复方利多卡因乳膏在儿童腰椎穿刺中应用的临床观察

Clinical Observation of Compound Lidocaine Cream Applied in Children with Lumbar Puncture

目的:评价复方利多卡因乳膏在儿童腰椎穿刺中的应用情况。方法:选取湖南省儿童医院神经内科住院治疗且需要腰椎穿刺的患儿100例,随机分为复方利多卡因乳膏组及对照组各50例。复方利多卡因乳膏组在腰椎穿刺前30 min^1 h涂抹1~2 g复方利多卡因乳膏,对照组不予以处理。应用FLACC疼痛评估工具及Wong-Baker脸谱评分法对患儿在穿刺时的疼痛反应进行评分。结果:复方利多卡因乳膏组FLACC疼痛评估及Wong-Baker脸谱评分分数分别为(3.12±1.24)分和(3.84±1.58)分,均显著低于对照组的(7.86±1.64)分和(8.12±1.78)分(P均<0.01)。结论:复方利多卡因乳膏用于儿童腰椎穿刺前能显著降低患儿疼痛感觉,安全简便,且未发现明显不良反应,值得临床推广应用。

Objective： To evaluate the application of compound lidocaine cream in children with lumbar puncture. Methods： One hundred children aged 3 months to 12 years old come from Children＇s Hospital of Hunan Province undergoing the lumbar puncture,were randomly divided into two groups,the compound lidocaine cream group and the control group,50 cases in each group. Before lumbar puncture 0. 5 - 1 hour,the compound lidocaine cream group was smear 1 - 2 g lidocaine cream,the control group was not to be addressed. Application FLACC pain assessment tools and Wong-Baker facial pain response score of children at the time of puncture scored. Results： Lidocaine cream group FLACC pain assessment and Wong-Baker facial pain response score were（ 3. 12 ± 1. 24） scores and（ 3. 84 ± 1. 58） scores,which were significantly lower than the control group [（ 7. 86 ± 1. 64） scores and（ 8. 12 ± 1. 78） scores]（ P〈0. 01）. Conclusion： Compound lidocaine cream can significantly reduce the pain of children undergoing lumbar puncture,it＇s safe and convenient,and no adverse effects were found,worthy of clinical application.