复方利多卡因乳膏麻醉结合心理干预对行皮肤疣冷冻治疗患者的影响

目的探讨复方利多卡因乳膏局部浅表麻醉结合心理干预对行皮肤疣冷冻治疗患者的影响。方法以笑脸法和自我感觉评价法观察复方利多卡因对不同皮肤组织局部浅表麻醉后治疗过程的疼痛程度,同时开展心理干预,以手指法观察冷冻术前后患者恐惧心理的变化。结果复方利多卡因乳膏对面部、手足、胸部、颈/腋下、会阴部等体表部位均显示较好的局麻效果,不同体表部位的麻醉效果比较,P>0.05,差异无统计学意义。药物麻醉结合心理干预后,患者心理恐惧率明显低于干预前(P<0.01)。结论复方利多卡因具有良好的局麻效果;复方利多卡因乳膏麻醉结合心理干预可明显减轻皮肤疣冷冻治疗患者的恐惧心理。

Objective To explore the effects of narcotherapy with compound lidocaine cream combining with psychological intervention on treating skin warts by cryotherapy. Methods The pain degrees during the cryotherapy on variety of skin tissues after narcotherapy were evaluated by Wong-Baker Faces Scale and verbal rating scale. Fear psychology was observed by finger method before and after the narcotherapy and nursing intervention. Results The compound lidocaine showed better anesthetic effect on mucous membranes in perineum, neck, oxter, face, hands and feet. There was no significant difference between different body surfaces （P 〉 0.05）. The rates of total fear psychology was decreased after cryotherapy with nursing intervention （P 〈 0.01）. Conclusion The compound lidocaine has evident anesthetic effect. Psychological intervention was quite helpful in lightening fear psychology.