膏可产生良好的超前镇痛效果,降低注射过程中的神经系统敏感性,增强治疗过程中的舒适度,安全性较好。
[Abstract]:Objective to investigate the pain relief, stress reaction and adverse reaction of Compound Lidocaine Cream in the process of drug injection for hypertrophic scar of low pressure needle free syringe. Methods 90 cases of hyperplastic scar were selected and divided into experimental group and control group randomly, with 45 cases in each group. In the experimental group, 1 h before the same treatment was applied to the control group, and Compound Lidocaine Cream was applied outside the area of the injection scar. The control group using low pressure syringe injection to Lidocaine Hydrochloride Injection and Compound Betamethasone Injection in the treatment of scar. The pain visual analogue score, mean arterial pressure, heart rate change and adverse reaction were observed and analyzed in two groups of 10 min patients before, during and after treatment. No statistically significant difference between the two groups before treatment pain visual analogue score, blood pressure, heart rate (P0.05); the control group in the treatment of pain visual analogue score, blood pressure and heart rate were significantly increased (P0.05); the two groups before and after treatment were no significant adverse reactions were observed. Conclusion Compound Lidocaine Cream without needle syringe can produce good preemptive analgesic effect before injection, reduce nervous system sensitivity and enhance comfort during treatment.
【作者单位】：第三军医大学第一附属西南医院整形美容科;
【分类号】：R472
【正文快照】： 瘢痕是临床上一种常见的难治性疾病,其总体发病率为4.5%~16%[1],而皮肤损伤及外科手术后瘢痕的发病率为40%~70%[2]。瘢痕继发于皮肤一定程度的外伤、烧伤、手术、感染后组织修复中的过度愈合反应,伴有大量纤维增生和胶原蛋白分泌,胶原纤维沉积致使组织致密增生,引发瘙痒、疼痛

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